MR. CASEY DUSTIN ELLIOTT (PA-C) – Physician Assistant, NPI 1598951733

MR. CASEY DUSTIN ELLIOTT (PA-C) is a healthcare provider. based in Keller, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA04628 (TX). The NPI Number for MR. CASEY DUSTIN ELLIOTT (PA-C) is 1598951733

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
MR. CASEY DUSTIN ELLIOTT (PA-C)
NPI
1598951733
Phone
(817) 741-2001
Address
100 BOURLAND RD STE 170
Enumeration Date
21 September 2007
Last Update Date
15 July 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8176842708
Graduation Year
2005 (21 years ago)
PAC ID
6406930338
Group Practice PAC ID
4385535954
Professional Enrollment ID
I20080229000597
Address ID
TX760226913BE1600XPKWY300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

8,497 PHYSICIAN ASSISTANT in TX

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Provider Addresses for MR. CASEY DUSTIN ELLIOTT (PA-C)

  • 170, Bourland Road, Keller, Tarrant County, Texas, 76248, United States

    KELLER, TX 762483592

    Phone: (817) 741-2001

    Fax: (817) 741-2015

    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 254 Open Payments records for all available years, with a total value of $4,890.

Total Amount is formed as General ($4,890) + Research ($0) + Ownership ($0) = $4,890.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: PFIZER INC. ($748).

Total Amount

$4,890

General + Research + Ownership

Payments

254

Total payment records

General Amount

$4,890

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

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: 2008-02-29

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
I20080229000597IPhysician AssistantTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes15994$0
99213Established patient office or other outpatient visit, 20-29 minutes12290$0
81003Automated urinalysis test7775$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report5352$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit5151$0
View full utilization report →

Insurance plans in this area (ZIP 76248)

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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: 4385535954View full group profile
NameSpecialtyState
Internal MedicineTX
Vascular SurgeryPA
Internal MedicineTX
-TX
-TX
-TX
-TX
-TX
Cardiovascular Disease (Cardiology), Internal MedicineTX
Family PracticeTX

Reviews

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Frequently asked questions

How do payers reference MR. CASEY DUSTIN ELLIOTT (PA-C)?
For MR. CASEY DUSTIN ELLIOTT (PA-C), use NPI 1598951733 as the unique 10-digit identifier.
Active or inactive — what applies to MR. CASEY DUSTIN ELLIOTT (PA-C)?
You should see MR. CASEY DUSTIN ELLIOTT (PA-C) as active in CMS-hosted NPPES data.
How would a patient describe MR. CASEY DUSTIN ELLIOTT (PA-C)'s focus?
For MR. CASEY DUSTIN ELLIOTT (PA-C), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MR. CASEY DUSTIN ELLIOTT (PA-C) located near Keller?
MR. CASEY DUSTIN ELLIOTT (PA-C) currently maps to Keller, Texas in this extract.
When was this NPI issued?
Enumeration for MR. CASEY DUSTIN ELLIOTT (PA-C) is noted as September 21, 2007 where the registry provides it.

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