MR. KEVIN PATRICK MCGILL (PA) – Surgical Physician Assistant, NPI 1114136454

MR. KEVIN PATRICK MCGILL (PA) is a healthcare provider. based in Pasadena, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. MED-PAC-LIC-101201 (MT). The NPI Number for MR. KEVIN PATRICK MCGILL (PA) is 1114136454

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
MR. KEVIN PATRICK MCGILL (PA)
NPI
1114136454
Phone
(406) 329-5615
Address
PO BOX 31001-4110
Enumeration Date
22 May 2007
Last Update Date
29 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4063271900
Graduation Year
2007 (19 years ago)
PAC ID
8325194079
Group Practice PAC ID
6608786306
Professional Enrollment ID
I20211129002342
Address ID
MT598024096MI500XXFLXX601

Contacts

Secure Messaging
krmcmedicalrecords@krhdirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness95
Years active:19State licenses:2Other names

903 PHYSICIAN ASSISTANT in MT

Provider Addresses for MR. KEVIN PATRICK MCGILL (PA)

  • PO BOX 31001-4110

    PASADENA, CA 911104110

    Phone: (406) 329-5615

    Fax: (406) 329-5606

    Type: Mailing

  • 500 W BROADWAY ST

    MISSOULA, MT 598024008

    Phone: (406) 329-5615

    Fax: (406) 329-5606

    Type: Location

  • 603, Ostrum Street, Fountain Hill, Lehigh County, Pennsylvania, 18015, United States

    FOUNTAIN HILL, PA 180151184

    Phone: (484) 526-3990

    Fax: (610) 868-2915

    Type: Mailing

  • 701 Ostrum St Ste 603

    Fountain Hill, PA 180151184

    Phone: (484) 526-3990

    Fax: (610) 868-2915

    Type: Location

  • 350 Heritage Way Ste 2100

    Kalispell, MT 599013167

    Phone: (406) 257-8992

    Fax: (406) 257-8996

    Type: Location

  • 1250 S Cedar Crest Blvd

    Suite 310

    Allentown, PA 181036224

    Phone: (610) 402-6890

    Type: Location

  • PO BOX 12

    LIBERTY LAKE, WA 990190012

    Phone: (406) 329-5615

    Fax: (406) 329-5606

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $559.

Total Amount is formed as General ($559) + Research ($0) + Ownership ($0) = $559.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Getinge USA Sales, LLC ($300).

Total Amount

$559

General + Research + Ownership

Payments

16

Total payment records

General Amount

$559

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-11-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090922000031IPhysician AssistantPATBD
I20211129002342IPhysician AssistantMTTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
33508Harvest of vein using an endoscope2929$0
33533Coronary artery bypass using artery graft, 1 graft2323$0
33405Replacement of aortic valve on heart-lung machine1414$0
33519Coronary artery bypass using vein or artery graft, 3 grafts1313$0
View full utilization report →

Insurance plans in this area (ZIP 91110)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608786306View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Advanced Heart Failure And Transplant Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineWA
Cardiovascular Disease (Cardiology)MT
-MT
N E P H R O L O G YMT
-MT
Thoracic SurgeryIL
Internal Medicine, HospitalistMT
General Surgery, Colorectal Surgery (Proctology)WI
Internal MedicineID
Nurse PractitionerAK

Reviews

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Frequently asked questions

Is there an official ID for MR. KEVIN PATRICK MCGILL (PA) in U.S. healthcare records?
The official identifier for MR. KEVIN PATRICK MCGILL (PA) is NPI 1114136454.
Would MR. KEVIN PATRICK MCGILL (PA) appear as active to a payer?
You can treat MR. KEVIN PATRICK MCGILL (PA) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MR. KEVIN PATRICK MCGILL (PA)?
At a glance, MR. KEVIN PATRICK MCGILL (PA) is tied to Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MR. KEVIN PATRICK MCGILL (PA) located near Pasadena?
MR. KEVIN PATRICK MCGILL (PA) currently maps to Pasadena, California in this extract.
What does 8 location(s) imply?
8 practice locations appear in the available data.

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