MR. LEE WALTER THOMAS (PA-C) – Physician Assistant, NPI 1508099367

MR. LEE WALTER THOMAS (PA-C) is a healthcare provider. based in Bentonville, Arkansas. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PA.200473 (LA). The NPI Number for MR. LEE WALTER THOMAS (PA-C) is 1508099367

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
MR. LEE WALTER THOMAS (PA-C)
NPI
1508099367
Phone
(479) 273-3376
Address
901 SE PLAZA AVE STE 5
Enumeration Date
27 August 2009
Last Update Date
4 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3183221161
Graduation Year
2009 (17 years ago)
PAC ID
7517004369
Group Practice PAC ID
9335226547
Professional Enrollment ID
I20110816000351
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:16State licenses:1Digital endpointsOther names

Provider Addresses for MR. LEE WALTER THOMAS (PA-C)

  • 901 SE PLAZA AVE STE 5

    BENTONVILLE, AR 727125473

    Phone: (479) 273-3376

    Fax: (479) 273-3468

    Type: Mailing

  • 130, Desiard Street, Monroe, Ouachita Parish, Louisiana, 71201, United States

    SUITE 355

    MONROE, LA 712017319

    Phone: (318) 807-7875

    Fax: (318) 812-6603

    Type: Mailing

  • 2516, Broadmoor Boulevard, Fish Creek, Monroe, Ouachita Parish, Louisiana, 71201, United States

    MONROE, LA 712012988

    Phone: (318) 807-4956

    Fax: (318) 998-4462

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $396.

Total Amount is formed as General ($396) + Research ($0) + Ownership ($0) = $396.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($108).

Total Amount

$396

General + Research + Ownership

Payments

19

Total payment records

General Amount

$396

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2011-08-16

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091027000552IPhysician AssistantARTBD
I20110816000351IPhysician AssistantLATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg8816$0
99213Established patient office or other outpatient visit, 20-29 minutes4934$0
99214Established patient office or other outpatient visit, 30-39 minutes4125$0
20610Aspiration and/or injection of fluid from large joint2318$0
99204New patient office or other outpatient visit, 45-59 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 72712)

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Provider's Procedures

MR. LEE WALTER THOMAS (PA-C) performs procedures in Physician Assistant. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTLA20610Aspiration and/or injection of large joint or joint capsule13182
PHYSICIAN ASSISTANTLA27447Repair of knee joint1717

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335226547View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm MR. LEE WALTER THOMAS (PA-C)'s NPI?
Yes. MR. LEE WALTER THOMAS (PA-C) is listed with NPI 1508099367 in the public NPI dataset.
Does CMS list MR. LEE WALTER THOMAS (PA-C) as active?
Yes — MR. LEE WALTER THOMAS (PA-C) is active in the NPI listing used on this page.
What is MR. LEE WALTER THOMAS (PA-C)'s primary classification?
Physician Assistant is the headline specialty for MR. LEE WALTER THOMAS (PA-C) here. Clinical services aligned with this taxonomy classification.
Where should I expect MR. LEE WALTER THOMAS (PA-C) on a map?
Expect Bentonville, Arkansas as a primary anchor for MR. LEE WALTER THOMAS (PA-C) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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