LAKIESHA BOHANNON (PA) – Surgical Physician Assistant, NPI 1255889853
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
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Provider Addresses for LAKIESHA BOHANNON (PA)
Shire Boulevard, Richardson, Collin County, Texas, 75082, United States
RICHARDSON, TX 750822236
Phone: (972) 487-6400
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 23 Open Payments records for all available years, with a total value of $1,092.
Total Amount is formed as General ($1,092) + Research ($0) + Ownership ($0) = $1,092.
Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Arthrex, Inc. ($616).
Total Amount
$1,092
General + Research + Ownership
Payments
23
Total payment records
General Amount
$1,092
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Arthrex, Inc. | $616 |
| Pylant Medical | $286 |
| Stryker Corporation | $55 |
| Kerecis Limited | $39 |
| Molnlycke Health Care US, LLC | $37 |
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: 2020-08-05
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 |
|---|---|---|---|---|
| I20200805000883 | 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 |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 1,044 | 210 | $0 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 235 | 89 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 22 | 18 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 18 | 18 | $0 |
| 73562 | X-ray of knee, 3 views | 16 | 11 | $0 |
Insurance plans in this area (ZIP 75082)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | NY | |
| General Surgery | TX | |
| Nurse Practitioner | TX | |
| General Surgery | TX | |
| General Surgery | FL | |
| General Surgery, Critical Care (Intensivists) | IL | |
| Nurse Practitioner | TX | |
| Internal Medicine, Critical Care (Intensivists) | AZ | |
| General Surgery | TX | |
| General Surgery | NC |
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