ALINA GERASYMOVA (PA-C) – Physician Assistant, NPI 1205347994

ALINA GERASYMOVA (PA-C) is a healthcare provider. based in Manitowoc, Wisconsin. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. C0006647 (MD). The NPI Number for ALINA GERASYMOVA (PA-C) is 1205347994

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
ALINA GERASYMOVA (PA-C)
NPI
1205347994
Phone
(920) 663-9008
Address
801 YORK ST
Enumeration Date
20 October 2017
Last Update Date
5 January 2026

Doctor Profile

Medical School Name
UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Secondary Phone
2402467417
Graduation Year
2017 (9 years ago)
PAC ID
3173990447
Group Practice PAC ID
5496193450
Professional Enrollment ID
I20241209000169
Address ID
MD208506237RO15245RDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:8State licenses:2Digital endpointsOther names

3,366 PHYSICIAN ASSISTANT in MD

Provider Addresses for ALINA GERASYMOVA (PA-C)

  • 801 YORK ST

    MANITOWOC, WI 542204630

    Phone: (920) 663-9008

    Fax: (920) 684-1439

    Type: Mailing

  • 15245 SHADY GROVE RD STE 370

    ROCKVILLE, MD 208506237

    Phone: (240) 246-7417

    Fax: (240) 477-4364

    Type: Mailing

  • 838-842, Elmcroft Boulevard, King Farm, Rockville, Montgomery County, Maryland, 20880, United States

    ROCKVILLE, MD 208505828

    Phone: (703) 989-8248

    Type: Mailing

  • 4801 DORSEY HALL DR STE 140

    ELLICOTT CITY, MD 210427703

    Phone: (410) 992-4100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 48 Open Payments records for all available years, with a total value of $1,837.

Total Amount is formed as General ($1,837) + Research ($0) + Ownership ($0) = $1,837.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($379).

Total Amount

$1,837

General + Research + Ownership

Payments

48

Total payment records

General Amount

$1,837

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-12-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20221031002073IPhysician AssistantMDTBD
I20241209000169IPhysician AssistantDCTBD

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
17003Destruction of precancer skin growth, 2-14 growths2,562361$0
99213Established patient office or other outpatient visit, 20-29 minutes841534$0
17000Destruction of precancer skin growth, 1 growth651396$0
17110Destruction of skin growth, 1-14 growths243184$0
99214Established patient office or other outpatient visit, 30-39 minutes139112$0
View full utilization report →

Insurance plans in this area (ZIP 54220)

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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: 5496193450View full group profile
NameSpecialtyState
D E R M A T O L O G YMD
Nurse PractitionerNY
D E R M A T O L O G YMD
D E R M A T O L O G YMD

Reviews

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Frequently asked questions

What is the registry number for ALINA GERASYMOVA (PA-C)?
The registry entry for ALINA GERASYMOVA (PA-C) shows NPI 1205347994.
Is ALINA GERASYMOVA (PA-C)'s NPI status active today?
Active status means ALINA GERASYMOVA (PA-C)'s NPI record is not deactivated in the public file.
What does the directory say ALINA GERASYMOVA (PA-C) does?
Insurance directories may phrase it differently, but here ALINA GERASYMOVA (PA-C) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ALINA GERASYMOVA (PA-C)?
ALINA GERASYMOVA (PA-C) is associated with Manitowoc, Wisconsin in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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