KIRT LEE EDLY (PA) – Medical Physician Assistant, NPI 1053575746
Medical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
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Provider Addresses for KIRT LEE EDLY (PA)
PO BOX 1730
RANCHO MIRAGE, CA 922701058
Phone: (760) 568-2684
Fax: (760) 341-5832
Type: Mailing
PO BOX 1810
RANCHO MIRAGE, CA 922701059
Phone: (760) 766-1250
Fax: (760) 837-2202
Type: Mailing
Eisenhower Medical Center, 39000, Bob Hope Drive, Rancho Mirage, Riverside County, California, 92270, United States
HARRY & DIANE RINKER BUILDING
RANCHO MIRAGE, CA 922703221
Phone: (760) 568-2684
Fax: (760) 341-5832
Type: Location
39000 BOB HOPE DR, HARRY & DIANE RINKER BUILDING
RANCHO MIRAGE, CA 922703221
Phone: (760) 568-2684
Fax: (760) 341-5832
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 $127.
Total Amount is formed as General ($127) + Research ($0) + Ownership ($0) = $127.
Last reported payment date: 2024-03-25 • Largest payer in this snapshot: Ethicon US, LLC ($127).
Total Amount
$127
General + Research + Ownership
Payments
1
Total payment records
General Amount
$127
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ethicon US, LLC | $127 |
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: 2011-04-14
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 |
|---|---|---|---|---|
| I20110414000304 | I | Physician Assistant | CA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 260 | 185 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 247 | 191 | $0 |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 184 | 183 | $0 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 94 | 63 | $0 |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 70 | 70 | $0 |
Insurance plans in this area (ZIP 92270)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | CA | 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 58 | 39 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pain Management, Physical Medicine And Rehabilitation | CA | |
| - | CA | |
| Nurse Practitioner | CA | |
| Physician Assistant | CA | |
| - | CA | |
| Orthopedic Surgery | CA | |
| Orthopedic Surgery | CA | |
| Orthopedic Surgery | CA | |
| Orthopedic Surgery | CA | |
| - | CA |
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