KELLY L MEAD (PA-C) – Medical Physician Assistant, NPI 1275607855

KELLY L MEAD (PA-C) is a healthcare provider. based in Enfield, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 00332 (CT). The NPI Number for KELLY L MEAD (PA-C) is 1275607855

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
KELLY L MEAD (PA-C)
NPI
1275607855
Phone
(860) 741-2225
Address
113 ELM ST STE 304
Enumeration Date
17 November 2006
Last Update Date
10 August 2021

Doctor Profile

Medical School Name
YALE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5412002777
Graduation Year
1992 (34 years ago)
PAC ID
5496736480
Group Practice PAC ID
5890083729
Professional Enrollment ID
I20050705000705
Address ID
OR975046462ME2924XBLVD302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,244 PHYSICIAN ASSISTANT in CT

Provider Addresses for KELLY L MEAD (PA-C)

  • 113 ELM ST STE 304

    ENFIELD, CT 06082

    Phone: (860) 741-2225

    Fax: (860) 741-2229

    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 228 Open Payments records for all available years, with a total value of $4,342.

Total Amount is formed as General ($4,342) + Research ($0) + Ownership ($0) = $4,342.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: ABBVIE INC. ($811).

Total Amount

$4,342

General + Research + Ownership

Payments

228

Total payment records

General Amount

$4,342

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-07-05

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050705000705IPhysician AssistantORTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths636140$0
99213Established patient office or other outpatient visit, 20-29 minutes364329$0
11102Biopsy of related skin growth, first growth283236$0
99214Established patient office or other outpatient visit, 30-39 minutes264243$0
17000Destruction of precancer skin growth, 1 growth263192$0
View full utilization report →

Insurance plans in this area (ZIP 06082)

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Provider's Procedures

KELLY L MEAD (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTOR11101Biopsy of each additional growth of skin and/or tissue8565

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890083729View full group profile
NameSpecialtyState
D E R M A T O L O G YOR
Dermatology, Micrographic Dermatologic Surgery (Mds)VA
Physician AssistantOR
Physician AssistantOR

Reviews

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Frequently asked questions

How is KELLY L MEAD (PA-C) identified in CMS data?
CMS-hosted NPPES data lists KELLY L MEAD (PA-C) with NPI 1275607855.
Is KELLY L MEAD (PA-C) still practicing?
KELLY L MEAD (PA-C) is currently listed as active in the public NPI registry.
What taxonomy line describes KELLY L MEAD (PA-C)?
For research purposes, treat KELLY L MEAD (PA-C) as Medical Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect KELLY L MEAD (PA-C) on a map?
Expect Enfield, Connecticut as a primary anchor for KELLY L MEAD (PA-C) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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