TIM NOWATZKE (P.A.-C) – Physician Assistant, NPI 1215989645
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,971 PHYSICIAN ASSISTANT in UT
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Provider Addresses for TIM NOWATZKE (P.A.-C)
300 East, Middleton, St. George, Washington County, Utah, 84771, United States
ST GEORGE, UT 847703620
Phone: (435) 628-2826
Fax: (435) 628-2839
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 107 Open Payments records for all available years, with a total value of $2,987.
Total Amount is formed as General ($2,987) + Research ($0) + Ownership ($0) = $2,987.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: UCB, Inc. ($1,333).
Total Amount
$2,987
General + Research + Ownership
Payments
107
Total payment records
General Amount
$2,987
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| UCB, Inc. | $1,333 |
| ABBVIE INC. | $866 |
| Janssen Biotech, Inc. | $232 |
| Dermavant Sciences, Inc. | $128 |
| PFIZER INC. | $63 |
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: 2006-05-18
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 |
|---|---|---|---|---|
| I20060518000064 | I | Physician Assistant | UT | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,079 | 218 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 566 | 503 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 310 | 289 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 149 | 143 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 86 | 86 | $0 |
Insurance plans in this area (ZIP 84770)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NV | |
| - | UT | |
| Physician Assistant | UT | |
| D E R M A T O L O G Y | UT | |
| Physician Assistant | UT | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | UT | |
| Physician Assistant | UT |
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