MRS. KATHLEEN DORA HAGAN (PA-C) – Physician Assistant, NPI 1093330052
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
551 PHYSICIAN ASSISTANT in AK
Provider Addresses for MRS. KATHLEEN DORA HAGAN (PA-C)
307 CASCADE ST
SITKA, AK 998357140
Phone: (907) 738-0698
Type: Mailing
375 S Chipeta Way
Salt Lake City, UT 841081260
Phone: (801) 581-7766
Type: Location
307 Cascade St
Sitka, AK 998357140
Phone: (907) 738-0698
Type: Location
700 KATLIAN ST STE E
SITKA, AK 998357359
Phone: (907) 966-8761
Fax: (907) 747-5415
Type: Mailing
222 TONGASS DR
SITKA, AK 998359416
Phone: (907) 966-2411
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2022-05-12
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 |
|---|---|---|---|---|
| I20220512000903 | I | Physician Assistant | TX | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 258 | 179 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 125 | 88 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 23 | 21 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 23 | 23 | $0 |
Insurance plans in this area (ZIP 99835)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | SC | |
| - | TX | |
| - | AK | |
| Mental Health Counselor | AK | |
| - | WA | |
| - | WA | |
| Internal Medicine, Geriatric Medicine | AK | |
| - | AK | |
| Nurse Practitioner | FL | |
| - | FL |
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