MRS. KELLY PAVELICH (PA-C) – Physician Assistant, NPI 1265883227
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,161 PHYSICIAN ASSISTANT in CO
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Provider Addresses for MRS. KELLY PAVELICH (PA-C)
9101, Harlan Street, Semper, Westminster, Jefferson County, Colorado, 80031, United States
SUITE 155
WESTMINSTER, CO 800312924
Phone: (303) 426-5000
Fax: (303) 426-5031
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 103 Open Payments records for all available years, with a total value of $6,813.
Total Amount is formed as General ($6,813) + Research ($0) + Ownership ($0) = $6,813.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Ortho Dermatologics, a division of Bausch Health US, LLC ($1,873).
Total Amount
$6,813
General + Research + Ownership
Payments
103
Total payment records
General Amount
$6,813
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ortho Dermatologics, a division of Bausch Health US, LLC | $1,873 |
| LEO Pharma Inc. | $1,179 |
| ABBVIE INC. | $1,179 |
| Incyte Corporation | $1,020 |
| GENZYME CORPORATION | $215 |
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: 2016-09-01
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 |
|---|---|---|---|---|
| I20160901001864 | I | Physician Assistant | CO | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 937 | 122 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 274 | 213 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 204 | 159 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 140 | 114 | $0 |
| 17004 | Destruction of precancer skin growth, 15 or more growths | 106 | 76 | $0 |
Insurance plans in this area (ZIP 80031)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Plastic And Reconstructive Surgery | CO | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | CA | |
| Physician Assistant | NE | |
| Nurse Practitioner | TN | |
| Physician Assistant | CO | |
| Nurse Practitioner | CO | |
| D E R M A T O L O G Y | CO | |
| - | TX | |
| - | CO |
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