KEVA C FOTHERGILL (PA) – Physician Assistant, NPI 1285793935

KEVA C FOTHERGILL (PA) is a healthcare provider. based in Waterford, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 000909 (CT). The NPI Number for KEVA C FOTHERGILL (PA) is 1285793935

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
KEVA C FOTHERGILL (PA)
NPI
1285793935
Phone
(860) 442-7027
Address
196 PARKWAY S
Enumeration Date
8 December 2006
Last Update Date
4 September 2013

Doctor Profile

Medical School Name
HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
8604447400
Graduation Year
1999 (27 years ago)
PAC ID
1951404680
Group Practice PAC ID
0143327528
Professional Enrollment ID
I20070316000277
Address ID
CT063204621NE435XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,243 PHYSICIAN ASSISTANT in CT

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Provider Addresses for KEVA C FOTHERGILL (PA)

  • Parkway, Tramore, Waterford City Metropolitan District, County Waterford, Munster, Ireland

    SUITE 304

    WATERFORD, CT 063851234

    Phone: (860) 442-7027

    Fax: (860) 444-0074

    Type: Mailing

  • 26, Lafayette Street, Yantic Falls Historic District, Chelsea Parade Historic District, Norwichtown, Norwich, Southeastern Connecticut Planning Region, Connecticut, 06360, United States

    NORWICH, CT 063603408

    Phone: (860) 889-7321

    Fax: (860) 444-7401

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 242 Open Payments records for all available years, with a total value of $4,653.

Total Amount is formed as General ($4,653) + Research ($0) + Ownership ($0) = $4,653.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($844).

Total Amount

$4,653

General + Research + Ownership

Payments

242

Total payment records

General Amount

$4,653

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2007-03-16

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070316000277IPhysician AssistantCTTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes19876$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month16420$0
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month7017$0
99213Established patient office or other outpatient visit, 20-29 minutes3727$0
View full utilization report →

Insurance plans in this area (ZIP 06385)

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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: 0143327528View full group profile
NameSpecialtyState
Physician AssistantCT
Family PracticeCT

Reviews

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Frequently asked questions

Is KEVA C FOTHERGILL (PA) listed with a National Provider Identifier?
Yes — KEVA C FOTHERGILL (PA) has NPI 1285793935 on file in the registry.
Is KEVA C FOTHERGILL (PA) still an active registrant?
KEVA C FOTHERGILL (PA) carries an active NPI according to the public dataset.
What kind of doctor is KEVA C FOTHERGILL (PA)?
KEVA C FOTHERGILL (PA) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for KEVA C FOTHERGILL (PA)?
Travel planning: use Waterford, Connecticut as the reference point for KEVA C FOTHERGILL (PA), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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