MRS. KATHRYN ORA NETTLETON (PAC) – Medical Physician Assistant, NPI 1326376898
Medical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
3,244 PHYSICIAN ASSISTANT in CT
Provider Addresses for MRS. KATHRYN ORA NETTLETON (PAC)
1 ROYCE CIR
SUITE 104
STORRS, CT 062682260
Phone: (860) 487-9200
Fax: (860) 487-9222
Type: Mailing
Ballard Institute and Museum of Puppetry, 1, Royce Circle, Storrs Center, Storrs, Mansfield, Tolland County, Connecticut, 06269, United States
SUITE 104
STORRS, CT 062687003
Phone: (860) 487-9200
Fax: (860) 487-9222
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $139.
Total Amount is formed as General ($139) + Research ($0) + Ownership ($0) = $139.
Last reported payment date: 2024-09-17 • Largest payer in this snapshot: Dexcom, Inc. ($139).
Total Amount
$139
General + Research + Ownership
Payments
1
Total payment records
General Amount
$139
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dexcom, Inc. | $139 |
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: 2010-06-03
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 |
|---|---|---|---|---|
| I20100603000390 | 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 | 96 | 62 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 24 | 20 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 24 | 24 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 15 | 15 | $0 |
| 93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 14 | 12 | $0 |
Insurance plans in this area (ZIP 06268)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | CT | 85610 | Blood test, clotting time | 46 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | NY | |
| E N D O C R I N O L O G Y | VA | |
| Orthopedic Surgery | CT | |
| Orthopedic Surgery | CT | |
| Endocrinology, Internal Medicine | CT | |
| Critical Care (Intensivists) | CT | |
| Hospitalist, Internal Medicine | CT | |
| Gynecological Oncology | NY | |
| Physician Assistant | CT | |
| Hand Surgery, Orthopedic Surgery | CT |
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