MR. KENNETH R GILLEN (PA-C) – Medical Physician Assistant, NPI 1225098494

MR. KENNETH R GILLEN (PA-C) is a healthcare provider. based in Paradise, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA15850 (CA). The NPI Number for MR. KENNETH R GILLEN (PA-C) is 1225098494

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
MR. KENNETH R GILLEN (PA-C)
NPI
1225098494
Phone
(530) 877-1155
Address
7068 Skyway
Enumeration Date
23 March 2006
Last Update Date
2 January 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
53087266502029
Graduation Year
2000 (26 years ago)
PAC ID
8426091935
Group Practice PAC ID
1456246065
Professional Enrollment ID
I20050606001044
Address ID
CA959693674PA6470XRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for MR. KENNETH R GILLEN (PA-C)

  • 7068 Skyway

    Paradise, CA 959693940

    Phone: (530) 877-1155

    Type: Location

  • 5900, North Libby Road, Paradise, Butte County, California, 95969, United States

    PARADISE, CA 959694215

    Phone: (530) 872-5191

    Type: Mailing

  • Cohasset Road, Chico, Butte County, California, 95973, United States

    CHICO, CA 959262242

    Phone: (530) 872-6650

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 120 Open Payments records for all available years, with a total value of $2,030.

Total Amount is formed as General ($2,030) + Research ($0) + Ownership ($0) = $2,030.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($585).

Total Amount

$2,030

General + Research + Ownership

Payments

120

Total payment records

General Amount

$2,030

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

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: 2005-06-06

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050606001044IPhysician AssistantCATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes557264$0
99213Established patient office or other outpatient visit, 20-29 minutes472265$0
G0447Face-to-face behavioral counseling for obesity, 15 minutes225109$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit209209$0
G0446Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes112112$0
View full utilization report →

Insurance plans in this area (ZIP 95969)

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Provider's Procedures

MR. KENNETH R GILLEN (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTCA81002Urinalysis, manual test2927

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: 1456246065View full group profile
NameSpecialtyState
Family PracticeCA
Physician AssistantCA
-CA
Internal MedicineCA

Reviews

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Frequently asked questions

How do I look up MR. KENNETH R GILLEN (PA-C) by NPI?
Use NPI 1225098494 when you need to reference MR. KENNETH R GILLEN (PA-C) in forms, claims, or directories.
Is MR. KENNETH R GILLEN (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MR. KENNETH R GILLEN (PA-C) work in?
You can think of MR. KENNETH R GILLEN (PA-C) as practicing within Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. KENNETH R GILLEN (PA-C)?
The page summarizes Paradise, California for MR. KENNETH R GILLEN (PA-C); expand the address list for detail.
How can I contact MR. KENNETH R GILLEN (PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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