MS. ELIZABETH ANN OTTER (PA-C) – Physician Assistant, NPI 1639108293
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,118 PHYSICIAN ASSISTANT in TN
Loading map...
Provider Addresses for MS. ELIZABETH ANN OTTER (PA-C)
1725, Medical Center Parkway, Battleground Estates, Murfreesboro, Rutherford County, Tennessee, 37129, United States
SUITE 300
MURFREESBORO, TN 371292247
Phone: (615) 893-4100
Fax: (615) 893-2166
Type: Mailing
3434 RIVERTOWN POINT CT SW
GRANDVILLE, MI 494183076
Phone: (616) 257-3344
Fax: (616) 457-1491
Type: Mailing
3290 N WELLNESS DR STE 240
HOLLAND, MI 494247261
Phone: (616) 395-9379
Fax: (616) 820-1457
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 135 Open Payments records for all available years, with a total value of $7,645.
Total Amount is formed as General ($7,645) + Research ($0) + Ownership ($0) = $7,645.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Janssen Biotech, Inc. ($1,453).
Total Amount
$7,645
General + Research + Ownership
Payments
135
Total payment records
General Amount
$7,645
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $1,453 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $1,254 |
| LEO Pharma Inc. | $741 |
| E.R. Squibb & Sons, L.L.C. | $432 |
| Arcutis Biotherapeutics, Inc. | $384 |
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: 2008-09-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20060117000419 | I | Physician Assistant | MI | TBD |
| I20080909000372 | I | Physician Assistant | TN | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 130 | 35 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 89 | 84 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 53 | 51 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 49 | 49 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 25 | 25 | $0 |
Insurance plans in this area (ZIP 37129)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | MI | |
| D E R M A T O L O G Y | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| D E R M A T O L O G Y | IA | |
| Physician Assistant | MI | |
| D E R M A T O L O G Y | MI | |
| D E R M A T O L O G Y | MI | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | MI | |
| - | MI |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.