LESLEY S DISHAW (PAC) – Physician Assistant, NPI 1740262856
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,703 PHYSICIAN ASSISTANT in WI
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Provider Addresses for LESLEY S DISHAW (PAC)
PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States
GREEN BAY, WI 543052487
Phone: (920) 445-7226
Fax: (920) 445-7229
Type: Mailing
Florence Medical Center, 1010, Olive Avenue, Florence, Town of Florence, Florence County, Wisconsin, 54121, United States
FLORENCE, WI 541210380
Phone: (800) 380-7411
Fax: (715) 528-5592
Type: Location
106 S School Rd
Daggett, MI 498218555
Phone: (906) 753-2812
Fax: (906) 753-2716
Type: Location
440 Woodward Ave
Iron Mountain, MI 498014631
Phone: (906) 776-9040
Fax: (906) 774-5950
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $124.
Total Amount is formed as General ($124) + Research ($0) + Ownership ($0) = $124.
Last reported payment date: 2024-10-17 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($97).
Total Amount
$124
General + Research + Ownership
Payments
5
Total payment records
General Amount
$124
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $97 |
| Abbott Laboratories | $27 |
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: 2008-01-23
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 |
|---|---|---|---|---|
| I20080123000014 | I | Physician Assistant | MI | 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 | 175 | 93 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 155 | 84 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 92 | 73 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 73 | 73 | $0 |
| G0008 | Administration of influenza virus vaccine | 37 | 37 | $0 |
Insurance plans in this area (ZIP 54305)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| Family Practice | WI | |
| - | WI | |
| Nurse Practitioner | WI | |
| - | WI | |
| Physical Therapist In Private Practice | WI | |
| - | WI | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | WI | |
| Certified Registered Nurse Anesthetist (Crna) | WI |
Reviews
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