KRISTEN NICOLE MCCORQUODALE (PA-C) – Physician Assistant, NPI 1104479104
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
Provider Addresses for KRISTEN NICOLE MCCORQUODALE (PA-C)
1762 E COMMON ST
NEW BRAUNFELS, TX 781306059
Phone: (830) 730-8580
Type: Location
200, Jefferson Street, Cat Spring, Austin County, Texas, 78933, United States
AUSTIN, TX 787316200
Phone: (512) 451-0139
Type: Location
6940, Chinook Drive, West Oak Hill, Austin, Travis County, Texas, 78736, United States
AUSTIN, TX 787361802
Phone: (512) 809-4379
Type: Mailing
3326 Oakwell Court
San Antonio, TX 78218
Phone: (210) 829-5180
Fax: (210) 829-5030
Type: Location
3320 OAKWELL CT
SAN ANTONIO, TX 782183128
Phone: (210) 829-5180
Fax: (210) 829-5030
Type: Location
21727 Ih 10 W Ste 202
San Antonio, TX 782572107
Phone: (210) 829-5180
Fax: (210) 829-5030
Type: Location
5000 Schertz Pkwy Ste 400
Schertz, TX 781541457
Phone: (210) 829-5180
Fax: (210) 829-5030
Type: Location
1763 Medical Way Ste B
New Braunfels, TX 781325415
Phone: (210) 829-5180
Fax: (210) 829-5030
Type: Location
8019 S New Braunfels Ste 120
San Antonio, TX 782351069
Phone: (210) 829-5180
Type: Location
3349 S Highway 181 Ste 13A
Kenedy, TX 781195247
Phone: (210) 829-5180
Fax: (210) 829-5030
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 124 Open Payments records for all available years, with a total value of $4,304.
Total Amount is formed as General ($4,304) + Research ($0) + Ownership ($0) = $4,304.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Janssen Biotech, Inc. ($1,037).
Total Amount
$4,304
General + Research + Ownership
Payments
124
Total payment records
General Amount
$4,304
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $1,037 |
| E.R. Squibb & Sons, L.L.C. | $349 |
| Galderma Laboratories, L.P. | $346 |
| Incyte Corporation | $268 |
| ABBVIE INC. | $259 |
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: 2019-09-16
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 |
|---|---|---|---|---|
| I20190916001584 | 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 | 1,161 | 156 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 516 | 346 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 336 | 220 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 303 | 213 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 219 | 182 | $0 |
Insurance plans in this area (ZIP 78130)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | TX | |
| O T O L A R Y N G O L O G Y | TX | |
| Physician Assistant | TX | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | TX | |
| Physician Assistant | TX | |
| D E R M A T O L O G Y | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX |
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