DONNA LYNN GILLIAM (PA-C) – Physician Assistant, NPI 1083726459

DONNA LYNN GILLIAM (PA-C) is a healthcare provider. based in New braunfels, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA03687 (TX). The NPI Number for DONNA LYNN GILLIAM (PA-C) is 1083726459

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
DONNA LYNN GILLIAM (PA-C)
NPI
1083726459
Phone
(830) 608-1575
Address
1761 HIGHWAY 46 W STE 104
Enumeration Date
31 August 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8303792411
Graduation Year
2002 (24 years ago)
PAC ID
2769544147
Group Practice PAC ID
5496653842
Professional Enrollment ID
I20081218000404
Address ID
TX781555129SE1215XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for DONNA LYNN GILLIAM (PA-C)

  • 1761 HIGHWAY 46 W STE 104

    NEW BRAUNFELS, TX 781324750

    Phone: (830) 608-1575

    Fax: (830) 608-0868

    Type: Location

  • The Avenue, 715, Pacific Avenue, Downtown District (Commercial), Downtown, Santa Cruz, Santa Cruz County, California, 1982, United States

    SAN ANTONIO, TX 782213117

    Phone: (210) 334-3700

    Fax: (210) 922-0162

    Type: Mailing

  • 1614, West San Antonio Street, Highland Park, New Braunfels, Comal County, Texas, 78130, United States

    NEW BRAUNFELS, TX 781306273

    Phone: (830) 608-1575

    Fax: (830) 608-0868

    Type: Location

  • 1215 E COURT ST

    SEGUIN, TX 781555129

    Phone: (830) 303-9400

    Fax: (830) 303-9420

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $58.

Total Amount is formed as General ($58) + Research ($0) + Ownership ($0) = $58.

Last reported payment date: 2024-05-08 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($41).

Total Amount

$58

General + Research + Ownership

Payments

4

Total payment records

General Amount

$58

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2008-12-18

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081218000404IPhysician AssistantTXTBD

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 minutes11929$0
View full utilization report →

Insurance plans in this area (ZIP 78132)

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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: 5496653842View full group profile
NameSpecialtyState
H O S P I T A L I S TPA
Diagnostic RadiologyTX
Nurse PractitionerTX
Clinical Social WorkerTX
Family PracticeTX
Diagnostic RadiologyTX
Clinical Social WorkerTX
Clinical Social WorkerTX
Family PracticeTX
Hospitalist, Internal MedicineTX

Reviews

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Frequently asked questions

What is the registry number for DONNA LYNN GILLIAM (PA-C)?
The registry entry for DONNA LYNN GILLIAM (PA-C) shows NPI 1083726459.
Quick check: is DONNA LYNN GILLIAM (PA-C) active?
Public NPPES data shows DONNA LYNN GILLIAM (PA-C) with an active NPI status right now.
What type of care does DONNA LYNN GILLIAM (PA-C) provide?
DONNA LYNN GILLIAM (PA-C)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to DONNA LYNN GILLIAM (PA-C)?
The directory associates DONNA LYNN GILLIAM (PA-C) with New Braunfels, Texas. Check all listed addresses for suites or satellite offices.
Why is information missing for DONNA LYNN GILLIAM (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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