LORRAINE DOME CAMPBELL (PAC) – Medical Physician Assistant, NPI 1194747808
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
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Provider Addresses for LORRAINE DOME CAMPBELL (PAC)
3400, Data Drive, Rancho Cordova, Sacramento County, California, 95670, United States
PHYSICIAN SUPPORT SERVICES - 2ND FL
RANCHO CORDOVA, CA 956707956
Phone:
Type: Mailing
3838, San Dimas Street, Bakersfield, Kern County, California, 93301, United States
SUITE A200
BAKERSFIELD, CA 933012284
Phone: (661) 654-0200
Fax: (661) 664-2855
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $236.
Total Amount is formed as General ($236) + Research ($0) + Ownership ($0) = $236.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($62).
Total Amount
$236
General + Research + Ownership
Payments
11
Total payment records
General Amount
$236
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $62 |
| Exact Sciences Corporation | $57 |
| Dexcom, Inc. | $39 |
| Sun Pharmaceutical Industries Inc. | $32 |
| COLOPLAST CORP | $30 |
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: 2005-01-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050119000865 | I | Physician Assistant | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 413 | 210 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 286 | 145 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 99 | 99 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 43 | 23 | $0 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 40 | 40 | $0 |
Insurance plans in this area (ZIP 95670)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | CA | |
| - | CA | |
| Internal Medicine | CA | |
| N E U R O L O G Y | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| Family Practice | CA | |
| Diagnostic Radiology | CA | |
| - | CA |
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