JUSTIN L KIDD (PA) – Physician Assistant, NPI 1740279884
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 JUSTIN L KIDD (PA)
1725, East Boulder Street, Divine Redeemer, Colorado Springs, El Paso County, Colorado, 80909, United States
STE 101
COLORADO SPRINGS, CO 809095768
Phone: (719) 365-9916
Fax: (719) 365-9969
Type: Mailing
PO BOX 35380
LAS VEGAS, NV 891335380
Phone: (702) 579-3253
Type: Mailing
1633 MEDICAL CENTER PT
COLORADO SPRINGS, CO 809075700
Phone: (719) 473-6155
Fax: (719) 473-3688
Type: Location
1615 Medical Center Pt
Colorado Springs, CO 809075788
Phone: (719) 473-6115
Type: Location
1725 E Boulder St
Ste 101
Colorado Springs, CO 809095768
Phone: (719) 365-9916
Fax: (719) 365-9969
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2013-09-16
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 |
|---|---|---|---|---|
| I20130916000727 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 102 | 67 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 38 | 34 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 26 | 26 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 80909)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | CO | |
| - | CO | |
| - | CO | |
| - | NC | |
| Family Practice | MO | |
| Family Practice | NV | |
| - | CO | |
| - | CO | |
| - | CO |
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