KELLY DEWITT (MD) – Radiation Oncology Physician, NPI 1184668741
Radiation Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
677 RADIATION ONCOLOGY in CA
Provider Addresses for KELLY DEWITT (MD)
769 Medical Center Ct
Chula Vista, CA 919116602
Phone: (619) 502-5851
Fax: (619) 502-5865
Type: Location
7901 Frost St
San Diego, CA 921232701
Phone: (858) 939-5010
Fax: (858) 939-5021
Type: Location
5725, Kearny Villa Road, Kearny Mesa, San Diego, San Diego County, California, 92123, United States
SUITE I
SAN DIEGO, CA 921230488
Phone: (858) 256-0351
Fax: (858) 256-0355
Type: Mailing
DEPT 338
PO BOX 509015
SAN DIEGO, CA 921509015
Phone:
Type: Mailing
Sharp Grossmont Hospital, 5555, Grossmont Center Drive, La Mesa, San Diego County, California, 91942, United States
LA MESA, CA 919423019
Phone: (619) 740-4500
Fax: (619) 740-8499
Type: Location
PO BOX 509015
DEPT 338
SAN DIEGO, CA 921509015
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 142 Open Payments records for all available years, with a total value of $3,100.
Total Amount is formed as General ($3,100) + Research ($0) + Ownership ($0) = $3,100.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($501).
Total Amount
$3,100
General + Research + Ownership
Payments
142
Total payment records
General Amount
$3,100
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
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: 2004-09-07
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 |
|---|---|---|---|---|
| I20040907000776 | I | Radiation Oncology | 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 |
|---|---|---|---|---|
| 77014 | Ct guidance for insertion of radiation therapy fields | 838 | 77 | $0 |
| 77427 | Radiation treatment management, 5 treatment sessions | 223 | 75 | $0 |
| 77334 | Design and construction of complex radiation treatment device | 155 | 59 | $0 |
| 77300 | Calculation of radiation therapy dose | 113 | 69 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 64 | 64 | $0 |
Insurance plans in this area (ZIP 91911)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| RADIATION ONCOLOGY | CA | 77427 | Radiation treatment management, 5 treatments | 263 | 89 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | CA | |
| Radiation Oncology | CA | |
| Radiation Oncology | FL | |
| Radiation Oncology | CA | |
| Radiation Oncology | CA | |
| Radiation Oncology | CA | |
| - | CA | |
| Radiation Oncology | CA |
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