LEONOR S PAGTAKHAN SO (MD) – Allergy & Immunology Physician, NPI 1376533091
Allergy & Immunology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
78 ALLERGY/IMMUNOLOGY in KY
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Provider Addresses for LEONOR S PAGTAKHAN SO (MD)
156 ISLAND CREEK RD
PIKEVILLE, KY 415019340
Phone: (606) 432-0174
Fax: (606) 437-0438
Type: Mailing
156, Island Creek Road, Titan Siding, Pikeville, Pike County, Kentucky, 41501, United States
PIKEVILLE, KY 415019340
Phone: (606) 432-0174
Fax: (606) 437-0438
Type: Location
Pikeville Post Office, Big Daddy's Road, Pikeville, Wayne County, North Carolina, 27883, United States
PIKEVILLE, KY 415022708
Phone: (606) 432-0174
Fax: (606) 437-0438
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 42 Open Payments records for all available years, with a total value of $640.
Total Amount is formed as General ($640) + Research ($0) + Ownership ($0) = $640.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($432).
Total Amount
$640
General + Research + Ownership
Payments
42
Total payment records
General Amount
$640
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $432 |
| Grifols USA, LLC | $174 |
| GENZYME CORPORATION | $18 |
| AstraZeneca Pharmaceuticals LP | $15 |
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: 2004-08-31
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 |
|---|---|---|---|---|
| I20040831000889 | I | Allergy/Immunology | 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 |
|---|---|---|---|---|
| 95165 | Professional service for preparation and provision of 1 or more antigens | 322 | 13 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 126 | 38 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 104 | 13 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 36 | 14 | $0 |
| 92567 | Test to assess middle ear function | 15 | 13 | $0 |
Insurance plans in this area (ZIP 41501)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ALLERGY/IMMUNOLOGY | KY | 81002 | Urinalysis, manual test | 20 | 18 |
| ALLERGY/IMMUNOLOGY | KY | 92567 | Eardrum testing using ear probe | 251 | 136 |
| ALLERGY/IMMUNOLOGY | KY | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 194 | 124 |
| ALLERGY/IMMUNOLOGY | KY | 95004 | Injection of allergenic extracts into skin, accessed through the skin | 3221 | 48 |
| ALLERGY/IMMUNOLOGY | KY | 95117 | Injection of incremental dosages of allergen, 2 or more injections | 533 | 26 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| - | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY |
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