MR. KEVIN LAMAR REDUS (PA-C) – Surgical Physician Assistant, NPI 1164425633
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,685 PHYSICIAN ASSISTANT in AZ
Provider Addresses for MR. KEVIN LAMAR REDUS (PA-C)
East Bell Road, Oakhurst, Phoenix, Maricopa County, Arizona, 85250-6402, United States
PHOENIX, AZ 850322160
Phone: (480) 420-0749
Fax: (480) 420-0732
Type: Mailing
520 ROSE LN
WICKENBURG, AZ 853901447
Phone: (928) 684-5421
Fax: (289) 684-7457
Type: Location
523 Rose Ln
Wickenburg, AZ 853901448
Phone: (928) 668-1803
Fax: (928) 684-2434
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $159.
Total Amount is formed as General ($159) + Research ($0) + Ownership ($0) = $159.
Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Stryker Corporation ($159).
Total Amount
$159
General + Research + Ownership
Payments
1
Total payment records
General Amount
$159
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $159 |
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: 2004-02-09
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 |
|---|---|---|---|---|
| I20040209000098 | I | Physician Assistant | AZ | 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 85032)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | SC | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | AZ | |
| Orthopedic Surgery | AZ | |
| General Surgery | CA | |
| General Surgery | AZ | |
| - | AZ | |
| Nurse Practitioner | AZ | |
| - | AZ | |
| Nurse Practitioner | AZ | |
| Physician Assistant | TX |
Reviews
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