ETHAN EVERLITH – Physician Assistant, NPI 1003391434
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,684 PHYSICIAN ASSISTANT in AZ
Provider Addresses for ETHAN EVERLITH
PO BOX 271429
SALT LAKE CITY, UT 841271429
Phone: (603) 385-2115
Type: Mailing
525 S Chandler Village Dr
Chandler, AZ 852265152
Phone: (480) 964-2908
Type: Location
1675 E Melrose St Ste 101-103
Gilbert, AZ 852971001
Phone: (602) 648-5444
Fax: (602) 772-3801
Type: Location
485 S Dobson Rd Ste 101
Chandler, AZ 852245603
Phone: (480) 728-4981
Fax: (480) 728-4985
Type: Location
PO BOX 80217
PHOENIX, AZ 850600217
Phone: (603) 385-2115
Fax: (480) 418-3323
Type: Mailing
East Banner Gateway Drive, Gilbert, Maricopa County, Arizona, 85206, United States
GILBERT, AZ 852342171
Phone: (480) 964-2908
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 43 Open Payments records for all available years, with a total value of $986.
Total Amount is formed as General ($986) + Research ($0) + Ownership ($0) = $986.
Last reported payment date: 2024-08-01 • Largest payer in this snapshot: Phathom Pharmaceuticals, Inc. ($186).
Total Amount
$986
General + Research + Ownership
Payments
43
Total payment records
General Amount
$986
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-01
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2019-01-03
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 |
|---|---|---|---|---|
| I20190103003273 | I | Physician Assistant | AZ | 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 | 57 | 56 | $0 |
| 73564 | X-ray of knee, 4 or more views | 53 | 43 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 50 | 50 | $0 |
| 73502 | X-ray of hip, 2-3 views | 39 | 35 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 36 | 34 | $0 |
Insurance plans in this area (ZIP 84127)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Endocrinology | AL | |
| Internal Medicine, Gastroenterology | AZ | |
| Physician Assistant | AZ | |
| Nurse Practitioner | AZ | |
| General Surgery | SD | |
| Orthopedic Surgery | FL | |
| Cardiac Surgery | IN | |
| - | AZ | |
| General Surgery | AZ | |
| Sports Medicine | IL |
Reviews
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