Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1245514785 Individual Practitioner Female Practitioner

Lacy Kennedy Eaton , PA

Physician Assistant • Longview, TX

Professional Overview & Biography Verified Profile Summary

Lacy Eaton, PA is a registered healthcare professional specializing in Physician Assistant in Longview, TX. Practice services are available at 3564 N FOURTH ST STE A under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, administration of influenza virus vaccine, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3564 N Fourth St Ste A

Longview, TX 756050039

Telephone 9032303311
Fax 9032303312
Associated Practice Facility / Clinic
🏢 Somers Pediatrics Facility NPI 1245733492

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Longview, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.4 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
49 Specialists

Practicing in Longview, TX (11140 Statewide)

Telehealth Adoption Rate
16.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
59.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
146 101 $168.00 $58.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
38 36 $206.00 $87.23
G0008 Administration of influenza virus vaccine
11 11 $30.00 $19.51

Medical Specialties & State Licenses

CMS Verified: 2025-11-17
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA07377

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License TX PA07377

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Secondary Practice Locations

3564 N Fourth St Ste B

Longview, TX 756050039

Phone: 9032313144

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1154349389

Doctor of Medicine (M.D.)

Haley Bowman

Nurse Practitioner - Family

NPI 1275490690
NPI 1912198441

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location November 17, 2025

Registered at 3564 N FOURTH ST STE A, LONGVIEW, TX 756050039 (Tel: 9032303311)

📍
Updated Business Mailing Address November 17, 2025

Registered at 3564 N FOURTH ST STE A, LONGVIEW, TX 756050039 (Tel: 9032303311)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2025

Pediatrics (License #PA07377 in TX)

NPI Profile Active April 16, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location April 16, 2014

Registered at 1761 W LOOP 281, LONGVIEW, TX 756042734 (Tel: 9032971733)

📍
Updated Business Mailing Address April 16, 2014

Registered at PO BOX 4207, LONGVIEW, TX 756064207 (Tel: 9032971733)

👤
Provider Name / Credentials Updated April 16, 2014

Recorded as LACY EATON, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2014

Physician Assistant (License #PA07377 in TX)

🟢
Initial NPI Registration & Enumeration October 03, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245514785
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2011
Last Update: November 17, 2025
Sole Proprietor: No

Mailing Address

3564 N Fourth St Ste A

Longview, TX 756050039

Phone: 9032303311

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.