INDRE LITHYOUVONG (PA-C) – Physician Assistant, NPI 1790295715
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,469 PHYSICIAN ASSISTANT in VA
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Provider Addresses for INDRE LITHYOUVONG (PA-C)
190 CRYSTAL LN
EVINGTON, VA 245503724
Phone: (720) 984-5995
Type: Mailing
2321 ATHERHOLT RD
LYNCHBURG, VA 245012113
Phone: (434) 485-7382
Fax: (844) 689-3110
Type: Mailing
Blue Ridge Ear, Nose, and Throat, 2321, Atherholt Road, Dearington, Lynchburg, Lynchburg (city), Virginia, 24501, United States
LYNCHBURG, VA 245012113
Phone: (434) 947-3993
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $538.
Total Amount is formed as General ($538) + Research ($0) + Ownership ($0) = $538.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($196).
Total Amount
$538
General + Research + Ownership
Payments
21
Total payment records
General Amount
$538
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Regeneron Healthcare Solutions, Inc. | $196 |
| Inspire Medical Systems, Inc. | $183 |
| GlaxoSmithKline, LLC. | $119 |
| GENZYME CORPORATION | $40 |
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: 2017-12-20
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20171220001374 | 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 | 20 | 20 | $0 |
Insurance plans in this area (ZIP 24550)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | VA | |
| Qualified Audiologist | VA | |
| Otolaryngology, Allergy/Immunology, Plastic And Reconstructive Surgery | VA | |
| Qualified Audiologist | VA | |
| O T O L A R Y N G O L O G Y | VA | |
| Physician Assistant | VA | |
| Qualified Audiologist | VA | |
| Nurse Practitioner | VA | |
| O T O L A R Y N G O L O G Y | VA | |
| Physician Assistant | VA |
Reviews
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