LINDSAY L. GANNON (PA-C) – Physician Assistant, NPI 1164677787
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,578 PHYSICIAN ASSISTANT in NJ
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Provider Addresses for LINDSAY L. GANNON (PA-C)
3515, Richmond Road, Texarkana, Bowie County, Texas, 75503, United States
TEXARKANA, TX 755030711
Phone: (903) 831-7270
Fax: (903) 793-0496
Type: Mailing
35, Chesthill Court, Oakhurst, Perry Hall, Baltimore County, Maryland, 21236, United States
OAKHURST, NJ 077552715
Phone: (732) 531-0100
Fax: (732) 531-0144
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2023-12-06 • Largest payer in this snapshot: ABBVIE INC. ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $14 |
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: 2009-01-05
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 |
|---|---|---|---|---|
| I20090105000486 | I | Physician Assistant | NJ | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 198 | 155 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 196 | 145 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 49 | 49 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 45 | 45 | $0 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 40 | 40 | $0 |
Insurance plans in this area (ZIP 75503)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | NJ | 81002 | Urinalysis, manual test | 13 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Family Practice | VA | |
| Nurse Practitioner | NJ | |
| - | NJ | |
| G A S T R O E N T E R O L O G Y | NY | |
| - | NJ | |
| Physician Assistant | NY | |
| - | NJ | |
| P O D I A T R Y | NJ | |
| G A S T R O E N T E R O L O G Y | PA |
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