LISABETH D HOGAN-MOODY (PA-C) – Physician Assistant, NPI 1396714242
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for LISABETH D HOGAN-MOODY (PA-C)
East Broad Street, Mansfield, Tarrant County, Texas, 76063, United States
SUITE 124
MANSFIELD, TX 760636409
Phone: (817) 539-0959
Fax: (817) 539-0480
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 116 Open Payments records for all available years, with a total value of $87,516.
Total Amount is formed as General ($87,516) + Research ($0) + Ownership ($0) = $87,516.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Galderma Laboratories, L.P. ($87,456).
Total Amount
$87,516
General + Research + Ownership
Payments
116
Total payment records
General Amount
$87,516
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Galderma Laboratories, L.P. | $87,456 |
| Sun Pharmaceutical Industries Inc. | $29 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $16 |
| IBSA Pharma Inc. | $15 |
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: 2004-07-10
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 |
|---|---|---|---|---|
| I20040710000093 | 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 76063)
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Provider's Procedures
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