GEORGIA D ELTABBAKH (P.A.) – Medical Physician Assistant, NPI 1871589150
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
385 PHYSICIAN ASSISTANT in VT
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Provider Addresses for GEORGIA D ELTABBAKH (P.A.)
1060, Hinesburg Road, South Burlington, Chittenden County, Vermont, 05403, United States
SUITE 301
SOUTH BURLINGTON, VT 054037612
Phone: (802) 859-9500
Fax: (802) 859-9944
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)
No Open Payments data available for this provider.
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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: 2011-11-08
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 |
|---|---|---|---|---|
| I20111108000040 | I | Physician Assistant | VT | 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 | 184 | 162 | $0 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 103 | 103 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 56 | 41 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 21 | 20 | $0 |
| G0008 | Administration of influenza virus vaccine | 11 | 11 | $0 |
Insurance plans in this area (ZIP 05403)
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