LYDIA B O'BANNON PA-C
NPI 1770911620
Physician Assistant in South Lake Tahoe, CA

Q: What is Lydia O'bannon's NPI number?

The NPI number for Lydia O'bannon is 1770911620. It was assigned to this individual provider in the NPPES registry on October 30, 2013. The provider is also known as Lydia E Barrett Pa-C.

Q: What is Lydia O'bannon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lydia O'bannon was last updated on June 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since October 30, 2013PECOS Enrolled

2170 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150(530) 543-5554(530) 541-3016 Get Directions Write a Review

NPPES record last updated: June 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 29, 2016, Sep 14, 2016 (2 updates tracked since 2016).

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About Lydia B O'bannon Pa-c NPPES

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

LYDIA B O'BANNON PA-C (NPI 1770911620) is an individual physician assistant in South Lake Tahoe, California and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1770911620

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameLYDIA B O'BANNONCredential: PA-C

Location Address2170 SOUTH AVESouth Lake Tahoe, CA 96150-7026

Mailing Address3001 Edwards Mill Rd, #200Raleigh, NC 27612-5243 · (919) 781-5600 · Fax (919) 863-6821

Phone(530) 543-5554

Fax(530) 541-3016

Sole ProprietorYes

Enumeration DateOctober 30, 2013

Last NPPES UpdateJune 25, 20192 updates tracked since enumeration

✔ NPI 1770911620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

2170 SOUTH AVE, South Lake Tahoe, CA 96150

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Other Names 1

Former Name (1)Lydia E Barrett Pa-c

Secondary Practice Locations 2

Location 1212 Elks Point Rd Ste 200Zephyr Cove, NV 89448-8001 · Phone (775) 589-8950 · Fax (775) 588-1299

Location 2935 Mica Dr Ste 13Carson City, NV 89705-7181 · Phone (775) 783-3065 · Fax (775) 267-1829

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lydia B O'bannon 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 96150 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

$92.61 typical visit price

range $60.44 – $180.85

Typical copayment $23.15 (range $15.11 – $45.21)

Most-billed visit code 99203

Established Patient

$75.03 typical visit price

range $19.88 – $148.15

Typical copayment $18.75 (range $4.97 – $37.03)

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.

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

74%131 patients3/55-star benchmark: 100%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

94%473 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

14%473 patients1/55-star benchmark: 99%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

17%473 patients1/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

7%473 patients1/55-star benchmark: 89%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

BARTON HEALTHCARE SYSTEM

General Acute Care Hospital