CASSANDRA LAYNE KENNY (PA-C) – Physician Assistant, NPI 1386181048
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
Provider Addresses for CASSANDRA LAYNE KENNY (PA-C)
PO BOX 733784
DALLAS, TX 753733784
Phone: (682) 885-1855
Fax: (682) 885-1396
Type: Mailing
801 7TH AVE
FORT WORTH, TX 761042733
Phone: (682) 885-6600
Fax: (682) 885-3938
Type: Location
1709 Martin Dr
Suite 100
Weatherford, TX 76086
Phone: (817) 783-9973
Type: Location
2001 ROCKVIEW DR
GRANBURY, TX 760495711
Phone: (682) 529-7800
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 112 Open Payments records for all available years, with a total value of $2,879.
Total Amount is formed as General ($2,879) + Research ($0) + Ownership ($0) = $2,879.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($603).
Total Amount
$2,879
General + Research + Ownership
Payments
112
Total payment records
General Amount
$2,879
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $603 |
| GENZYME CORPORATION | $338 |
| Lilly USA, LLC | $290 |
| Novartis Pharmaceuticals Corporation | $280 |
| Sun Pharmaceutical Industries Inc. | $181 |
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: 2017-04-17
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 |
|---|---|---|---|---|
| I20170417000688 | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 981 | 180 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 525 | 335 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 502 | 377 | $0 |
| 11103 | Biopsy of related skin growth, each additional growth | 374 | 181 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 348 | 263 | $0 |
Insurance plans in this area (ZIP 75373)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | KY | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX |
Reviews
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