SIXTUS ATABONG (PA) – Surgical Physician Assistant, NPI 1013987155
Surgical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
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Provider Addresses for SIXTUS ATABONG (PA)
North Loop 289, North By Northwest, Lubbock, Texas, 79416, United States
LUBBOCK, TX 794151410
Phone: (806) 744-7223
Fax: (806) 740-3325
Type: Mailing
4515 MARSHA SHARP FWY
LUBBOCK, TX 794072520
Phone: (806) 744-7223
Fax: (806) 740-3325
Type: Mailing
Grace Clinic, 4515, Marsha Sharp Freeway, Lubbock, Texas, 79407, United States
LUBBOCK, TX 794072520
Phone: (806) 744-7223
Fax: (806) 740-3325
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $551.
Total Amount is formed as General ($551) + Research ($0) + Ownership ($0) = $551.
Last reported payment date: 2024-10-26 • Largest payer in this snapshot: Medtronic, Inc. ($328).
Total Amount
$551
General + Research + Ownership
Payments
7
Total payment records
General Amount
$551
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $328 |
| Nevro Corp. | $130 |
| Zimmer Biomet Holdings, Inc. | $80 |
| Rattan And Associates | $13 |
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: 2005-10-21
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 |
|---|---|---|---|---|
| I20051021000194 | I | Physician Assistant | TX | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 179 | 179 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 109 | 100 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 53 | 53 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 28 | 27 | $0 |
Insurance plans in this area (ZIP 79415)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | TX | 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 28 | 28 |
| PHYSICIAN ASSISTANT | TX | 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 32 | 26 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | TX | |
| P O D I A T R Y | TX | |
| Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Internal Medicine, Endocrinology | TX | |
| - | TX | |
| Family Practice | TX | |
| - | TX | |
| Diagnostic Radiology | TX | |
| - | TX |
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