CASSANDRA LYNN WILLIAMSON (PA) – Physician Assistant, NPI 1457565392

CASSANDRA LYNN WILLIAMSON (PA) is a healthcare provider. based in Dayton, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 50.002157 (OH). The NPI Number for CASSANDRA LYNN WILLIAMSON (PA) is 1457565392

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
CASSANDRA LYNN WILLIAMSON (PA)
NPI
1457565392
Phone
(937) 396-2602
Address
4340 CLYO RD STE 200
Enumeration Date
10 May 2007
Last Update Date
9 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9373962602
Graduation Year
2004 (22 years ago)
PAC ID
4486893518
Group Practice PAC ID
2062300809
Professional Enrollment ID
I20171115003362
Address ID
OH454597000DA4340XRDXX300

Contacts

Secure Messaging
digestivespecialists@directaddress.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for CASSANDRA LYNN WILLIAMSON (PA)

  • 4340 CLYO RD STE 200

    DAYTON, OH 454597000

    Phone: (937) 396-2602

    Fax: (937) 395-3682

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 160 Open Payments records for all available years, with a total value of $2,691.

Total Amount is formed as General ($2,691) + Research ($0) + Ownership ($0) = $2,691.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($827).

Total Amount

$2,691

General + Research + Ownership

Payments

160

Total payment records

General Amount

$2,691

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2017-11-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171115003362IPhysician AssistantOHTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes208132$0
99213Established patient office or other outpatient visit, 20-29 minutes7068$0
91200Measurement of liver stiffness6161$0
View full utilization report →

Insurance plans in this area (ZIP 45459)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062300809View full group profile
NameSpecialtyState
Physician AssistantIL
G A S T R O E N T E R O L O G YOH
-OH
P A T H O L O G YOH
-OH
-OH
G A S T R O E N T E R O L O G YOH
G A S T R O E N T E R O L O G YOH
Physician AssistantOH
P A T H O L O G YOH

Reviews

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Frequently asked questions

How do payers reference CASSANDRA LYNN WILLIAMSON (PA)?
For CASSANDRA LYNN WILLIAMSON (PA), use NPI 1457565392 as the unique 10-digit identifier.
Is CASSANDRA LYNN WILLIAMSON (PA) shown as active in public data?
Registry records indicate CASSANDRA LYNN WILLIAMSON (PA) maintains an active NPI.
What kind of doctor is CASSANDRA LYNN WILLIAMSON (PA)?
CASSANDRA LYNN WILLIAMSON (PA) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is CASSANDRA LYNN WILLIAMSON (PA) associated with Dayton?
Public fields place CASSANDRA LYNN WILLIAMSON (PA) around Dayton, Ohio. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for CASSANDRA LYNN WILLIAMSON (PA) is noted as May 10, 2007 where the registry provides it.

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