KENNETH CRAIG VITALE (M.D.) – Physical Medicine & Rehabilitation Physician, NPI 1730176868
Physical Medicine & Rehabilitation Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,147 PHYSICAL MEDICINE AND REHABILITATION in CA
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Provider Addresses for KENNETH CRAIG VITALE (M.D.)
350, Dickinson Street, Uptown Medical Complex, Hillcrest, San Diego, San Diego County, California, 92103, United States
SUITE 121
SAN DIEGO, CA 921031913
Phone: (619) 543-2539
Fax: (619) 543-2540
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $32.
Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.
Last reported payment date: 2024-01-26 • Largest payer in this snapshot: Bioventus LLC ($32).
Total Amount
$32
General + Research + Ownership
Payments
2
Total payment records
General Amount
$32
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bioventus LLC | $32 |
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: 2015-04-17
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 |
|---|---|---|---|---|
| I20150417001617 | I | Physical Medicine And Rehabilitation | 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 |
|---|---|---|---|---|
| J7318 | Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg | 1,682 | 17 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 690 | 73 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 336 | 122 | $0 |
| J7321 | Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose | 240 | 53 | $0 |
| 95886 | Needle measurement of electrical activity in arm or leg muscles, complete study | 221 | 143 | $0 |
Insurance plans in this area (ZIP 92103)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL MEDICINE AND REHABILITATIO | CA | 95910 | Nerve transmission studies, 7-8 studies | 18 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| - | CA | |
| - | CA | |
| Surgical Oncology, General Surgery | MI | |
| - | CA | |
| - | CA | |
| - | CA | |
| Physician Assistant | CA | |
| - | CA | |
| Emergency Medicine, Medical Toxicology | CA |
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