ANDREA LYNCH (PA-C) – Surgical Physician Assistant, NPI 1053702845
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,243 PHYSICIAN ASSISTANT in CT
Provider Addresses for ANDREA LYNCH (PA-C)
130 DIVISION ST
DERBY, CT 064181326
Phone:
Type: Mailing
71 HAYNES ST
MANCHESTER, CT 060404131
Phone: (860) 533-6595
Fax: (860) 533-6594
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $119.
Total Amount is formed as General ($119) + Research ($0) + Ownership ($0) = $119.
Last reported payment date: 2024-08-14 • Largest payer in this snapshot: Amgen Inc. ($81).
Total Amount
$119
General + Research + Ownership
Payments
4
Total payment records
General Amount
$119
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $81 |
| ABIOMED | $39 |
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: 2015-03-23
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 |
|---|---|---|---|---|
| I20150323001963 | I | Physician Assistant | CT | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06418)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | MI | |
| Physician Assistant | CT | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NJ | |
| Nurse Practitioner | CT | |
| - | CT | |
| - | CT | |
| Internal Medicine, Hospitalist, Internal Medicine | NY | |
| Nurse Practitioner | FL |
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