MR. MARK L DILLINGHAM (PA) – Physician Assistant, NPI 1568495448
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 MR. MARK L DILLINGHAM (PA)
Longview Post Office, Hillside Road, Longview Shops, Page Moss, Huyton, Liverpool, Liverpool City Region, England, L36 8BJ, United Kingdom
LONGVIEW, TX 756064207
Phone:
Type: Mailing
South Henderson Boulevard, Kilgore, Rusk County, Texas, 75662, United States
SUITE 100
KILGORE, TX 756623563
Phone: (903) 315-3800
Fax: (903) 984-5367
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 29 Open Payments records for all available years, with a total value of $609.
Total Amount is formed as General ($609) + Research ($0) + Ownership ($0) = $609.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($144).
Total Amount
$609
General + Research + Ownership
Payments
29
Total payment records
General Amount
$609
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
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: 2006-10-17
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 |
|---|---|---|---|---|
| I20061017000283 | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 14 | 13 | $0 |
Insurance plans in this area (ZIP 75606)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Physician Assistant | MS | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Emergency Medicine, Family Practice | TX |
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