LACEY GARDNER (PA-C) – Physician Assistant, NPI 1790226504
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,497 PHYSICIAN ASSISTANT in TX
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Provider Addresses for LACEY GARDNER (PA-C)
PO BOX 732
ANTLERS, OK 745230732
Phone: (580) 579-3314
Type: Mailing
Paris Regional Medical Center, 865, Deshong Drive, Paris, Lamar County, Texas, 75460, United States
PARIS, TX 754609313
Phone: (903) 785-4521
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $35.
Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.
Last reported payment date: 2024-11-11 • Largest payer in this snapshot: Abbott Laboratories ($35).
Total Amount
$35
General + Research + Ownership
Payments
1
Total payment records
General Amount
$35
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $35 |
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: 2021-10-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20170606003083 | I | Physician Assistant | TX | TBD |
| I20211011000330 | I | Physician Assistant | OK | 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 |
|---|---|---|---|---|
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 135 | 89 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 73 | 31 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 55 | 49 | $0 |
| 71046 | X-ray of chest, 2 views | 54 | 34 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 52 | 42 | $0 |
Insurance plans in this area (ZIP 74523)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| - | OK | |
| Diagnostic Radiology | OK | |
| Nurse Practitioner | OK | |
| N E U R O L O G Y | AR | |
| E N D O C R I N O L O G Y | AR | |
| Mental Health Counselor | OK | |
| O P T O M E T R Y | OK | |
| - | OK | |
| Interventional Radiology, Diagnostic Radiology, Diagnostic Radiology | OK |
Reviews
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