AMANDA WILDER LARK (MPAS, PA-C) – Physician Assistant, NPI 1841478302
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
Provider Addresses for AMANDA WILDER LARK (MPAS, PA-C)
406 Buttonwood Dr
Coppell, TX 75019
Phone: (972) 971-2424
Type: Location
100, Long Prairie Road, Flower Mound, Tarrant County, Texas, 75022, United States
FLOWER MOUND, TX 750281795
Phone: (972) 362-0956
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 295 Open Payments records for all available years, with a total value of $5,574.
Total Amount is formed as General ($5,574) + Research ($0) + Ownership ($0) = $5,574.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Janssen Biotech, Inc. ($789).
Total Amount
$5,574
General + Research + Ownership
Payments
295
Total payment records
General Amount
$5,574
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $789 |
| E.R. Squibb & Sons, L.L.C. | $599 |
| ABBVIE INC. | $596 |
| Arcutis Biotherapeutics, Inc. | $570 |
| Incyte Corporation | $304 |
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: 2011-05-03
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 |
|---|---|---|---|---|
| I20110503000025 | 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 | 646 | 103 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 233 | 195 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 195 | 155 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 174 | 155 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 170 | 145 | $0 |
Insurance plans in this area (ZIP 75019)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| D E R M A T O L O G Y | FL | |
| D E R M A T O L O G Y | TX | |
| - | TX | |
| D E R M A T O L O G Y | TX | |
| Physician Assistant | TX | |
| Physician Assistant | OH | |
| - | TX |
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