Unknown Individual – Medical Physician Assistant, NPI 1396764155
Medical Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States
SAN ANTONIO, TX 782590140
Phone: (830) 328-4206
Fax: (210) 966-9106
Type: Mailing
109, Falls Court, Boerne, Kendall County, Texas, 78006, United States
STE 100
BOERNE, TX 78006
Phone: (210) 495-5771
Fax: (210) 495-0155
Type: Location
18322 Sonterra Pl Ste 107
San Antonio, TX 782584196
Phone: (210) 495-5771
Fax: (210) 966-9105
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 202 Open Payments records for all available years, with a total value of $203,458.
Total Amount is formed as General ($203,458) + Research ($0) + Ownership ($0) = $203,458.
Last reported payment date: 2024-08-13 • Largest payer in this snapshot: ABBVIE INC. ($203,167).
Total Amount
$203,458
General + Research + Ownership
Payments
202
Total payment records
General Amount
$203,458
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $203,167 |
| Zimmer Biomet Holdings, Inc. | $129 |
| Galderma Laboratories, L.P. | $73 |
| REVANCE THERAPEUTICS, INC. | $55 |
| Hologic Sales and Service, LLC | $35 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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 78259)
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