SUZZANE ROENA PISTOLE (PA-C) – Physician Assistant, NPI 1255527495
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
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Provider Addresses for SUZZANE ROENA PISTOLE (PA-C)
Shoal Creek Boulevard, North Shoal Creek, Austin, Travis County, Texas, 78757, United States
AUSTIN, TX 787577582
Phone: (512) 584-8404
Fax: (737) 377-0442
Type: Mailing
1509, Stonecreek Drive, Pickerington, Fairfield County, Ohio, 43147, United States
PICKERINGTON, OH 431479836
Phone: (740) 653-2500
Fax: (740) 653-2552
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 39 Open Payments records for all available years, with a total value of $996.
Total Amount is formed as General ($996) + Research ($0) + Ownership ($0) = $996.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Boston Scientific Corporation ($433).
Total Amount
$996
General + Research + Ownership
Payments
39
Total payment records
General Amount
$996
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2013-06-10
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 |
|---|---|---|---|---|
| I20130610000675 | I | Physician Assistant | OH | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78757)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | OH | 20610 | Aspiration and/or injection of large joint or joint capsule | 19 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pain Management | OH | |
| Physical Medicine And Rehabilitation, Pain Management | KY | |
| Nurse Practitioner | KY | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | OH | |
| Family Practice | TX |
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