CAMERON PAPPAS (PA) – Medical Physician Assistant, NPI 1104579986

CAMERON PAPPAS (PA) is a healthcare provider. based in Austin, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for CAMERON PAPPAS (PA) is 1104579986

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
CAMERON PAPPAS (PA)
NPI
1104579986
Phone
(512) 628-0465
Address
6601 VAUGHT RANCH RD STE 200
Enumeration Date
1 February 2022
Last Update Date
11 January 2023

Doctor Profile

Medical School Name
MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Secondary Phone
4787422180
Graduation Year
2021 (5 years ago)
PAC ID
1850761198
Group Practice PAC ID
7517850712
Professional Enrollment ID
I20230705001066
Address ID
GA312173861MA308XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:4State licenses:0Digital endpointsOther names

892 PHYSICIAN ASSISTANT in NM

Provider Addresses for CAMERON PAPPAS (PA)

  • 6601 VAUGHT RANCH RD STE 200

    AUSTIN, TX 787302309

    Phone: (512) 628-0465

    Fax: (512) 233-2711

    Type: Mailing

  • 8316 KASEMAN CT NE

    ALBUQUERQUE, NM 871107639

    Phone: (505) 292-5850

    Type: Location

  • 28 MEDICAL RIDGE DR

    GREENVILLE, SC 296054267

    Phone: (864) 271-7440

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 326 Open Payments records for all available years, with a total value of $10,747.

Total Amount is formed as General ($10,747) + Research ($0) + Ownership ($0) = $10,747.

Last reported payment date: 2024-12-27 • Largest payer in this snapshot: ABBVIE INC. ($1,971).

Total Amount

$10,747

General + Research + Ownership

Payments

326

Total payment records

General Amount

$10,747

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-07-05

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230705001066IPhysician AssistantGATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths28164$0
99213Established patient office or other outpatient visit, 20-29 minutes182135$0
11102Biopsy of related skin growth, first growth9791$0
17000Destruction of precancer skin growth, 1 growth9685$0
11103Biopsy of related skin growth, each additional growth5337$0
View full utilization report →

Insurance plans in this area (ZIP 78730)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517850712View full group profile
NameSpecialtyState
Micrographic Dermatologic Surgery (Mds), DermatologyGA
Physician AssistantGA
Physician AssistantGA
Physician AssistantGA
Dermatology, Micrographic Dermatologic Surgery (Mds)FL
D E R M A T O L O G YGA
Physician AssistantGA
D E R M A T O L O G YGA
Physician AssistantGA
D E R M A T O L O G YGA

Reviews

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Frequently asked questions

What is CAMERON PAPPAS (PA)'s NPI number?
CAMERON PAPPAS (PA)'s NPI is 1104579986 — the number used across U.S. healthcare to identify this provider.
Is there an active status for CAMERON PAPPAS (PA)?
For scheduling context, CAMERON PAPPAS (PA) is shown as active in the registry.
What expertise is attributed to CAMERON PAPPAS (PA)?
CAMERON PAPPAS (PA)'s specialty line reads Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with CAMERON PAPPAS (PA)?
Directory geography for CAMERON PAPPAS (PA) centers on Austin, Texas.
Does CAMERON PAPPAS (PA) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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