CASEY ANNE PORTILLO (P.A. - C) – Physician Assistant, NPI 1063739381
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
Provider Addresses for CASEY ANNE PORTILLO (P.A. - C)
1935 MEDICAL DISTRICT DR
PAVILLION 3RD FLOOR
DALLAS, TX 752357701
Phone: (214) 456-1798
Type: Location
8201 MEMORIAL LN
#2022
PLANO, TX 750242253
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 114 Open Payments records for all available years, with a total value of $2,698.
Total Amount is formed as General ($2,698) + Research ($0) + Ownership ($0) = $2,698.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($573).
Total Amount
$2,698
General + Research + Ownership
Payments
114
Total payment records
General Amount
$2,698
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dermavant Sciences, Inc. | $573 |
| ABBVIE INC. | $487 |
| Janssen Biotech, Inc. | $180 |
| Regeneron Healthcare Solutions, Inc. | $170 |
| Novartis Pharmaceuticals Corporation | $93 |
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: 2004-06-15
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 |
|---|---|---|---|---|
| I20040615000649 | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 295 | 73 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 230 | 190 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 228 | 193 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 123 | 102 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 81 | 72 | $0 |
Insurance plans in this area (ZIP 75235)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | TX | 17003 | Destruction of 2-14 skin growths | 414 | 72 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX |
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