ALYSSA TREECE LOTT (PA-C) – Surgical Physician Assistant, NPI 1093466773

ALYSSA TREECE LOTT (PA-C) is a healthcare provider. based in Tulsa, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 15192 (TX). The NPI Number for ALYSSA TREECE LOTT (PA-C) is 1093466773

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
ALYSSA TREECE LOTT (PA-C)
NPI
1093466773
Phone
(918) 845-1195
Address
11525 S HUDSON AVE
Enumeration Date
13 January 2022
Last Update Date
24 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9722505700
Graduation Year
2021 (5 years ago)
PAC ID
3779970405
Group Practice PAC ID
7618392424
Professional Enrollment ID
I20220428000600
Address ID
TX750935005PL5228XPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for ALYSSA TREECE LOTT (PA-C)

  • 11525 S HUDSON AVE

    TULSA, OK 741378106

    Phone: (918) 845-1195

    Type: Mailing

  • 5228 W PLANO PKWY

    PLANO, TX 750935005

    Phone: (972) 250-5700

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $825.

Total Amount is formed as General ($825) + Research ($0) + Ownership ($0) = $825.

Last reported payment date: 2024-07-29 • Largest payer in this snapshot: Arthrex, Inc. ($589).

Total Amount

$825

General + Research + Ownership

Payments

15

Total payment records

General Amount

$825

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-29

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2022-04-28

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
I20220428000600IPhysician AssistantTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74137)

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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: 7618392424View full group profile
NameSpecialtyState
Orthopedic SurgeryGA
Physician AssistantTX
Orthopedic SurgeryTX
Orthopedic SurgeryTX
Orthopedic SurgeryTX
Physician AssistantTX
Orthopedic SurgeryCO
Physician AssistantTX
Physician AssistantTX
Orthopedic Surgery, Hand SurgeryTX

Reviews

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Frequently asked questions

Is ALYSSA TREECE LOTT (PA-C) listed with a National Provider Identifier?
Yes — ALYSSA TREECE LOTT (PA-C) has NPI 1093466773 on file in the registry.
Is there an active status for ALYSSA TREECE LOTT (PA-C)?
For scheduling context, ALYSSA TREECE LOTT (PA-C) is shown as active in the registry.
How would a patient describe ALYSSA TREECE LOTT (PA-C)'s focus?
For ALYSSA TREECE LOTT (PA-C), the primary taxonomy reads as Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with ALYSSA TREECE LOTT (PA-C)?
Directory geography for ALYSSA TREECE LOTT (PA-C) centers on Tulsa, Oklahoma.
Can I trust this NPI listing for ALYSSA TREECE LOTT (PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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