BEVERLY K ILTIS PA
NPI 1326015074
Physician Assistant in Longview, TX

Active since March 01, 2006PECOS EnrolledAccepts Medicare Assignment
805 MEDICAL DR, LONGVIEW, TX 75605(903) 757-6042(903) 291-6138 Get Directions Write a Review

NPPES record last updated: November 11, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 11, 2021, Jul 6, 2020 (2 updates tracked since 2020).

About Beverly K Iltis Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEVERLY K ILTIS PA (NPI 1326015074) is an individual physician assistant in Longview, Texas, licensed in Texas (PA02521) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Christus Good Shepherd Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1326015074
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBEVERLY K ILTISCredential: PA
Location Address805 MEDICAL DRLongview, TX 75605-5130
Mailing AddressPo Box 610393Dallas, TX 75261-0393 · (903) 757-6042 · Fax (903) 237-1810
Fax(903) 291-6138
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMarch 1, 2006
Last NPPES UpdateNovember 11, 20212 updates tracked since enumeration
NPPES CertifiedNovember 11, 2021
NPI 1326015074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TX · PA02521
Definition
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.
805 MEDICAL DR, Longview, TX 75605

Other Identifiers 1

Medicaid286521406TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Beverly K Iltis Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183682735
PECOS Enrollment IDI20041229000209
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 39

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
351 services163 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
244 services148 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
193 services137 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
183 services138 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
154 services120 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
134 services104 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Christus Good Shepherd Medical Center

Acute Care Hospitals · Longview, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450032
Location700 E Marshall AveLongview, TX 75601 · Gregg County
Emergency services Birthing friendly

Longview Regional Medical Center

Acute Care Hospitals · Longview, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450702
Location2901 N Fourth StLongview, TX 75605 · Gregg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75605 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier27 claims27 services$5.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
805 MEDICAL DR
LONGVIEW, TX 75605
Nurse Practitioner (Family)
805 MEDICAL DR
LONGVIEW, TX 75605
Family Medicine
805 MEDICAL DR
LONGVIEW, TX 75605
Nurse Practitioner (Family)
805 MEDICAL DR
LONGVIEW, TX 75605
Family Medicine
805 MEDICAL DR
LONGVIEW, TX 75605
Physician Assistant
805 MEDICAL DR
LONGVIEW, TX 75605
Physician Assistant
805 MEDICAL DR
LONGVIEW, TX 75605
Family Medicine
805 MEDICAL DR
LONGVIEW, TX 75605

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beverly Iltis's NPI number?

The NPI number for Beverly Iltis is 1326015074. It was assigned to this individual provider in the NPPES registry on March 1, 2006.

Where is Beverly Iltis located?

Beverly Iltis practices at 805 Medical Dr, Longview, TX 75605. The listed phone number is (903) 757-6042.

What is Beverly Iltis's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Beverly Iltis enrolled in Medicare?

Yes. Beverly Iltis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Beverly Iltis accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Beverly Iltis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Beverly Iltis affiliated with any hospitals?

According to CMS data, Beverly Iltis is affiliated with Christus Good Shepherd Medical Center and Longview Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Beverly Iltis was last updated on November 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.