LISA KAYE BOWERSOX (PA-C) – Physician Assistant, NPI 1942372255
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,066 PHYSICIAN ASSISTANT in MI
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Provider Addresses for LISA KAYE BOWERSOX (PA-C)
Dermatology Associates of Northern Michigan, 4170, Cedar Bluff Drive, Petoskey, Emmet County, Michigan, 49770, United States
PETOSKEY, MI 497709600
Phone: (231) 487-2230
Fax: (231) 487-6172
Type: Location
Quick Care Medical Center, 116, West Mitchell Street, Petoskey, Emmet County, Michigan, 49770, United States
STE 1
PETOSKEY, MI 497702357
Phone: (231) 348-2828
Type: Mailing
311 W MITCHELL ST
PETOSKEY, MI 497702327
Phone: (616) 326-0114
Fax: (231) 487-6172
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 188 Open Payments records for all available years, with a total value of $3,376.
Total Amount is formed as General ($3,376) + Research ($0) + Ownership ($0) = $3,376.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($372).
Total Amount
$3,376
General + Research + Ownership
Payments
188
Total payment records
General Amount
$3,376
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dermavant Sciences, Inc. | $372 |
| ABBVIE INC. | $350 |
| Regeneron Healthcare Solutions, Inc. | $317 |
| Novartis Pharmaceuticals Corporation | $256 |
| UCB, Inc. | $245 |
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: 2004-05-14
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 |
|---|---|---|---|---|
| I20040514000096 | I | Physician Assistant | MI | 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 | 471 | 87 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 138 | 118 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 124 | 77 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 102 | 102 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 91 | 82 | $0 |
Insurance plans in this area (ZIP 49770)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MI | 17003 | Destruction of 2-14 skin growths | 137 | 39 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| Nurse Practitioner | OH | |
| Dermatology, Pathology | MI | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | MI | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | OH |
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