KELLY BALLOU (P.A.-C) – Physician Assistant, NPI 1366467805
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 KELLY BALLOU (P.A.-C)
Dillon Ridge Road, Dillon Ridge Shopping Center, Dillon, Silverthorne, Summit County, Colorado, 80497, United States
SUITE C402
DILLON, CO 804356009
Phone: (309) 287-1909
Type: Mailing
Main Street, Frisco, Collin County, Texas, 75034, United States
STE F,G,H BEAVER PLAZA CONDO
FRISCO, CO 80443
Phone: (309) 287-1909
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $162.
Total Amount is formed as General ($162) + Research ($0) + Ownership ($0) = $162.
Last reported payment date: 2024-02-02 • Largest payer in this snapshot: ABBVIE INC. ($162).
Total Amount
$162
General + Research + Ownership
Payments
7
Total payment records
General Amount
$162
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $162 |
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: 2016-01-19
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 |
|---|---|---|---|---|
| I20160119001431 | 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 | 625 | 77 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 260 | 114 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 128 | 80 | $0 |
| 17004 | Destruction of precancer skin growth, 15 or more growths | 90 | 58 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 21 | 21 | $0 |
Insurance plans in this area (ZIP 80435)
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