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MRS. GENA MARIE ETTINGER PA-C
NPI 1578815304
Physician Assistant in Southlake, TX

Active since October 03, 2012PECOS Enrolled
79.87/100
CMS Quality Rating
505 S NOLEN DR STE B, SOUTHLAKE, TX 76092(817) 410-7777(817) 410-9906 Get Directions Write a Review

NPPES record last updated: July 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Gena Marie Ettinger Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. GENA MARIE ETTINGER PA-C (NPI 1578815304) is an individual physician assistant in Southlake, Texas, licensed in Texas (PA08076) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578815304
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. GENA MARIE ETTINGERCredential: PA-C
Location Address505 S NOLEN DR STE BSouthlake, TX 76092-9167
Mailing AddressPo Box 35629Dallas, TX 75235-0629 · (214) 424-2213 · Fax (214) 231-2159
Phone(817) 410-7777
Fax(817) 410-9906
Sole ProprietorNo
Enumeration DateOctober 3, 2012
Last NPPES UpdateJuly 9, 2021
NPPES CertifiedJuly 9, 2021
✔ NPI 1578815304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA08076
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
505 S NOLEN DR STE B, Southlake, TX 76092
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Other Names 1

Former Name (1)Miss Gena Marie Cox Pa-c

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Gena Marie Ettinger Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76092 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.55
Promoting Interoperability100
Improvement Activities40
Cost64.36

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
3 suppliers14 claims1,300 services$0.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN ASHLEY SHEPHERD PA
Physician Assistant
505 S NOLEN DR STE B
SOUTHLAKE, TX 76092
Tarrant County (817) 410-7777
DR. CLIFTON L COX II M.D.
Colon & Rectal Surgery
505 S NOLEN DR STE B
SOUTHLAKE, TX 76092
Tarrant County (817) 410-7777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gena Ettinger's NPI number?

The NPI number for Gena Ettinger is 1578815304. It was assigned to this individual provider in the NPPES registry on October 3, 2012. The provider is also known as Miss Gena Marie Cox Pa-C.

Where is Gena Ettinger located?

Gena Ettinger practices at 505 S Nolen Dr Ste B, Southlake, TX 76092. The listed phone number is (817) 410-7777.

What is Gena Ettinger's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Gena Ettinger enrolled in Medicare?

Yes. Gena Ettinger is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gena Ettinger was last updated on July 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.