LACONIA BLALOCK BACON (FNP-C) – Family Nurse Practitioner, NPI 1144628157
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LACONIA BLALOCK BACON (FNP-C)
1930 U S HIGHWAY 190 W
LIVINGSTON, TX 773519600
Phone: (936) 327-9944
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $212.
Total Amount is formed as General ($212) + Research ($0) + Ownership ($0) = $212.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($53).
Total Amount
$212
General + Research + Ownership
Payments
8
Total payment records
General Amount
$212
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 |
|---|---|
| GlaxoSmithKline, LLC. | $53 |
| Wenzel Spine, Inc. | $47 |
| Mylan Specialty L.P. | $32 |
| Astellas Pharma US Inc | $22 |
| Organon LLC | $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: 2015-04-30
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 |
|---|---|---|---|---|
| I20150430001678 | I | Nurse Practitioner | 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 | 409 | 88 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 272 | 27 | $0 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 270 | 18 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 110 | 33 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 56 | 37 | $0 |
Insurance plans in this area (ZIP 77351)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | TX | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 31 | 25 |
Group practice members
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