ROXANNE MONGEON (PA) – Surgical Physician Assistant, NPI 1538160593

ROXANNE MONGEON (PA) is a healthcare provider. based in Plano, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 000037 (CT). The NPI Number for ROXANNE MONGEON (PA) is 1538160593

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
ROXANNE MONGEON (PA)
NPI
1538160593
Phone
(972) 599-0080
Address
2801 REGAL RD
Enumeration Date
2 August 2005
Last Update Date
2 November 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8172551000
Graduation Year
1990 (36 years ago)
PAC ID
9739229238
Group Practice PAC ID
2062303803
Professional Enrollment ID
I20161123000240
Address ID
TX761807371NO4401XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

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Provider Addresses for ROXANNE MONGEON (PA)

  • 2801, Regal Road, Plano, Collin County, Texas, 75075, United States

    SUITE 108

    PLANO, TX 750756315

    Phone: (972) 599-0080

    Fax: (972) 599-0082

    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 17 Open Payments records for all available years, with a total value of $548.

Total Amount is formed as General ($548) + Research ($0) + Ownership ($0) = $548.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Getinge USA Sales, LLC ($351).

Total Amount

$548

General + Research + Ownership

Payments

17

Total payment records

General Amount

$548

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

View all Open Payments →|Open Payments Risk Radar →

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: 2016-11-23

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161123000240IPhysician AssistantTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
33533Coronary artery bypass using artery graft, 1 graft3131$0
33518Coronary artery bypass using vein or artery graft, 2 grafts1616$0
View full utilization report →

Insurance plans in this area (ZIP 75075)

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Provider's Procedures

ROXANNE MONGEON (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTTX33518Combined multiple vein and artery heart artery bypasses1111

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062303803View full group profile
NameSpecialtyState
Physician AssistantTX
Physician AssistantTX
Physician AssistantKY
Physician AssistantTX
Physician AssistantTX
Physician AssistantTX
-LA
-TX
Physician AssistantNC
Nurse PractitionerTX

Reviews

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Frequently asked questions

Is ROXANNE MONGEON (PA) listed with a National Provider Identifier?
Yes — ROXANNE MONGEON (PA) has NPI 1538160593 on file in the registry.
Is there an active status for ROXANNE MONGEON (PA)?
For scheduling context, ROXANNE MONGEON (PA) is shown as active in the registry.
How would a patient describe ROXANNE MONGEON (PA)'s focus?
For ROXANNE MONGEON (PA), the primary taxonomy reads as Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Texas is ROXANNE MONGEON (PA) registered?
Use Plano, Texas as the headline location for ROXANNE MONGEON (PA) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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