KATHARINE BERGART – Physician Assistant, NPI 1023465390
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
323 PHYSICIAN ASSISTANT in WY
Provider Addresses for KATHARINE BERGART
PO BOX 428
JACKSON, WY 830010428
Phone: (307) 739-8999
Type: Mailing
1415 S HWY 89
JACKSON, WY 830018515
Phone: (307) 739-8999
Fax: (307) 739-4811
Type: Location
4311 11th Ave NE Ste 200
Seattle, WA 981056367
Phone: (206) 616-4001
Type: Location
11th Avenue Northeast, University District, Seattle, King County, Washington, 98105-6286, United States
SEATTLE, WA 981056367
Phone: (206) 616-4001
Type: Mailing
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.
This can happen when there are no reportable CMS Open Payments records.
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: 2022-06-14
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 |
|---|---|---|---|---|
| I20220614002866 | I | Physician Assistant | WY | 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 |
|---|---|---|---|---|
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 65 | 64 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 59 | 58 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 53 | 52 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 40 | 40 | $0 |
| 71046 | X-ray of chest, 2 views | 35 | 34 | $0 |
Insurance plans in this area (ZIP 83001)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | WY | |
| - | WY | |
| - | WY | |
| - | WY | |
| Certified Registered Nurse Anesthetist (Crna) | WY | |
| General Surgery | WY | |
| General Surgery | ID | |
| Qualified Audiologist | WY | |
| N E U R O L O G Y | DC | |
| Family Practice | WY |
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