VY THY NGO – Physician Assistant, NPI 1508463571
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for VY THY NGO
625 OLD PEACHTREE RD NW
SUWANEE, GA 300242937
Phone: (408) 444-2828
Type: Mailing
5219 READING RD
ROSENBERG, TX 774715758
Phone: (713) 730-2000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 143 Open Payments records for all available years, with a total value of $3,189.
Total Amount is formed as General ($3,189) + Research ($0) + Ownership ($0) = $3,189.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($851).
Total Amount
$3,189
General + Research + Ownership
Payments
143
Total payment records
General Amount
$3,189
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
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $851 |
| Janssen Biotech, Inc. | $612 |
| Amgen Inc. | $444 |
| Arcutis Biotherapeutics, Inc. | $235 |
| REVANCE THERAPEUTICS, INC. | $189 |
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: 2022-02-02
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 |
|---|---|---|---|---|
| I20220202002857 | I | Physician Assistant | TX | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 927 | 149 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 341 | 223 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 332 | 241 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 262 | 173 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 196 | 173 | $0 |
Insurance plans in this area (ZIP 30024)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| D E R M A T O L O G Y | TX |
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