MANILA BOBBA (PA-C) – Internal Medicine Physician, NPI 1144552431
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
Provider Addresses for MANILA BOBBA (PA-C)
1023 LIPSCOMB ST STE 200
FORT WORTH, TX 761043102
Phone: (972) 544-6600
Fax: (972) 544-6604
Type: Mailing
2111 FORT WORTH HWY
WEATHERFORD, TX 760864834
Phone: (972) 544-6600
Fax: (972) 544-6604
Type: Location
P.O. BOX 20828
BULLHEAD CITY, AZ 864424334
Phone: (928) 763-2001
Fax: (928) 763-2038
Type: Mailing
1023 Lipscomb St Ste 200
Fort Worth, TX 761043102
Phone: (972) 544-6600
Fax: (972) 544-6604
Type: Location
3015 HWY 95 STE 105
BULLHEAD CITY, AZ 864424334
Phone: (928) 763-2001
Fax: (928) 763-2038
Type: Mailing
Mohave Valley Highway, Bullhead City, Mohave County, Arizona, 86430, United States
SUITE 105
BULLHEAD CITY, AZ 864424334
Phone: (928) 763-2001
Fax: (928) 763-2038
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $230.
Total Amount is formed as General ($230) + Research ($0) + Ownership ($0) = $230.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($44).
Total Amount
$230
General + Research + Ownership
Payments
13
Total payment records
General Amount
$230
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $44 |
| Abbott Laboratories | $41 |
| Janssen Pharmaceuticals, Inc | $34 |
| Lilly USA, LLC | $27 |
| Dexcom, Inc. | $22 |
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: 2026-01-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20100512001092 | I | Physician Assistant | AZ | TBD |
| I20260107003036 | 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 |
|---|---|---|---|---|
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 1,287 | 152 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 747 | 368 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 414 | 280 | $0 |
| 90688 | Influenza vaccine, quadrivalent, 0.5 ml dosage | 117 | 117 | $0 |
| G0008 | Administration of influenza virus vaccine | 117 | 117 | $0 |
Insurance plans in this area (ZIP 76104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AZ | |
| Physician Assistant | AZ | |
| Nurse Practitioner | AZ | |
| Physician Assistant | AZ | |
| Physician Assistant | AZ | |
| Physician Assistant | AZ | |
| Nurse Practitioner | AZ | |
| Family Practice | AZ | |
| Internal Medicine | FL | |
| Nurse Practitioner | AZ |
Reviews
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