AMY REYNE WENTWORTH-KOTARA (PA-C) – Physician Assistant, NPI 1639200231
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,497 PHYSICIAN ASSISTANT in TX
Provider Addresses for AMY REYNE WENTWORTH-KOTARA (PA-C)
4118 Pond Hill Rd Bldg 3
Shavano Park, TX 782311281
Phone: (210) 494-3739
Fax: (210) 490-2164
Type: Location
PO BOX 845347
DALLAS, TX 752847208
Phone: (214) 645-2800
Type: Mailing
2001 INWOOD RD
DALLAS, TX 75390
Phone: (214) 645-2800
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2007-08-07
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 |
|---|---|---|---|---|
| I20070807000291 | 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 |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 125 | 83 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 113 | 88 | $0 |
| 95251 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 78 | 39 | $0 |
| 83036 | Hemoglobin a1c level | 58 | 43 | $0 |
Insurance plans in this area (ZIP 78231)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Diagnostic Radiology | TX | |
| Anesthesiology, Pain Management | FL | |
| - | TX | |
| Internal Medicine | TX | |
| - | TX | |
| U R O L O G Y | TX | |
| - | TX | |
| - | TX | |
| Certified Registered Nurse Anesthetist (Crna) | TX |
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