Marissa Bothun, P.A.-C.
NPI 1942507207 · Physician Assistant · Rockwall, TX
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marissa Bothun, P.A.-C. is a Physician Assistant provider in Rockwall, TX (NPI 1942507207).
Provider details
- NPI number
- 1942507207
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.-C.
- Sex
- Female
- Sole proprietor
- No
- License
- PA07230 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
15 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
5,238 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Destruction of Precancer Skin Growth, 2-14 Growths17003 | 2,109 | $5 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 839 | $73 |
| Destruction of Precancer Skin Growth, 1 Growth17000 | 584 | $40 |
| Biopsy of Related Skin Growth, First Growth11102 | 526 | $71 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 258 | $103 |
| Destruction of Skin Growth, 1-14 Growths |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 17 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ketoconazole | 203 | 102 |
| Triamcinolone Acetonide | 169 | 123 |
| Clobetasol Propionate | 125 | 74 |
| Betamethasone Dipropionate | 75 | 54 |
| Fluorouracil | 48 | 45 |
| Metronidazole | 45 | 29 |
| Clindamycin Phosphate | 39 | 16 |
| Doxycycline Hyclate | 38 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$3,289 across 159 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-02-23
- Last updated
- 2025-12-08
- Certified
- 2025-12-08
Frequently asked questions
- What is Marissa Bothun's NPI number?
- Marissa Bothun's National Provider Identifier (NPI) is 1942507207, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marissa Bothun's specialty?
- Marissa Bothun is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Marissa Bothun located?
- Marissa Bothun's practice location on file with NPPES is 1020 W Ralph Hall Pkwy Ste 102, Rockwall, TX 75032-8711.
- What is Marissa Bothun's phone number?
- The practice phone number listed in the NPPES registry for Marissa Bothun is (972) 390-9002.
- Does Marissa Bothun accept Medicare?
- Marissa Bothun is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marissa Bothun's NPI active?
- Yes — Marissa Bothun's NPI (1942507207) is active in the NPPES registry as of the last update on 2025-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.