MARISSA B BOTHUN P.A.-C.
NPI 1942507207
Physician Assistant in Rockwall, TX

Active since February 23, 2011PECOS EnrolledAccepts Medicare Assignment
82.03/100
CMS Quality Rating
1020 W RALPH HALL PKWY STE 102, ROCKWALL, TX 75032(972) 390-9002(972) 722-3553 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marissa B Bothun P.a.-c. NPPES

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

MARISSA B BOTHUN P.A.-C. (NPI 1942507207) is an individual physician assistant in Rockwall, Texas, licensed in Texas (PA07230) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1942507207
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARISSA B BOTHUNCredential: P.A.-C.
Location Address1020 W RALPH HALL PKWY STE 102Rockwall, TX 75032-8711
Mailing Address1790 N Stonebridge DrMckinney, TX 75071-7437 · (972) 390-9002 · Fax (214) 491-3777
Fax(972) 722-3553
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateFebruary 23, 2011
Last NPPES UpdateDecember 8, 2025
NPPES CertifiedDecember 8, 2025
NPI 1942507207 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 · PA07230
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.
1020 W RALPH HALL PKWY STE 102, Rockwall, TX 75032

Other Names 1

Other Name (5)Marissa B Bothun P.a.-c.

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

Marissa B Bothun P.a.-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 ID345413704
PECOS Enrollment IDI20111031000160
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 19

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.

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.
2,109 services307 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.
839 services565 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.
584 services412 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.
526 services423 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.
258 services194 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.
239 services207 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75032 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

82.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.56
Promoting Interoperability97
Improvement Activities40
Cost79.05

Reported Quality Measures

Documentation of Current Medications in the Medical Record
85%5,425 patients1/55-star benchmark: 100%
Melanoma: Continuity of Care - Recall System
58%275 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 55% · 1,411 patients
Patients screened: 56% · 1,411 patients
31%35 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
98%2,636 patients4/55-star benchmark: 100%
Psoriasis: Clinical Response to Systemic Medications
82%50 patients
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

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

Physician Assistant
1020 W RALPH HALL PKWY STE 102
ROCKWALL, TX 75032

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 Marissa Bothun's NPI number?

The NPI number for Marissa Bothun is 1942507207. It was assigned to this individual provider in the NPPES registry on February 23, 2011. The provider is also known as Marissa B Bothun P.A.-C..

Where is Marissa Bothun located?

Marissa Bothun practices at 1020 W Ralph Hall Pkwy Ste 102, Rockwall, TX 75032. The listed phone number is (972) 390-9002.

What is Marissa Bothun's specialty?

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

Is Marissa Bothun enrolled in Medicare?

Yes. Marissa Bothun 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 Marissa Bothun accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Marissa Bothun 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 Marissa Bothun was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.