MRS. LYDIA NOVRUZOV (PA-C) – Medical Physician Assistant, NPI 1962803361

MRS. LYDIA NOVRUZOV (PA-C) is a healthcare provider. based in Abingdon, Virginia. specializing in Medical Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 0110005362 (VA). The NPI Number for MRS. LYDIA NOVRUZOV (PA-C) is 1962803361

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MRS. LYDIA NOVRUZOV (PA-C)
NPI
1962803361
Phone
(276) 258-1800
Address
16000 JOHNSTON MEMORIAL DR
Enumeration Date
4 September 2014
Last Update Date
21 February 2017

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2762581777
Graduation Year
2014 (12 years ago)
PAC ID
6709108319
Group Practice PAC ID
5991705667
Professional Enrollment ID
I20160822001365
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for MRS. LYDIA NOVRUZOV (PA-C)

  • 16000 JOHNSTON MEMORIAL DR

    ABINGDON, VA 242117664

    Phone: (276) 258-1800

    Fax: (276) 258-1805

    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 2 Open Payments records for all available years, with a total value of $209.

Total Amount is formed as General ($209) + Research ($0) + Ownership ($0) = $209.

Last reported payment date: 2024-03-21 • Largest payer in this snapshot: Alexion Pharmaceuticals, Inc. ($125).

Total Amount

$209

General + Research + Ownership

Payments

2

Total payment records

General Amount

$209

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2016-08-22

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160822001365IPhysician AssistantVATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes7965$0
99213Established patient office or other outpatient visit, 20-29 minutes7552$0
View full utilization report →

Insurance plans in this area (ZIP 24211)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991705667View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for MRS. LYDIA NOVRUZOV (PA-C)?
MRS. LYDIA NOVRUZOV (PA-C) — NPI 1962803361 — is the standard way to identify this listing.
Can I rely on MRS. LYDIA NOVRUZOV (PA-C) being an active provider?
As of the registry snapshot, MRS. LYDIA NOVRUZOV (PA-C) is marked active.
What is MRS. LYDIA NOVRUZOV (PA-C) best known for clinically?
Directory data describes MRS. LYDIA NOVRUZOV (PA-C) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect MRS. LYDIA NOVRUZOV (PA-C) on a map?
Expect Abingdon, Virginia as a primary anchor for MRS. LYDIA NOVRUZOV (PA-C) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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