ALFRED HENRY LIDDLE (PA) – Physician Assistant, NPI 1205813615
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
773 PHYSICIAN ASSISTANT in RI
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Provider Addresses for ALFRED HENRY LIDDLE (PA)
2, Wake Robin Road, Lincoln, Providence County, Rhode Island, 02865, United States
LINCOLN, RI 028654241
Phone: (401) 334-3105
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 288 Open Payments records for all available years, with a total value of $9,414.
Total Amount is formed as General ($9,414) + Research ($0) + Ownership ($0) = $9,414.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($1,274).
Total Amount
$9,414
General + Research + Ownership
Payments
288
Total payment records
General Amount
$9,414
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $1,274 |
| Amgen Inc. | $809 |
| GlaxoSmithKline, LLC. | $783 |
| Lilly USA, LLC | $508 |
| ABBVIE INC. | $472 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-09-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080908000013 | I | Physician Assistant | RI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 150 | 68 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 53 | 53 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 41 | 28 | $0 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 12 | 12 | $0 |
Insurance plans in this area (ZIP 02865)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | NV | |
| Physician Assistant | MA | |
| General Practice, Family Practice | RI | |
| Internal Medicine | RI | |
| Internal Medicine | CT | |
| Internal Medicine | RI | |
| Nurse Practitioner | RI | |
| Nurse Practitioner | RI |
Reviews
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