LAWRENCE W LIVENGOOD (PA) – Surgical Physician Assistant, NPI 1407067507

LAWRENCE W LIVENGOOD (PA) is a healthcare provider. based in Bristol, Tennessee. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 1499 (TN). The NPI Number for LAWRENCE W LIVENGOOD (PA) is 1407067507

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
LAWRENCE W LIVENGOOD (PA)
NPI
1407067507
Phone
(423) 844-6450
Address
1 MEDICAL PARK BLVD
Enumeration Date
24 May 2007
Last Update Date
23 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4346545575
Graduation Year
2006 (20 years ago)
PAC ID
0941380679
Group Practice PAC ID
5991889081
Professional Enrollment ID
I20130813000617
Address ID
VA229323155CR1646XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience85
Completeness75
Years active:19State licenses:3Digital endpointsOther names

3,118 PHYSICIAN ASSISTANT in TN

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Provider Addresses for LAWRENCE W LIVENGOOD (PA)

  • Bristol Regional Medical Center, 1, Medical Park Boulevard, Bristol, Sullivan County, Tennessee, 37620, United States

    SUITE 300 E

    BRISTOL, TN 376207430

    Phone: (423) 844-6450

    Fax: (423) 844-6499

    Type: Mailing

  • PO BOX 746550

    ATLANTA, GA 303746550

    Phone: (888) 236-2263

    Fax: (434) 654-5574

    Type: Mailing

  • 595 MARTHA JEFFERSON DR STE 180

    CHARLOTTESVILLE, VA 229114669

    Phone: (434) 654-5575

    Fax: (434) 654-5574

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2013-08-13

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130813000617IPhysician AssistantVATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes146109$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg13650$0
20610Aspiration and/or injection of fluid from large joint7952$0
99203New patient office or other outpatient visit, 30-44 minutes5252$0
99214Established patient office or other outpatient visit, 30-39 minutes4237$0
View full utilization report →

Insurance plans in this area (ZIP 37620)

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Provider's Procedures

LAWRENCE W LIVENGOOD (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTTN20610Aspiration and/or injection of large joint or joint capsule363172
PHYSICIAN ASSISTANTTN27447Repair of knee joint3736
PHYSICIAN ASSISTANTTN73110X-ray of wrist, minimum of 3 views1613
PHYSICIAN ASSISTANTTN73562X-ray of knee, 3 views7556
PHYSICIAN ASSISTANTTN73630X-ray of foot, minimum of 3 views2115

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: 5991889081View full group profile
NameSpecialtyState
N E U R O L O G YMD
Nurse PractitionerVA
O B S T E T R I C S/ G Y N E C O L O G YVA
Vascular Surgery, General SurgeryVA
-MD
-VA
N E U R O S U R G E R YMD
Nurse PractitionerVA
Nurse PractitionerMD
-MD

Reviews

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Frequently asked questions

Can I verify LAWRENCE W LIVENGOOD (PA) with an NPI only?
You can start verification with NPI 1407067507 for LAWRENCE W LIVENGOOD (PA), then check state licensing separately.
Does the file indicate LAWRENCE W LIVENGOOD (PA) is practicing under active NPI?
Directory data currently reports LAWRENCE W LIVENGOOD (PA) as active.
What is LAWRENCE W LIVENGOOD (PA)'s specialty?
The listing groups LAWRENCE W LIVENGOOD (PA) with Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for LAWRENCE W LIVENGOOD (PA)?
LAWRENCE W LIVENGOOD (PA)'s geographic hint is Bristol, Tennessee in our summary view.
Why does LAWRENCE W LIVENGOOD (PA) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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