ALICIA BILLUPS PA-C
NPI 1972953792
Physician Assistant in Exton, PA

Active since June 14, 2016PECOS EnrolledAccepts Medicare Assignment
87.74/100
CMS Quality Rating
111 ARRANDALE BLVD, EXTON, PA 19341(610) 363-2532(610) 363-0210 Get Directions Write a Review

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

Record update history: Feb 11, 2021, Jan 13, 2020, Sep 20, 2018 and 1 more (4 updates tracked since 2016).

About Alicia Billups Pa-c NPPES

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

ALICIA BILLUPS PA-C (NPI 1972953792) is an individual physician assistant in Exton, Pennsylvania, licensed in Pennsylvania (MA062193) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1972953792
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALICIA BILLUPSCredential: PA-C
Location Address111 ARRANDALE BLVDExton, PA 19341-2503
Mailing Address111 Arrandale BlvdExton, PA 19341-2503 · (610) 363-2532 · Fax (610) 363-0210
Fax(610) 363-0210
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 14, 2016
Last NPPES UpdateFebruary 11, 20214 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2021
NPI 1972953792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in PA · MA062193 Licensed in GA · 008735
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.

111 ARRANDALE BLVD, Exton, PA 19341

Secondary Practice Locations 3

Location 16404 Albemarle Rd Ste J&kCharlotte, NC 28212-3800 · Phone (704) 532-8884 · Fax (704) 532-8789
Location 21995 N Park Pl SE Ste 550Atlanta, GA 30339 · Phone (770) 740-1860 · Fax (678) 347-2104
Location 33333 Old Milton Pkwy Ste 520Alpharetta, GA 30005-4626 · Phone (770) 777-1100 · Fax (770) 751-9089

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

Alicia Billups Pa-c 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 ID6800144866
PECOS Enrollment IDI20210310001602
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 3

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 patients
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268
This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.
14 services14 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19341 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.48
Improvement Activities40

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
94%1,406 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%156 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
17%346 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%346 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
4%346 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
29%346 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 16

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

Pediatrics
111 ARRANDALE BLVD, CHESTER COUNTY PEDIATRICS
EXTON, PA 19341
Nurse Practitioner
111 ARRANDALE BLVD, CHESTER COUNTY PEDIATRICS
EXTON, PA 19341
Otolaryngology (Otolaryngic Allergy)
111 ARRANDALE BLVD
EXTON, PA 19341
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
111 ARRANDALE BLVD
EXTON, PA 19341
Otolaryngology (Plastic Surgery within the Head & Neck)
111 ARRANDALE BLVD
EXTON, PA 19341
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
111 ARRANDALE BLVD
EXTON, PA 19341
Audiologist
111 ARRANDALE BLVD
EXTON, PA 19341
Audiologist
111 ARRANDALE BLVD
EXTON, PA 19341

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 Alicia Billups's NPI number?

The NPI number for Alicia Billups is 1972953792. It was assigned to this individual provider in the NPPES registry on June 14, 2016.

Where is Alicia Billups located?

Alicia Billups practices at 111 Arrandale Blvd, Exton, PA 19341. The listed phone number is (610) 363-2532.

What is Alicia Billups's specialty?

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

Is Alicia Billups enrolled in Medicare?

Yes. Alicia Billups 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.

When was this NPI record last updated?

The NPPES record for Alicia Billups was last updated on February 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.