KACIE KLINE CONDON (PA-C) – Physician Assistant, NPI 1942924907
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
Provider Addresses for KACIE KLINE CONDON (PA-C)
1957 PORT CHELSEA PL
NEWPORT BEACH, CA 926605349
Phone: (949) 922-1314
Type: Mailing
420 E 3RD ST STE 805
LOS ANGELES, CA 900131646
Phone: (213) 218-3915
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 563 Open Payments records for all available years, with a total value of $14,601.
Total Amount is formed as General ($14,601) + Research ($0) + Ownership ($0) = $14,601.
Last reported payment date: 2024-12-26 • Largest payer in this snapshot: ABBVIE INC. ($4,522).
Total Amount
$14,601
General + Research + Ownership
Payments
563
Total payment records
General Amount
$14,601
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $4,522 |
| Dermavant Sciences, Inc. | $1,182 |
| E.R. Squibb & Sons, L.L.C. | $1,146 |
| GENZYME CORPORATION | $1,035 |
| Arcutis Biotherapeutics, Inc. | $670 |
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: 2023-02-03
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 |
|---|---|---|---|---|
| I20230203002581 | 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 | 78 | 40 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 29 | 29 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 28 | 17 | $0 |
Insurance plans in this area (ZIP 92660)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| D E R M A T O L O G Y | CA |
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