COREY CARSON (PA) – Physician Assistant, NPI 1497254635

COREY CARSON (PA) is a healthcare provider. based in Walla walla, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA60824929 (WA). The NPI Number for COREY CARSON (PA) is 1497254635

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
COREY CARSON (PA)
NPI
1497254635
Phone
(509) 897-8959
Address
301 W POPLAR ST
Enumeration Date
2 February 2018
Last Update Date
11 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2537771423
Graduation Year
2017 (9 years ago)
PAC ID
8022379619
Group Practice PAC ID
8628462983
Professional Enrollment ID
I20180222000617
Address ID
WA98406XXXXTAXXXXXXXXXX00
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

4,282 PHYSICIAN ASSISTANT in WA

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Provider Addresses for COREY CARSON (PA)

  • 301, West Poplar Street, Walla Walla, Walla Walla County, Washington, 99362, United States

    WALLA WALLA, WA 993622858

    Phone: (509) 897-8959

    Type: Location

  • 630 N Fairview Dr

    Tacoma, WA 984061015

    Phone: (532) 777-1423

    Fax: (206) 673-8050

    Type: Location

  • 220, West Poplar Street, Walla Walla, Walla Walla County, Washington, 99362, United States

    WALLA WALLA, WA 993622800

    Phone: (509) 897-8959

    Fax: (509) 897-5788

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2024-03-28 • Largest payer in this snapshot: Curonix LLC ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-28

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Curonix LLC$24
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: 2018-02-22

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
I20180222000617IPhysician AssistantWATBD

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 minutes310234$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg17221$0
99204New patient office or other outpatient visit, 45-59 minutes8080$0
20553Injection of trigger points, 3 or more muscles7918$0
99213Established patient office or other outpatient visit, 20-29 minutes5553$0
View full utilization report →

Insurance plans in this area (ZIP 99362)

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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: 8628462983View full group profile
NameSpecialtyState
Nurse PractitionerUT
Physician AssistantWA
Geriatric Medicine, Family PracticeWA
General Practice, Internal MedicineWA
Physician AssistantSD
Nurse PractitionerCO
Physician AssistantNV
Nurse PractitionerFL
Physician AssistantWA
Nurse PractitionerWA

Reviews

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Frequently asked questions

What is the 10-digit NPI for COREY CARSON (PA)?
COREY CARSON (PA) — NPI 1497254635 — is the standard way to identify this listing.
Is COREY CARSON (PA) listed as active for patients and plans?
The listing shows COREY CARSON (PA) as active in the NPI system.
What healthcare role does COREY CARSON (PA) hold?
Scheduling teams often label COREY CARSON (PA) under Physician Assistant. Clinical services aligned with this taxonomy classification.
Does COREY CARSON (PA) list a practice location?
Patients near Walla Walla, Washington may find COREY CARSON (PA) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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