AMBER BOCK (PAC) – Physician Assistant, NPI 1770822074
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
324 PHYSICIAN ASSISTANT in WY
Provider Addresses for AMBER BOCK (PAC)
PO BOX 786
GLENROCK, WY 826370786
Phone: (307) 436-9206
Fax: (307) 436-9730
Type: Mailing
925 W BIRCH ST
GLENROCK, WY 826370786
Phone: (307) 436-9206
Fax: (307) 436-9730
Type: Location
PO BOX 190930
BOISE, ID 837190930
Phone: (208) 302-9342
Fax: (208) 367-5180
Type: Mailing
925 W Birch St
Glenrock, WY 826370786
Phone: (307) 436-9206
Fax: (307) 436-9730
Type: Location
1050 SW 3rd Ave Ste 1800
Ontario, OR 979142193
Phone: (208) 302-0000
Type: Location
4424 E FLAMINGO AVE STE 300
NAMPA, ID 836879306
Phone: (208) 302-0000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 52 Open Payments records for all available years, with a total value of $1,670.
Total Amount is formed as General ($1,670) + Research ($0) + Ownership ($0) = $1,670.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Actelion Pharmaceuticals US, Inc. ($854).
Total Amount
$1,670
General + Research + Ownership
Payments
52
Total payment records
General Amount
$1,670
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2024-04-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170831001615 | I | Physician Assistant | ID | TBD |
| I20240411002033 | I | Physician Assistant | OR | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 300 | 220 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 148 | 139 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 33 | 33 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 19 | 18 | $0 |
Insurance plans in this area (ZIP 82637)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Qualified Audiologist | ID | |
| Orthopedic Surgery | ID | |
| - | ID | |
| - | UT | |
| Family Practice | ID | |
| Physician Assistant | ID | |
| - | ID | |
| Internal Medicine | ID | |
| Family Practice | ID | |
| - | ID |
Reviews
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