SYDNEY ELIZABETH MOOTZ (PA-C) – Physician Assistant, NPI 1093386245
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,672 PHYSICIAN ASSISTANT in WI
Provider Addresses for SYDNEY ELIZABETH MOOTZ (PA-C)
1200B CHAMPAGNE ST
MERRILL, WI 544522973
Phone: (715) 218-4024
Type: Mailing
2400 PINE RIDGE BLVD
WAUSAU, WI 544017803
Phone: (715) 847-2022
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $921.
Total Amount is formed as General ($921) + Research ($0) + Ownership ($0) = $921.
Last reported payment date: 2024-10-19 • Largest payer in this snapshot: Silk Road Medical, Inc. ($852).
Total Amount
$921
General + Research + Ownership
Payments
6
Total payment records
General Amount
$921
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Silk Road Medical, Inc. | $852 |
| Integra LifeSciences Corporation | $68 |
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: 2021-08-20
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 |
|---|---|---|---|---|
| I20210820000507 | I | Physician Assistant | WI | 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 |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 14 | 13 | $0 |
Insurance plans in this area (ZIP 54452)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | PA | |
| General Surgery, Vascular Surgery | WI | |
| Nurse Practitioner | WI | |
| General Surgery | NV | |
| - | WI | |
| Vascular Surgery, General Surgery | WI | |
| General Surgery, Vascular Surgery | WI | |
| General Surgery | WI | |
| General Surgery | PA | |
| Vascular Surgery | MI |
Reviews
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