KATIE COLLEEN PEDICORD PA
NPI 1659489920
Physician Assistant - Medical in Dallas, TX

Active since August 28, 2006PECOS EnrolledAccepts Medicare Assignment
8230 WALNUT HILL LN, SUITE 808, DALLAS, TX 75231(214) 696-8828(214) 696-1444 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Katie Colleen Pedicord Pa NPPES

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

KATIE COLLEEN PEDICORD PA (NPI 1659489920) is an individual medical provider in Dallas, Texas, licensed in Texas (PA04430) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Oklahoma College Of Medicine (2004).

NPPES Registry Identity

NPI1659489920
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKATIE COLLEEN PEDICORDCredential: PA
Location Address8230 WALNUT HILL LN, SUITE 808Dallas, TX 75231-4482
Mailing Address8230 Walnut Hill Ln, Suite 808Dallas, TX 75231-4482 · (214) 696-8828 · Fax (214) 696-1444
Fax(214) 696-1444
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2004
Enumeration DateAugust 28, 2006
Last NPPES UpdateAugust 27, 2024
NPPES CertifiedAugust 27, 2024
NPI 1659489920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in TX · PA04430
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA04430 (TX)
8230 WALNUT HILL LN, Dallas, TX 75231

Other Names 1

Former Name (1)Katie Colleen Rose Pa

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Katie Colleen Pedicord Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698791382
PECOS Enrollment IDI20051021000407
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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg J7345
Aminolevulinic acid hcl is a topical gel used to treat certain skin conditions. It works by making affected skin cells more sensitive to light, which is then used to destroy these cells. The gel is applied by a healthcare professional.
5,600 services23 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
235 services58 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
205 services146 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
138 services110 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
133 services110 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
102 services85 patients

Other Providers at the Same Location NPPES 20

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

Registered Nurse (Pain Management)
8230 WALNUT HILL LN, STE 320
DALLAS, TX 75231
Dermatology
8230 WALNUT HILL LN, SUITE 500
DALLAS, TX 75231
Specialist
8230 WALNUT HILL LN, SUITE 818
DALLAS, TX 75231
Internal Medicine (Rheumatology)
8230 WALNUT HILL LN, SUITE 614
DALLAS, TX 75231
Specialist/Technologist, Other (Electroneurodiagnostic)
8230 WALNUT HILL LN, SUITE 220
DALLAS, TX 75231
Urology
8230 WALNUT HILL LN, SUITE 700
DALLAS, TX 75231
Physician Assistant
8230 WALNUT HILL LN
DALLAS, TX 75231
Physician Assistant (Medical)
8230 WALNUT HILL LN, SUITE 610
DALLAS, TX 75231

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 Katie Pedicord's NPI number?

The NPI number for Katie Pedicord is 1659489920. It was assigned to this individual provider in the NPPES registry on August 28, 2006. The provider is also known as Katie Colleen Rose PA.

Where is Katie Pedicord located?

Katie Pedicord practices at 8230 Walnut Hill Ln Suite 808, Dallas, TX 75231. The listed phone number is (214) 696-8828.

What is Katie Pedicord's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Katie Pedicord enrolled in Medicare?

Yes. Katie Pedicord is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Katie Pedicord was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.