ABIGAIL LESOINE PA-C
NPI 1801483490
Physician Assistant in Rocky Top, TN

Active since December 29, 2020PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
510 N MAIN ST, ROCKY TOP, TN 37769(865) 205-9582(865) 205-9583 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 14, 2024, Feb 28, 2022, Feb 8, 2022 and 1 more (4 updates tracked since 2020).

About Abigail Lesoine Pa-c NPPES

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

ABIGAIL LESOINE PA-C (NPI 1801483490) is an individual physician assistant in Rocky Top, Tennessee, licensed in Tennessee (6003) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Rochester, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1801483490
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameABIGAIL LESOINECredential: PA-C
Location Address510 N MAIN STRocky Top, TN 37769-2818
Mailing Address510 N Main StRocky Top, TN 37769-2818 · (865) 205-9582 · Fax (865) 205-9583
Fax(865) 205-9583
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 29, 2020
Last NPPES UpdateJune 14, 20244 updates tracked since enumeration
NPPES CertifiedJune 14, 2024
NPI 1801483490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in TN · 6003 Licensed in NY · 027970
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 027970 (NY)
510 N MAIN ST, Rocky Top, TN 37769

Secondary Practice Location 1

Location 11425 Portland AveRochester, NY 14621-3011 · Phone (802) 585-9481

Accepted Insurance

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

Abigail Lesoine Pa-c 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 ID7214322254
PECOS Enrollment IDI20220309002928, I20240628003573, I20251215002235, I20260129003529, I20260129003618, I20260217000163
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 3

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.

Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
28 services14 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
14 services12 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37769 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
510 N MAIN ST
ROCKY TOP, TN 37769
Physician Assistant
510 N MAIN ST
ROCKY TOP, TN 37769
Clinic/Center (Rural Health)
510 N MAIN ST
ROCKY TOP, TN 37769
Clinic/Center (Urgent Care)
510 N MAIN ST
ROCKY TOP, TN 37769
Nurse Practitioner (Family)
510 N MAIN ST
ROCKY TOP, TN 37769

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 Abigail Lesoine's NPI number?

The NPI number for Abigail Lesoine is 1801483490. It was assigned to this individual provider in the NPPES registry on December 29, 2020.

Where is Abigail Lesoine located?

Abigail Lesoine practices at 510 N Main St, Rocky Top, TN 37769. The listed phone number is (865) 205-9582.

What is Abigail Lesoine's specialty?

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

Is Abigail Lesoine enrolled in Medicare?

Yes. Abigail Lesoine 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.

What insurance does Abigail Lesoine accept?

Health plans from BlueCross BlueShield of Tennessee and Oscar Insurance Company list Abigail Lesoine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Abigail Lesoine was last updated on June 14, 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.