MICHEAL REDDELL (PA) – Physician Assistant, NPI 1356329387
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 MICHEAL REDDELL (PA)
4642, North Loop 289, North By Northwest, Lubbock, Texas, 79416, United States
SUITE 101
LUBBOCK, TX 794162409
Phone: (806) 797-4985
Fax: (806) 792-8588
Type: Mailing
3621 22nd St
Lubbock, TX 794101301
Phone: (806) 725-7500
Fax: (806) 723-7152
Type: Location
301 UTICA AVE
LUBBOCK, TX 794163111
Phone: (806) 797-4985
Fax: (806) 792-8588
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $1,766.
Total Amount is formed as General ($1,766) + Research ($0) + Ownership ($0) = $1,766.
Last reported payment date: 2024-07-23 • Largest payer in this snapshot: Rattan and Associates ($1,141).
Total Amount
$1,766
General + Research + Ownership
Payments
12
Total payment records
General Amount
$1,766
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Rattan and Associates | $1,141 |
| Arthrex, Inc. | $462 |
| Amgen Inc. | $131 |
| SANOFI-AVENTIS U.S. LLC | $17 |
| TACTILE SYSTEMS TECHNOLOGY INC | $15 |
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: 2005-11-29
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 |
|---|---|---|---|---|
| I20051129000947 | 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 |
|---|---|---|---|---|
| 73630 | X-ray of foot, minimum of 3 views | 110 | 91 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 110 | 93 | $0 |
| Q4038 | Cast supplies, short leg cast, adult (11 years +), fiberglass | 52 | 23 | $0 |
| 73610 | X-ray of ankle, minimum of 3 views | 41 | 34 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 32 | 27 | $0 |
Insurance plans in this area (ZIP 79416)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | TX | 73630 | X-ray of foot, minimum of 3 views | 117 | 93 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Orthopedic Surgery | TX | |
| - | TX | |
| Orthopedic Surgery | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Physical Therapist In Private Practice | TX | |
| Physician Assistant | TX | |
| - | TX | |
| Orthopedic Surgery | TX |
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