NDEYE LISSA KONE (PA-C) – Physician Assistant, NPI 1073832028
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in VA
Provider Addresses for NDEYE LISSA KONE (PA-C)
ONE GI CREDENTIALING DEPARTMENT
PO BOX 381468
GERMANTOWN, TN 381831468
Phone:
Type: Mailing
19455 Deerfield Ave Ste 205
Lansdowne, VA 201768102
Phone: (703) 723-3670
Fax: (877) 325-2018
Type: Location
24430 Stone Springs Blvd Ste 250
Dulles, VA 201662268
Phone: (703) 723-3670
Type: Location
PO BOX 381468
GERMANTOWN, TN 381831468
Phone:
Type: Mailing
19455 DEERFIELD AVE STE 201
LANSDOWNE, VA 201768102
Phone: (703) 723-3670
Type: Location
535 EDGECOMBE AVE
APT. # 34
NEW YORK, NY 100324422
Phone:
Type: Mailing
2015 GRAND CONCOURSE
BRONX, NY 104534303
Phone: (718) 618-0401
Fax: (718) 294-6276
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 251 Open Payments records for all available years, with a total value of $4,671.
Total Amount is formed as General ($4,671) + Research ($0) + Ownership ($0) = $4,671.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($986).
Total Amount
$4,671
General + Research + Ownership
Payments
251
Total payment records
General Amount
$4,671
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
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: 2021-10-13
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 |
|---|---|---|---|---|
| I20211013002123 | I | Physician Assistant | VA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 81 | 80 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 78 | 78 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 42 | 42 | $0 |
Insurance plans in this area (ZIP 38183)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TN | |
| Gastroenterology, Internal Medicine | TN | |
| P A T H O L O G Y | TN | |
| Physician Assistant | TN | |
| G A S T R O E N T E R O L O G Y | VA | |
| Certified Registered Nurse Anesthetist (Crna) | MD | |
| Gastroenterology, Internal Medicine | VA | |
| G A S T R O E N T E R O L O G Y | VA | |
| Gastroenterology, Internal Medicine | VA | |
| Physician Assistant | VA |
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