DONALD KAGAN (PA) – Physician Assistant, NPI 1164418257
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DONALD KAGAN (PA)
52 Washington Ave
Suite 4
North Haven, CT 064731724
Phone: (203) 672-2800
Fax: (203) 672-2801
Type: Location
2 BROADWAY STE 2
NORTH HAVEN, CT 064732370
Phone: (203) 234-6500
Fax: (203) 234-6503
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 208 Open Payments records for all available years, with a total value of $4,670.
Total Amount is formed as General ($4,670) + Research ($0) + Ownership ($0) = $4,670.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($857).
Total Amount
$4,670
General + Research + Ownership
Payments
208
Total payment records
General Amount
$4,670
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $857 |
| ABBVIE INC. | $643 |
| Novo Nordisk Inc | $446 |
| Lilly USA, LLC | $237 |
| Lundbeck LLC | $210 |
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: 2007-12-11
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 |
|---|---|---|---|---|
| I20071211000332 | I | Physician Assistant | CT | 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 | 20 | 11 | $0 |
Insurance plans in this area (ZIP 06473)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | CT | |
| Physician Assistant | CT | |
| Nurse Practitioner | CT | |
| Physician Assistant | NY |
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