PETER EVOLA (P.A.) – Medical Physician Assistant, NPI 1104868942
Medical Physician Assistant
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,243 PHYSICIAN ASSISTANT in NY
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Provider Addresses for PETER EVOLA (P.A.)
PO BOX 56169
HOUSTON, TX 772566169
Phone: (713) 470-6006
Type: Mailing
Nyack Hospital, 160, North Midland Avenue, Nyack, Town of Orangetown, Rockland County, New York, 10960, United States
NYACK, NY 109601912
Phone: (845) 348-2000
Type: Location
6865 WINDCREST DR
PLANO, TX 750243086
Phone: (866) 990-0599
Type: Mailing
996 E MAIN ST
TORRINGTON, CT 067903909
Phone: (860) 866-5809
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $125.
Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.
Last reported payment date: 2023-02-23 • Largest payer in this snapshot: Novo Nordisk Inc ($125).
Total Amount
$125
General + Research + Ownership
Payments
1
Total payment records
General Amount
$125
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-02-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $125 |
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: 2024-03-08
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 |
|---|---|---|---|---|
| I20050406000393 | I | Physician Assistant | NY | TBD |
| I20240308001026 | I | Physician Assistant | CT | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 63 | 59 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 56 | 56 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 39 | 39 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 36 | 35 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 28 | 28 | $0 |
Insurance plans in this area (ZIP 77256)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NY | |
| H E M A T O L O G Y/ O N C O L O G Y | NY | |
| U R O L O G Y | NY | |
| Physician Assistant | NY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NY | |
| - | NY | |
| Certified Registered Nurse Anesthetist (Crna) | NY | |
| - | NY | |
| Physician Assistant | NY | |
| - | NY |
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