MANDRIA L FUQUA (PA-C) – Physician Assistant, NPI 1760483697
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,429 PHYSICIAN ASSISTANT in VA
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Provider Addresses for MANDRIA L FUQUA (PA-C)
2137, Lakeside Drive, Westbrook, Lynchburg, Lynchburg (city), Virginia, 24501, United States
SUITE 100
LYNCHBURG, VA 245016806
Phone: (434) 385-4184
Fax: (434) 385-8616
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 90 Open Payments records for all available years, with a total value of $1,650.
Total Amount is formed as General ($1,650) + Research ($0) + Ownership ($0) = $1,650.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Novo Nordisk Inc ($525).
Total Amount
$1,650
General + Research + Ownership
Payments
90
Total payment records
General Amount
$1,650
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $525 |
| Lilly USA, LLC | $230 |
| ABBVIE INC. | $155 |
| Dexcom, Inc. | $93 |
| Amgen Inc. | $64 |
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: 2012-09-07
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 |
|---|---|---|---|---|
| I20120907000750 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 149 | 96 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 85 | 54 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 46 | 45 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 44 | 44 | $0 |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 41 | 34 | $0 |
Insurance plans in this area (ZIP 24501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | VA | |
| - | VA | |
| Internal Medicine, Pulmonary Disease | MD | |
| - | VA | |
| - | MD | |
| - | VA | |
| - | VA | |
| - | MD | |
| Physician Assistant | VA | |
| Physician Assistant | MI |
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