LYDIA PICOTTE (PA-C) – Medical Physician Assistant, NPI 1063192383

LYDIA PICOTTE (PA-C) is a healthcare provider. based in Talent, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA216351 (OR). The NPI Number for LYDIA PICOTTE (PA-C) is 1063192383

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
LYDIA PICOTTE (PA-C)
NPI
1063192383
Phone
(541) 646-9928
Address
296 S Pacific Hwy
Enumeration Date
20 July 2023
Last Update Date
20 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5418905217
Graduation Year
2023 (3 years ago)
PAC ID
2769845627
Group Practice PAC ID
5395129670
Professional Enrollment ID
I20230825001706
Address ID
OR975047657ME3265XDRXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

Provider Addresses for LYDIA PICOTTE (PA-C)

  • 296 S Pacific Hwy

    Talent, OR 975406649

    Phone: (541) 646-9928

    Type: Location

  • 25 N 4th St

    Central Point, OR 975022032

    Phone: (541) 748-9650

    Type: Location

  • 2950 E BARNETT RD

    MEDFORD, OR 975048309

    Phone:

    Type: Mailing

  • 3265 HILLCREST PARK DR

    MEDFORD, OR 975047657

    Phone: (541) 275-6655

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $426.

Total Amount is formed as General ($426) + Research ($0) + Ownership ($0) = $426.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Exact Sciences Corporation ($113).

Total Amount

$426

General + Research + Ownership

Payments

19

Total payment records

General Amount

$426

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

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: 2023-08-25

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
I20230825001706IPhysician AssistantORTBD

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 minutes1814$0
99213Established patient office or other outpatient visit, 20-29 minutes1412$0
View full utilization report →

Insurance plans in this area (ZIP 97540)

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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: 5395129670View full group profile
NameSpecialtyState
Nurse PractitionerOR
Physician AssistantFL
Nurse PractitionerWV
Physician AssistantCO
Nurse PractitionerOR
Nurse PractitionerOR
Nurse PractitionerOR
Nurse PractitionerVA
Nurse PractitionerOR
Nurse PractitionerTX

Reviews

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Frequently asked questions

Is LYDIA PICOTTE (PA-C) listed with a National Provider Identifier?
Yes — LYDIA PICOTTE (PA-C) has NPI 1063192383 on file in the registry.
Is LYDIA PICOTTE (PA-C) shown as active in public data?
Registry records indicate LYDIA PICOTTE (PA-C) maintains an active NPI.
What clinical focus is listed for LYDIA PICOTTE (PA-C)?
At a glance, LYDIA PICOTTE (PA-C) is tied to Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with LYDIA PICOTTE (PA-C)?
Directory geography for LYDIA PICOTTE (PA-C) centers on Talent, Oregon.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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