KEVIN P POELKER (PA) – Physician Assistant, NPI 1144202862
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
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Provider Addresses for KEVIN P POELKER (PA)
12730 NEW BRITTANY BLVD STE 602
FORT MYERS, FL 339074690
Phone: (239) 275-5522
Fax: (239) 275-4464
Type: Mailing
Viscaya Parkway, Cape Coral, Lee County, Florida, 33990, United States
CAPE CORAL, FL 339903290
Phone: (239) 574-1988
Fax: (239) 574-1435
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 120 Open Payments records for all available years, with a total value of $2,716.
Total Amount is formed as General ($2,716) + Research ($0) + Ownership ($0) = $2,716.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Novo Nordisk Inc ($344).
Total Amount
$2,716
General + Research + Ownership
Payments
120
Total payment records
General Amount
$2,716
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
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $344 |
| Lilly USA, LLC | $281 |
| Alnylam Pharmaceuticals Inc. | $261 |
| Astellas Pharma US Inc | $188 |
| Exact Sciences Corporation | $159 |
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: 2009-04-29
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 |
|---|---|---|---|---|
| I20090429000258 | 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 |
|---|---|---|---|---|
| 85610 | Blood test, clotting time | 382 | 37 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 369 | 37 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 289 | 234 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 263 | 208 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 151 | 134 | $0 |
Insurance plans in this area (ZIP 33907)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | FL | |
| Family Practice | MA | |
| Nurse Practitioner | FL | |
| Family Practice | FL | |
| Family Practice | FL | |
| Family Practice | FL | |
| Family Practice | FL | |
| - | FL | |
| Pediatric Medicine | FL | |
| Physician Assistant | FL |
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