ETHAN EVANKOW, PA
Medical Physician Assistant · DOVER FOXCROFT, ME
Individual Active NPI 1528580966
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 154 | 183 | $155,009 | $20,638 | $15,808 |
| 2022 | 71 | 74 | $19,349 | $6,055 | $3,794 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 91 | $139 | $106 |
| 99284 | Emergency department visit with moderate level of medical decision making | 61 | $96 | $75 |
| 99283 | Emergency department visit with low level of medical decision making | 16 | $56 | $42 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | ✓ | PA1241 | ME |
| Physician Assistant | 363A00000X | 055.0031348 | VT | |
| Physician Assistant | 363A00000X | PA1241 | ME | |
| Physician Assistant | 363A00000X | — | VT |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- No
Other Medical Physician Assistant providers in Maine
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- NPI 1073096517
- NPI 1730584202
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.