LESLIE PEMBERTON (PA-C) – Physician Assistant, NPI 1003311036
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,728 PHYSICIAN ASSISTANT in KY
Provider Addresses for LESLIE PEMBERTON (PA-C)
1065 Ashley St Ste 200
Bowling Green, KY 421033401
Phone: (270) 843-3376
Fax: (270) 780-0481
Type: Location
3333 Frederica St Ste 5
Owensboro, KY 423016085
Phone: (270) 297-9075
Fax: (270) 297-9077
Type: Location
201, Park Street, Bowling Green, Warren County, Kentucky, 42101, United States
BOWLING GREEN, KY 421011708
Phone: (270) 843-3376
Fax: (270) 780-0496
Type: Mailing
Ashley Street, Bowling Green, Warren County, Kentucky, 42103, United States
BOWLING GREEN, KY 421033401
Phone: (270) 843-3376
Fax: (270) 780-0481
Type: Location
PO BOX 3276
EVANSVILLE, IN 477313276
Phone: (812) 473-0181
Fax: (812) 473-5822
Type: Mailing
1921 LEITCHFIELD RD
OWENSBORO, KY 423031404
Phone: (270) 478-5334
Fax: (270) 216-6920
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 46 Open Payments records for all available years, with a total value of $1,099.
Total Amount is formed as General ($1,099) + Research ($0) + Ownership ($0) = $1,099.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Janssen Biotech, Inc. ($349).
Total Amount
$1,099
General + Research + Ownership
Payments
46
Total payment records
General Amount
$1,099
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
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $349 |
| Regeneron Healthcare Solutions, Inc. | $225 |
| Organogenesis Inc. | $126 |
| UCB, Inc. | $105 |
| Novartis Pharmaceuticals Corporation | $67 |
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: 2018-05-17
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 |
|---|---|---|---|---|
| I20180517002994 | I | Physician Assistant | KY | 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 | 869 | 145 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 329 | 220 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 258 | 195 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 157 | 157 | $0 |
| 11106 | Incision biopsy, first skin growth | 156 | 134 | $0 |
Insurance plans in this area (ZIP 42103)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | IN | |
| Physician Assistant | KY | |
| D E R M A T O L O G Y | MO | |
| D E R M A T O L O G Y | KY | |
| D E R M A T O L O G Y | AZ | |
| Nurse Practitioner | KY | |
| Physician Assistant | KY | |
| D E R M A T O L O G Y | IL | |
| Nurse Practitioner | KY | |
| Physician Assistant | KY |
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