BRENDA M O'HAIR (PA-C) – Physician Assistant, NPI 1386617504

BRENDA M O'HAIR (PA-C) is a healthcare provider. based in Lakeland, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9102155 (FL). The NPI Number for BRENDA M O'HAIR (PA-C) is 1386617504

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
BRENDA M O'HAIR (PA-C)
NPI
1386617504
Phone
(863) 680-7000
Address
1600 LAKELAND HILLS BLVD
Enumeration Date
8 February 2006
Last Update Date
14 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8636073333
Graduation Year
2002 (24 years ago)
PAC ID
1052454725
Group Practice PAC ID
1456258979
Professional Enrollment ID
I20100203000214
Address ID
FL338133825LA2300XRDXX401

Contacts

Secure Messaging
bohair6748@direct.watsonclinicad.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness95
Years active:20State licenses:1Other names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for BRENDA M O'HAIR (PA-C)

  • 1600, Lakeland Hills Boulevard, Lakeland, Polk County, Florida, 33805, United States

    LAKELAND, FL 338053065

    Phone: (863) 680-7000

    Fax: (866) 264-8519

    Type: Mailing

  • 1755 N FLORIDA AVE

    LAKELAND, FL 338053109

    Phone: (863) 904-6201

    Fax: (863) 904-6294

    Type: Location

  • County Road, Ulverston, South Lakeland, Cumbria, North West England, England, LA12 0DB, United Kingdom

    LAKELAND, FL 338133825

    Phone: (863) 904-6201

    Fax: (866) 264-8519

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 74 Open Payments records for all available years, with a total value of $1,749.

Total Amount is formed as General ($1,749) + Research ($0) + Ownership ($0) = $1,749.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: LEO Pharma Inc. ($375).

Total Amount

$1,749

General + Research + Ownership

Payments

74

Total payment records

General Amount

$1,749

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2025-05-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20100203000214IPhysician AssistantFLTBD
I20230412002327IPhysician AssistantGATBD
I20250514003519IPhysician AssistantTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes6764$0
17003Destruction of precancer skin growth, 2-14 growths6718$0
99203New patient office or other outpatient visit, 30-44 minutes2929$0
17000Destruction of precancer skin growth, 1 growth2828$0
11102Biopsy of related skin growth, first growth2828$0
View full utilization report →

Insurance plans in this area (ZIP 33805)

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Provider's Procedures

BRENDA M O'HAIR (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTFL11101Biopsy of each additional growth of skin and/or tissue385169

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: 1456258979View full group profile

Reviews

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Frequently asked questions

How is BRENDA M O'HAIR (PA-C) identified in CMS data?
CMS-hosted NPPES data lists BRENDA M O'HAIR (PA-C) with NPI 1386617504.
Is BRENDA M O'HAIR (PA-C) listed as active for patients and plans?
The listing shows BRENDA M O'HAIR (PA-C) as active in the NPI system.
What healthcare role does BRENDA M O'HAIR (PA-C) hold?
Scheduling teams often label BRENDA M O'HAIR (PA-C) under Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect BRENDA M O'HAIR (PA-C) on a map?
Expect Lakeland, Florida as a primary anchor for BRENDA M O'HAIR (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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