ELIZABETH MARGERY PELLETIER (PAC) – Physician Assistant, NPI 1114021482
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,497 PHYSICIAN ASSISTANT in TX
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Provider Addresses for ELIZABETH MARGERY PELLETIER (PAC)
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
DALLAS, TX 752845347
Phone: (214) 645-0624
Fax: (214) 645-0078
Type: Mailing
University of Texas Southwestern Medical Center, 5323, Harry Hines Boulevard, Dallas, TX, Dallas, Dallas County, Texas, 75390, United States
DALLAS, TX 753907208
Phone: (214) 645-0624
Fax: (214) 645-0078
Type: Location
6321 S CHANDLER RD
SAINT JOHNS, MI 488799170
Phone: (517) 896-2946
Type: Mailing
1140 E MICHIGAN AVE STE 300
LANSING, MI 489121806
Phone: (517) 364-5655
Fax: (517) 364-5654
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 91 Open Payments records for all available years, with a total value of $2,084.
Total Amount is formed as General ($2,084) + Research ($0) + Ownership ($0) = $2,084.
Last reported payment date: 2024-12-21 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($296).
Total Amount
$2,084
General + Research + Ownership
Payments
91
Total payment records
General Amount
$2,084
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sumitomo Pharma America, Inc. | $296 |
| Medtronic, Inc. | $213 |
| Boston Scientific Corporation | $204 |
| COLOPLAST CORP | $154 |
| Astellas Pharma US Inc | $126 |
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: 2014-12-02
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 |
|---|---|---|---|---|
| I20141202002602 | I | Physician Assistant | MI | 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 | 271 | 196 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 258 | 173 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 43 | 35 | $0 |
| 51700 | Simple bladder irrigation and/or instillation | 25 | 17 | $0 |
Insurance plans in this area (ZIP 75284)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| - | MI | |
| Family Practice | MI | |
| - | MI | |
| P A T H O L O G Y | IL | |
| Nurse Practitioner | MI | |
| Vascular Surgery, General Surgery | MI | |
| Nurse Practitioner | MI | |
| Internal Medicine | MI | |
| Family Practice | MI |
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