KELLY E FORDHAM (PA-C) – Physician Assistant, NPI 1578983433
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,201 PHYSICIAN ASSISTANT in AL
Provider Addresses for KELLY E FORDHAM (PA-C)
2900 CAHABA RD
MOUNTAIN BRK, AL 352231937
Phone: (205) 877-9773
Fax: (205) 877-9775
Type: Location
150 Gilbreath Dr
Oneonta, AL 351212827
Phone: (205) 877-9773
Fax: (205) 877-9775
Type: Location
430 Fieldstown Rd Ste 104
Gardendale, AL 350712458
Phone: (205) 877-9773
Fax: (205) 877-9775
Type: Location
14 Office Park Cir
Mountain Brk, AL 352232563
Phone: (205) 877-9773
Fax: (205) 877-9775
Type: Location
801 YORK ST
MANITOWOC, WI 542204630
Phone: (920) 663-9008
Fax: (920) 684-1439
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 114 Open Payments records for all available years, with a total value of $2,677.
Total Amount is formed as General ($2,677) + Research ($0) + Ownership ($0) = $2,677.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Sun Pharmaceutical Industries Inc. ($262).
Total Amount
$2,677
General + Research + Ownership
Payments
114
Total payment records
General Amount
$2,677
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sun Pharmaceutical Industries Inc. | $262 |
| Dermavant Sciences, Inc. | $210 |
| Lilly USA, LLC | $143 |
| Arcutis Biotherapeutics, Inc. | $142 |
| ABBVIE INC. | $135 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-06-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140618002185 | I | Physician Assistant | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 144 | 34 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 118 | 87 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 66 | 49 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 48 | 42 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 44 | 36 | $0 |
Insurance plans in this area (ZIP 35223)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | AL | 17003 | Destruction of 2-14 skin growths | 775 | 131 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Physician Assistant | VA | |
| - | VA | |
| D E R M A T O L O G Y | TX | |
| - | WI | |
| D E R M A T O L O G Y | AL | |
| D E R M A T O L O G Y | WI | |
| - | WI | |
| Physician Assistant | NY | |
| D E R M A T O L O G Y | WA |
Reviews
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