VICTORIA MARIE GROUNDS (P.A.) – Physician Assistant, NPI 1144588872
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for VICTORIA MARIE GROUNDS (P.A.)
117 MEDICAL CIRCLE
ATHENS, TX 757515610
Phone: (903) 676-3200
Fax: (903) 676-3277
Type: Mailing
170 MUNICIPAL DR
GUN BARREL CITY, TX 751563704
Phone: (903) 887-7992
Fax: (903) 887-7996
Type: Location
PO BOX 1610
ATHENS, TX 757511610
Phone: (903) 603-7067
Fax: (903) 603-7595
Type: Mailing
801 W MAIN ST
GUN BARREL CITY, TX 751565312
Phone: (903) 887-1011
Fax: (903) 603-9441
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 154 Open Payments records for all available years, with a total value of $2,808.
Total Amount is formed as General ($2,808) + Research ($0) + Ownership ($0) = $2,808.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: PFIZER INC. ($499).
Total Amount
$2,808
General + Research + Ownership
Payments
154
Total payment records
General Amount
$2,808
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $499 |
| Otsuka America Pharmaceutical, Inc. | $333 |
| GlaxoSmithKline, LLC. | $207 |
| Amgen Inc. | $206 |
| AstraZeneca Pharmaceuticals LP | $179 |
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: 2014-12-17
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 |
|---|---|---|---|---|
| I20141217000672 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 176 | 68 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 76 | 17 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 76 | 35 | $0 |
| 81001 | Manual urinalysis test with examination using microscope, automated | 64 | 39 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 64 | 14 | $0 |
Insurance plans in this area (ZIP 75751)
Loading plans...
Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Family Practice | TX | |
| Family Practice | TX | |
| Family Practice | TX | |
| Nurse Practitioner | TX | |
| Family Practice, Internal Medicine | TX | |
| Family Practice | TX | |
| Family Practice | TX | |
| Family Practice | TX | |
| Physician Assistant | TX | |
| - | TX |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.