LISA PENNINGTON (PA-C) – Medical Physician Assistant, NPI 1710968557
Medical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
1,728 PHYSICIAN ASSISTANT in KY
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Provider Addresses for LISA PENNINGTON (PA-C)
Ashland Post Office, 120, North 1st Street, Ashland, Jackson County, Oregon, 97520, United States
ASHLAND, KY 411051595
Phone: (606) 836-3900
Fax: (606) 836-0205
Type: Mailing
Argillite Road, Russell Heights, Flatwoods, Greenup County, Kentucky, 41139, United States
FLATWOODS, KY 411391972
Phone: (606) 836-3900
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 199 Open Payments records for all available years, with a total value of $3,101.
Total Amount is formed as General ($3,101) + Research ($0) + Ownership ($0) = $3,101.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($531).
Total Amount
$3,101
General + Research + Ownership
Payments
199
Total payment records
General Amount
$3,101
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 |
|---|---|
| ABBVIE INC. | $531 |
| GlaxoSmithKline, LLC. | $508 |
| Lilly USA, LLC | $391 |
| PFIZER INC. | $349 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $162 |
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: 2008-11-03
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 |
|---|---|---|---|---|
| I20081103000053 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 316 | 139 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 204 | 118 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 136 | 88 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 94 | 94 | $0 |
| G0008 | Administration of influenza virus vaccine | 58 | 55 | $0 |
Insurance plans in this area (ZIP 41105)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | KY | 90670 | Pneumococcal vaccine for injection into muscle | 18 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Clinical Social Worker | KY | |
| - | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| - | OH | |
| Family Practice | KY | |
| Nurse Practitioner | WV |
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