KELLEY DECARLO – Physician Assistant, NPI 1275144180
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for KELLEY DECARLO
4000 NEXUS DR STE NW2-100
WILMINGTON, DE 198033000
Phone: (302) 623-2597
Type: Mailing
625 Old Peachtree Rd NW
Suwanee, GA 300242937
Phone: (678) 225-7500
Type: Location
625 OLD PEACHTREE RD NW
SUWANEE, GA 300242937
Phone: (678) 225-7500
Type: Location
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 197182130
Phone: (302) 623-0188
Type: Location
620 Stanton Christiana Rd Ste 203
Newark, DE 197132130
Phone: (302) 338-9444
Type: Location
620 STANTON CHRISTIANA RD STE 203
NEWARK, DE 197132130
Phone: (302) 338-9444
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $114.
Total Amount is formed as General ($114) + Research ($0) + Ownership ($0) = $114.
Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Abbott Laboratories ($54).
Total Amount
$114
General + Research + Ownership
Payments
4
Total payment records
General Amount
$114
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $54 |
| Ethicon US, LLC | $37 |
| HeartFlow, Inc. | $23 |
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: 2021-10-15
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 |
|---|---|---|---|---|
| I20211015001977 | I | Physician Assistant | DE | 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 |
|---|---|---|---|---|
| 93296 | Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days | 380 | 124 | $0 |
| 93294 | Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days | 254 | 82 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 225 | 167 | $0 |
| 93295 | Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days | 130 | 46 | $0 |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec | 119 | 21 | $0 |
Insurance plans in this area (ZIP 19803)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | DE | |
| - | DE | |
| - | DE | |
| - | PA | |
| Internal Medicine | DE | |
| Physician Assistant | DE | |
| Nurse Practitioner | PA | |
| General Surgery | IL | |
| Diagnostic Radiology | NY | |
| Internal Medicine | NY |
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