Active NPI 1326015074 Individual Practitioner Female Practitioner

Beverly K Iltis , PA

Physician Assistant • Longview, TX

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Beverly Iltis, PA is a certified Physician Assistant practicing in Longview, TX. With approximately 27 years of clinical experience since completing medical education in 1999, Beverly Iltis delivers high-quality medical care to the local community at 805 MEDICAL DR.

Beverly Iltis is affiliated with Associated Clinicians Of East Texas and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

805 Medical Dr

Longview, TX 756055130

Telephone 9037576042

Fax 9032916138

Associated Practice Facility / Clinic

🏢 Diagnostic Clinic Of Longview Pa Facility NPI 1386638468

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Longview, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +8.6 yrs vs City Avg

City Avg: 18.4 Yrs

State Avg: 13.9 Yrs

Regional Practice Density

49 Specialists

Practicing in Longview, TX (11140 Statewide)

Telehealth Adoption Rate

16.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

57.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Iltis (27 Years) 27 Yrs

Longview Specialty Average (18.4 Years) 18.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	351	163	$215.10	$106.54
36415 Insertion of needle into vein for collection of blood sample	244	148	$20.00	$8.65
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	193	137	$40.00	$7.61
80053 Blood test, comprehensive group of blood chemicals	183	138	$105.00	$10.35
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	172	111	$16.00	$13.77
84443 Blood test, thyroid stimulating hormone (TSH)	154	120	$70.00	$16.46
81002 Urinalysis, manual test	134	104	$20.00	$3.41
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	125	125	$130.00	$109.48
83036 Hemoglobin A1C level	114	95	$60.00	$9.52
80061 Blood test, lipids (cholesterol and triglycerides)	114	102	$66.00	$13.12
G0444 Annual depression screening, 5 to 15 minutes	110	110	$20.00	$15.83
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	110	27	$65.00	$52.40
81003 Automated urinalysis test	102	85	$18.00	$2.20
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	98	23	$50.00	$11.90
82607 Cyanocobalamin (vitamin B-12) level	86	75	$77.00	$14.78
81001 Manual urinalysis test with examination using microscope, automated	76	59	$22.00	$3.11
84439 Thyroxine (thyroid chemical), free	75	62	$41.00	$8.84
87086 Bacterial colony count, urine	55	40	$35.00	$7.91
84436 Thyroxine (thyroid chemical), total	49	38	$40.00	$6.73
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	47	17	$70.00	$34.77
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	46	12	$10.00	$1.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	42	38	$346.14	$151.52
82306 Vitamin d-3 level	41	37	$140.00	$29.01
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	41	15	$150.00	$87.78
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	36	15	$50.00	$40.03
99213 Established patient office or other outpatient visit, typically 15 minutes	29	24	$143.69	$75.55
87804 Detection test by immunoassay with direct visual observation for influenza virus	28	13	$45.00	$16.22
G0103 Prostate cancer screening; prostate specific antigen test (psa)	27	27	$95.00	$18.92
99496 Transitional care management services for problem of high complexity	23	20	$410.00	$233.84
83540 Iron level	22	21	$35.00	$6.34
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	22	15	$40.00	$8.48
83735 Magnesium level	22	21	$24.00	$6.57
83880 Natriuretic peptide (heart and blood vessel protein) level	20	19	$110.00	$38.47
82570 Creatinine level to test for kidney function or muscle injury	19	18	$25.00	$5.08
82043 Urine microalbumin (protein) level	19	18	$70.00	$5.66
G0008 Administration of influenza virus vaccine	18	18	$32.00	$31.03
90673 Influenza vaccine, trivalent derived from recombinant dna	18	18	$125.00	$81.82
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	13	$80.00	$44.66
87088 Bacterial urine culture	15	13	$20.00	$7.93
83550 Iron binding capacity	13	12	$40.00	$8.57
93000 Routine ekg using at least 12 leads including interpretation and report	12	12	$65.00	$11.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	268	157	$199.70	$104.00
36415 Insertion of needle into vein for collection of blood sample	229	142	$20.00	$8.40
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	203	146	$40.00	$7.61
80053 Blood test, comprehensive group of blood chemicals	189	136	$105.00	$10.35
84443 Blood test, thyroid stimulating hormone (TSH)	162	124	$70.00	$16.46
81002 Urinalysis, manual test	124	103	$20.00	$3.41
80061 Blood test, lipids (cholesterol and triglycerides)	119	108	$66.00	$13.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	110	110	$130.00	$102.23
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	108	31	$65.00	$51.26
83036 Hemoglobin A1C level	107	85	$60.00	$9.52
81001 Manual urinalysis test with examination using microscope, automated	99	75	$22.00	$3.08
81003 Automated urinalysis test	91	76	$18.00	$2.20
82607 Cyanocobalamin (vitamin B-12) level	86	74	$77.00	$14.78
84439 Thyroxine (thyroid chemical), free	74	62	$41.00	$8.84
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	70	29	$50.00	$11.46
87086 Bacterial colony count, urine	65	43	$35.00	$7.80
99213 Established patient office or other outpatient visit, typically 15 minutes	65	58	$135.00	$74.23
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	57	16	$150.00	$85.45
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	55	16	$70.00	$33.81
84436 Thyroxine (thyroid chemical), total	51	35	$40.00	$6.73
82306 Vitamin d-3 level	48	40	$140.00	$29.01
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	30	13	$10.00	$1.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$310.00	$136.77
G0103 Prostate cancer screening; prostate specific antigen test (psa)	29	29	$95.00	$18.92
87804 Detection test by immunoassay with direct visual observation for influenza virus	28	14	$45.00	$16.22
G0008 Administration of influenza virus vaccine	26	26	$30.92	$29.50
90662 Influenza vaccine split virus, preservative free	21	21	$85.00	$71.93
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	20	13	$20.00	$6.65
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	20	16	$40.00	$8.10
83540 Iron level	18	18	$35.00	$6.34
83735 Magnesium level	16	15	$24.00	$6.57
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	13	$80.00	$42.78
87088 Bacterial urine culture	15	11	$20.00	$7.93
83550 Iron binding capacity	14	14	$40.00	$8.57
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	14	14	$305.00	$282.89
G0009 Administration of pneumococcal vaccine	14	14	$30.00	$29.40
84550 Uric acid level, blood	13	11	$25.00	$4.43
83880 Natriuretic peptide (heart and blood vessel protein) level	13	13	$110.00	$38.47
82746 Folic acid level	12	11	$80.00	$14.41
86738 Analysis for antibody to mycoplasma (bacteria)	12	11	$52.00	$12.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	351	185	$200.00	$106.66
36415 Insertion of needle into vein for collection of blood sample	217	141	$20.00	$2.96
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	168	126	$40.00	$7.68
80053 Blood test, comprehensive group of blood chemicals	155	123	$105.00	$10.43
84443 Blood test, thyroid stimulating hormone (TSH)	136	107	$70.00	$16.59
80061 Blood test, lipids (cholesterol and triglycerides)	120	105	$66.00	$13.23
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	117	25	$65.00	$52.64
83036 Hemoglobin A1C level	108	94	$60.00	$9.59
99213 Established patient office or other outpatient visit, typically 15 minutes	91	72	$135.00	$74.41
81003 Automated urinalysis test	90	74	$18.00	$2.22
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	88	88	$130.00	$105.60
81002 Urinalysis, manual test	85	75	$20.00	$3.43
82607 Cyanocobalamin (vitamin B-12) level	79	70	$77.00	$14.90
84439 Thyroxine (thyroid chemical), free	75	69	$41.00	$8.92
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	66	34	$50.00	$11.88
81001 Manual urinalysis test with examination using microscope, automated	66	57	$22.00	$3.13
82306 Vitamin d-3 level	66	62	$140.00	$29.27
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	60	21	$70.00	$33.92
84436 Thyroxine (thyroid chemical), total	49	36	$40.00	$6.78
87086 Bacterial colony count, urine	47	39	$35.00	$7.96
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	45	17	$150.00	$87.28
87804 Detection test by immunoassay with direct visual observation for influenza virus	43	22	$45.00	$16.29
J0696 Injection, ceftriaxone sodium, per 250 mg	42	11	$8.00	$0.46
83540 Iron level	37	32	$35.00	$6.41
83550 Iron binding capacity	31	26	$40.00	$8.66
G0008 Administration of influenza virus vaccine	26	24	$28.85	$27.41
90682 Influenza vaccine, quadrivalent derived from recombinant dna	25	23	$110.00	$68.15
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	25	20	$65.00	$43.09
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	25	17	$20.00	$6.74
G0103 Prostate cancer screening; prostate specific antigen test (psa)	24	24	$95.00	$19.08
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	21	16	$80.00	$43.96
83735 Magnesium level	19	16	$24.00	$6.61
84550 Uric acid level, blood	18	18	$25.00	$4.46
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	17	16	$35.00	$16.32
83880 Natriuretic peptide (heart and blood vessel protein) level	16	14	$110.00	$38.77
99495 Transitional care management services for problem of at least moderate complexity	15	13	$300.00	$171.87
87088 Bacterial urine culture	15	15	$20.00	$7.98
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	15	15	$40.00	$8.53
82746 Folic acid level	14	14	$80.00	$14.54
99496 Transitional care management services for problem of high complexity	13	12	$410.00	$231.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$310.00	$138.45
86738 Analysis for antibody to mycoplasma (bacteria)	11	11	$52.00	$13.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	327	174	$200.00	$108.21
36415 Insertion of needle into vein for collection of blood sample	264	152	$20.00	$3.00
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	208	143	$40.00	$7.77
80053 Blood test, comprehensive group of blood chemicals	178	132	$105.00	$10.56
84443 Blood test, thyroid stimulating hormone (TSH)	159	119	$70.00	$16.80
80061 Blood test, lipids (cholesterol and triglycerides)	129	106	$66.00	$13.39
83036 Hemoglobin A1C level	117	92	$60.00	$9.71
99213 Established patient office or other outpatient visit, typically 15 minutes	105	77	$135.00	$76.39
84439 Thyroxine (thyroid chemical), free	102	88	$41.00	$9.02
81001 Manual urinalysis test with examination using microscope, automated	101	77	$22.00	$3.17
81003 Automated urinalysis test	94	77	$18.00	$2.25
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	78	20	$53.08	$34.17
82607 Cyanocobalamin (vitamin B-12) level	71	58	$77.00	$15.08
82306 Vitamin d-3 level	58	51	$140.00	$29.60
84550 Uric acid level, blood	50	46	$25.00	$4.52
84436 Thyroxine (thyroid chemical), total	50	33	$40.00	$6.87
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	49	49	$128.78	$104.47
87086 Bacterial colony count, urine	44	36	$35.00	$8.07
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	42	16	$70.00	$34.24
83540 Iron level	40	34	$35.00	$6.47
83550 Iron binding capacity	35	29	$40.00	$8.74
80048 Blood test, basic group of blood chemicals (calcium, total)	34	29	$59.00	$8.46
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	31	22	$50.00	$11.85
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	28	28	$75.00	$51.03
82746 Folic acid level	24	22	$80.00	$14.70
G0008 Administration of influenza virus vaccine	23	23	$20.00	$16.46
90682 Influenza vaccine, quadrivalent derived from recombinant dna	22	22	$110.00	$65.07
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	20	16	$66.75	$45.23
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	19	$270.00	$151.24
83880 Natriuretic peptide (heart and blood vessel protein) level	20	17	$110.00	$39.26
83735 Magnesium level	19	18	$24.00	$6.70
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	19	15	$40.00	$8.65
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	18	18	$170.00	$135.07
86140 Measurement C-reactive protein for detection of infection or inflammation	17	13	$28.00	$5.18
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	17	14	$20.00	$7.46
87088 Bacterial urine culture	16	14	$20.00	$8.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$310.00	$140.16
71046 X-ray of chest, 2 views	15	14	$85.00	$22.33
G0103 Prostate cancer screening; prostate specific antigen test (psa)	12	12	$95.00	$19.31
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	11	11	$80.00	$44.17
0003A Adm sarscov2 30mcg/0.3ml 3rd	11	11	$41.55	$38.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	187	123	$20.00	$3.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	187	130	$209.77	$90.93
99213 Established patient office or other outpatient visit, typically 15 minutes	183	121	$163.52	$62.13
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	149	110	$40.00	$7.77
80053 Blood test, comprehensive group of blood chemicals	145	114	$105.00	$10.56
84443 Blood test, thyroid stimulating hormone (TSH)	133	108	$70.00	$16.80
83036 Hemoglobin A1C level	117	98	$59.41	$9.71
80061 Blood test, lipids (cholesterol and triglycerides)	106	100	$65.72	$13.38
81001 Manual urinalysis test with examination using microscope, automated	90	62	$22.00	$3.17
84439 Thyroxine (thyroid chemical), free	89	83	$41.00	$9.02
81003 Automated urinalysis test	66	63	$18.00	$2.25
82607 Cyanocobalamin (vitamin B-12) level	51	45	$77.00	$15.08
87086 Bacterial colony count, urine	42	30	$35.00	$8.07
84550 Uric acid level, blood	42	37	$25.00	$4.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$319.21	$137.82
83540 Iron level	35	29	$35.00	$6.47
84436 Thyroxine (thyroid chemical), total	32	24	$40.00	$6.87
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	31	16	$70.00	$34.30
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	30	13	$150.00	$90.71
83550 Iron binding capacity	28	24	$40.00	$8.74
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	28	28	$170.00	$144.13
G0008 Administration of influenza virus vaccine	25	25	$20.00	$16.22
90682 Influenza vaccine, quadrivalent derived from recombinant dna	24	24	$110.00	$60.98
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	24	13	$18.38	$6.95
G0103 Prostate cancer screening; prostate specific antigen test (psa)	24	24	$95.00	$19.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$255.00	$89.44
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	23	17	$40.00	$8.65
83735 Magnesium level	22	21	$24.00	$6.70
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	20	16	$58.50	$11.88
87088 Bacterial urine culture	19	15	$20.00	$8.09
82746 Folic acid level	18	17	$80.00	$14.70
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$270.00	$123.04
81002 Urinalysis, manual test	14	13	$10.00	$3.42
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	13	12	$35.00	$6.47
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$147.50	$97.11
71046 X-ray of chest, 2 views	12	12	$85.00	$21.00
82306 Vitamin d-3 level	11	11	$140.00	$29.60
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	11	11	$80.00	$44.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	211	94	$195.00	$60.38
81002 Urinalysis, manual test	61	39	$10.00	$3.41
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	54	22	$17.00	$6.68
85014 Red blood cell concentration measurement	45	24	$9.00	$2.58
80047 Blood test, basic group of blood chemicals (calcium, ionized)	45	24	$24.00	$13.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$288.00	$88.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	31	$287.00	$89.39
87804 Detection test by immunoassay with direct visual observation for influenza virus	38	19	$39.00	$16.22
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	33	30	$67.00	$13.63
93000 Routine ekg using at least 12 leads including interpretation and report	15	14	$45.00	$13.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$439.00	$135.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	11	$116.00	$36.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	466	382	$149.60	$59.67
69210 Removal of impacted ear wax	103	97	$98.38	$39.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	95	95	$221.01	$87.83
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	78	33	$27.04	$7.16
J0696 Injection, ceftriaxone sodium, per 250 mg	52	12	$9.69	$0.60
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	46	44	$52.39	$16.69
87804 Detection test by immunoassay with direct visual observation for influenza virus	30	16	$43.93	$16.22
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	19	19	$35.68	$16.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$95.31	$35.84
81002 Urinalysis, manual test	13	12	$10.00	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	405	327	$152.84	$59.10
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	128	59	$20.04	$7.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	114	114	$240.25	$87.73
69210 Removal of impacted ear wax	112	102	$121.63	$39.70
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	88	82	$53.38	$20.45
J0696 Injection, ceftriaxone sodium, per 250 mg	79	22	$8.46	$0.62
87804 Detection test by immunoassay with direct visual observation for influenza virus	55	28	$42.09	$15.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	41	$93.64	$35.22
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	30	30	$35.00	$16.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	17	$120.00	$59.56
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$161.29	$57.93
31575 Diagnostic exam of voice box using a flexible endoscope	20	18	$279.50	$89.54
81003 Automated urinalysis test	12	12	$18.00	$3.02

Medical Specialties & State Licenses

CMS Verified: 2021-11-11

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA02521

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

286521406 (TX)

Hospital & Practice Group Affiliations

Associated Clinicians Of East Texas

707 Hollybrook Dr, Longview, TX 756052409

Phone: 9032916113

Associated Clinicians Of East Texas

707 Hollybrook Dr, Longview, TX 756052409

Associated Clinicians Of East Texas

707 Hollybrook Dr, Longview, TX 756052410

Associated Clinicians Of East Texas

805 Medical Cir, Longview, TX 756055130

Phone: 9032328100

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Anna Schwoyer , APRN

Nurse Practitioner - Primary Care

NPI 1003732447

Advanced Practice Registered Nurse

Dr. Allessia Wilson , MD

Internal Medicine

NPI 1023752656

Doctor of Medicine (M.D.)

Amy Malone , PA-C

Physician Assistant - Surgical

NPI 1063412468

Physician Assistant (Certified)

Chelsey Winningham , FNP-C

Nurse Practitioner - Family

NPI 1083481139

Family Nurse Practitioner (Certified)

Dr. Justin Hardin , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1124252796

Doctor of Medicine (M.D.)

Tracy Leach , NNP-BC

Nurse Practitioner - Neonatal

NPI 1144662032

NNPBC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location November 11, 2021

Registered at 805 MEDICAL DR, LONGVIEW, TX 756055130 (Tel: 9037576042)

📍

Updated Practice Location July 06, 2020

Registered at 709 HOLLYBROOK DR STE 4500, LONGVIEW, TX 756052412 (Tel: 9037576042)

📍

Updated Business Mailing Address July 06, 2020

Registered at PO BOX 610393, DALLAS, TX 752610393 (Tel: 9037576042)

✅

NPI Profile Active September 06, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 06, 2012

Registered at 709 HOLLYBROOK DR, SUITE 5601, LONGVIEW, TX 756052411 (Tel: 9032367560)

📍

Updated Business Mailing Address September 06, 2012

Registered at PO BOX 847176, DALLAS, TX 752847176 (Tel: 9032371800)

👤

Provider Name / Credentials Updated September 06, 2012

Recorded as BEVERLY ILTIS, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2012

Physician Assistant (License #PA02521 in TX)

🟢

Initial NPI Registration & Enumeration March 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1326015074

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 01, 2006

Last Update: November 11, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 610393

Dallas, TX 752610393

Phone: 9037576042

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.