ELIZAVETA HERMANN – Physician Assistant, NPI 1124321419
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
Provider Addresses for ELIZAVETA HERMANN
15809 BEAR CREEK PKWY
SUITE 100
REDMOND, WA 980521542
Phone: (425) 882-6100
Fax: (425) 882-7690
Type: Mailing
2622 S MERIDIAN
PUYALLUP, WA 983731500
Phone: (253) 841-2453
Fax: (253) 840-5519
Type: Mailing
15809 BEAR CREEK PKWY STE 100
REDMOND, WA 980521542
Phone: (425) 882-6100
Fax: (425) 882-7690
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $671.
Total Amount is formed as General ($671) + Research ($0) + Ownership ($0) = $671.
Last reported payment date: 2024-05-02 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($484).
Total Amount
$671
General + Research + Ownership
Payments
9
Total payment records
General Amount
$671
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $484 |
| ABBVIE INC. | $112 |
| Incyte Corporation | $58 |
| Galderma Laboratories, L.P. | $18 |
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: 2016-08-26
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 |
|---|---|---|---|---|
| I20160826002189 | I | Physician Assistant | WA | 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 | 347 | 66 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 121 | 113 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 92 | 89 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 83 | 67 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 63 | 60 | $0 |
Insurance plans in this area (ZIP 98052)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WA | |
| Physician Assistant | WA | |
| D E R M A T O L O G Y | WA | |
| D E R M A T O L O G Y | WA | |
| - | WA |
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