LORI KATHERINE EBINGER (PA-C) – Physician Assistant, NPI 1629446661
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,534 PHYSICIAN ASSISTANT in ID
Provider Addresses for LORI KATHERINE EBINGER (PA-C)
3340 E GOLDSTONE WAY
MERIDIAN, ID 83642
Phone: (208) 302-6450
Fax: (208) 302-6455
Type: Mailing
3025 W CHERRY LANE
STE B
MERIDIAN, ID 83642
Phone: (208) 302-6450
Fax: (208) 302-6455
Type: Location
372 S EAGLE RD # 126
EAGLE, ID 836165908
Phone: (208) 302-6450
Fax: (208) 302-6455
Type: Mailing
74 N FISHER PARK WAY
EAGLE, ID 83616
Phone: (208) 391-7210
Type: Location
323 E RIVERSIDE DR STE 234
EAGLE, ID 836166865
Phone: (208) 391-7210
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $81.
Total Amount is formed as General ($81) + Research ($0) + Ownership ($0) = $81.
Last reported payment date: 2023-06-06 • Largest payer in this snapshot: ABBVIE INC. ($81).
Total Amount
$81
General + Research + Ownership
Payments
1
Total payment records
General Amount
$81
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $81 |
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: 2015-10-26
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 |
|---|---|---|---|---|
| I20151026002338 | I | Physician Assistant | ID | 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 | 318 | 50 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 108 | 69 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 104 | 69 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 73 | 59 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 60 | 50 | $0 |
Insurance plans in this area (ZIP 83642)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Dermatology, Micrographic Dermatologic Surgery (Mds) | ID | |
| Physician Assistant | CA |
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