COLLINS KWABENA BOATENG (PA-C) – Physician Assistant, NPI 1629502257
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,429 PHYSICIAN ASSISTANT in VA
Provider Addresses for COLLINS KWABENA BOATENG (PA-C)
2070 OLD BRIDGE RD STE 103
LAKERIDGE, VA 221922945
Phone: (703) 499-8787
Fax: (703) 499-8222
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 7 Open Payments records for all available years, with a total value of $532.
Total Amount is formed as General ($532) + Research ($0) + Ownership ($0) = $532.
Last reported payment date: 2024-09-10 • Largest payer in this snapshot: AERIN MEDICAL INC. ($176).
Total Amount
$532
General + Research + Ownership
Payments
7
Total payment records
General Amount
$532
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AERIN MEDICAL INC. | $176 |
| GENZYME CORPORATION | $139 |
| Inspire Medical Systems, Inc. | $101 |
| Regeneron Healthcare Solutions, Inc. | $77 |
| Optinose US, Inc. | $39 |
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: 2017-08-08
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 |
|---|---|---|---|---|
| I20170808001816 | I | Physician Assistant | VA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 119 | 100 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 56 | 49 | $0 |
| 69210 | Removal of impacted ear wax | 46 | 40 | $0 |
| 92567 | Test to assess middle ear function | 35 | 35 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 31 | 31 | $0 |
Insurance plans in this area (ZIP 22192)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | VA | |
| Nurse Practitioner | VA | |
| - | VA | |
| O T O L A R Y N G O L O G Y | VA | |
| O T O L A R Y N G O L O G Y | VA | |
| Physician Assistant | VA | |
| O T O L A R Y N G O L O G Y | VA | |
| O T O L A R Y N G O L O G Y | VA | |
| - | VA | |
| O T O L A R Y N G O L O G Y | VA |
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