MS. KATHLEEN L SPALLA (PHYSICIAN ASSISTANCE) – Physician Assistant, NPI 1134628498
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for MS. KATHLEEN L SPALLA (PHYSICIAN ASSISTANCE)
4205 BELFORT RD STE 4015
JACKSONVILLE, FL 322163623
Phone: (904) 450-6063
Fax: (904) 539-4091
Type: Mailing
6665 PENSACOLA BLVD
PENSACOLA, FL 325051705
Phone: (850) 416-2000
Type: Location
514, Mary Esther Cut Off, Fort Walton Beach, Okaloosa County, Florida, 32548, United States
FORT WALTON BEACH, FL 325484047
Phone: (850) 378-8773
Fax: (850) 378-8778
Type: Mailing
North Palafox Street, Pensacola, Escambia County, Florida, 32534, United States
PENSACOLA, FL 325052932
Phone: (850) 378-8773
Fax: (850) 378-8773
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $1,055.
Total Amount is formed as General ($1,055) + Research ($0) + Ownership ($0) = $1,055.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($237).
Total Amount
$1,055
General + Research + Ownership
Payments
10
Total payment records
General Amount
$1,055
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2018-04-19
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 |
|---|---|---|---|---|
| I20180419000935 | I | Physician Assistant | FL | 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 | 270 | 258 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 123 | 122 | $0 |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 94 | 93 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 73 | 73 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 60 | 15 | $0 |
Insurance plans in this area (ZIP 32216)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| Family Practice | FL | |
| Physician Assistant | FL | |
| Emergency Medicine | FL | |
| Family Practice | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | SC |
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