KATHERINE MARIE LONG (PA) – Surgical Physician Assistant, NPI 1134495484
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
395 PHYSICIAN ASSISTANT in MS
Provider Addresses for KATHERINE MARIE LONG (PA)
965 RIDGE LAKE BLVD STE 103
MEMPHIS, TN 381209446
Phone: (901) 227-3255
Fax: (901) 227-8591
Type: Mailing
1225 N STATE ST
SURGERY
JACKSON, MS 392022064
Phone: (601) 968-7047
Fax: (601) 968-4133
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 181 Open Payments records for all available years, with a total value of $2,537.
Total Amount is formed as General ($2,537) + Research ($0) + Ownership ($0) = $2,537.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Biosense Webster, Inc. ($1,007).
Total Amount
$2,537
General + Research + Ownership
Payments
181
Total payment records
General Amount
$2,537
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Biosense Webster, Inc. | $1,007 |
| ATRICURE, INC. | $525 |
| Janssen Pharmaceuticals, Inc | $255 |
| Medtronic, Inc. | $162 |
| ABIOMED | $136 |
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: 2012-05-18
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 |
|---|---|---|---|---|
| I20120518000064 | I | Physician Assistant | MS | 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 | 36 | 33 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 19 | 19 | $0 |
Insurance plans in this area (ZIP 38120)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MS | |
| Internal Medicine | TN | |
| N E U R O L O G Y | TN | |
| - | MS | |
| Nurse Practitioner | MS | |
| - | MS | |
| - | TN | |
| - | MS | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | AL | |
| Family Practice | MS |
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