DR. KEVIN CLIFFORD CAVANAUGH (MD) – Facial Plastic Surgery Physician, NPI 1275539843
Facial Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
227 OTOLARYNGOLOGY in CO
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Provider Addresses for DR. KEVIN CLIFFORD CAVANAUGH (MD)
Dry Creek Drive, The Crossing, Dominion, Longmont, Boulder County, Colorado, 80501-6423, United States
SUITE 103
LONGMONT, CO 805037731
Phone: (720) 494-9111
Fax: (720) 494-9555
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 $55.
Total Amount is formed as General ($55) + Research ($0) + Ownership ($0) = $55.
Last reported payment date: 2024-10-25 • Largest payer in this snapshot: AERIN MEDICAL INC. ($39).
Total Amount
$55
General + Research + Ownership
Payments
2
Total payment records
General Amount
$55
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AERIN MEDICAL INC. | $39 |
| Regeneron Healthcare Solutions, Inc. | $16 |
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: 2011-01-05
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 |
|---|---|---|---|---|
| I20110105000916 | I | Otolaryngology | 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 |
|---|---|---|---|---|
| 92557 | Comprehensive hearing and speech recognition test | 158 | 142 | $0 |
| 92567 | Test to assess middle ear function | 134 | 129 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 120 | 74 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 116 | 71 | $0 |
| 69210 | Removal of impacted ear wax | 111 | 85 | $0 |
Insurance plans in this area (ZIP 80503)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OTOLARYNGOLOGY | CO | 17003 | Destruction of 2-14 skin growths | 104 | 11 |
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