HALEY KATHRYN BORTHWICK (PA-C) – Medical Physician Assistant, NPI 1003563651
Medical Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for HALEY KATHRYN BORTHWICK (PA-C)
315 W MAGNOLIA AVE APT 319
FORT WORTH, TX 761047693
Phone: (512) 934-1499
Type: Mailing
209 OLD HIGHWAY 1187
BURLESON, TX 760280281
Phone: (817) 338-1300
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 92 Open Payments records for all available years, with a total value of $2,645.
Total Amount is formed as General ($2,645) + Research ($0) + Ownership ($0) = $2,645.
Last reported payment date: 2024-10-28 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($401).
Total Amount
$2,645
General + Research + Ownership
Payments
92
Total payment records
General Amount
$2,645
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $401 |
| PFIZER INC. | $391 |
| E.R. Squibb & Sons, L.L.C. | $298 |
| Merck Sharp & Dohme LLC | $257 |
| AstraZeneca Pharmaceuticals LP | $212 |
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: 2022-04-14
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 |
|---|---|---|---|---|
| I20220414001707 | I | Physician Assistant | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76104)
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