DR. KAITLIN PEACE (MD) – Surgery Physician, NPI 1659798049
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
848 GENERAL SURGERY in WI
Provider Addresses for DR. KAITLIN PEACE (MD)
5955 ZEAMER AVE
JBER, AK 995063702
Phone:
Type: Mailing
2116 Craig Rd
Eau Claire, WI 547016118
Phone: (715) 858-4610
Type: Location
PO BOX 75032
CHICAGO, IL 606755032
Phone: (907) 746-1520
Fax: (907) 746-1521
Type: Mailing
425 E DAHLIA AVE STE J
PALMER, AK 996456463
Phone: (907) 746-1520
Fax: (907) 746-1521
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $224.
Total Amount is formed as General ($224) + Research ($0) + Ownership ($0) = $224.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($179).
Total Amount
$224
General + Research + Ownership
Payments
3
Total payment records
General Amount
$224
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Hologic Sales and Service, LLC | $179 |
| Intuitive Surgical, Inc. | $46 |
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: 2025-01-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20210414002150 | I | General Surgery | TX | TBD |
| I20240408000305 | I | General Surgery | AK | TBD |
| I20250103002224 | I | General Surgery | WI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99506)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | AK | |
| Nurse Practitioner | AK |
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