KAELA BACON (PA) – Physician Assistant, NPI 1164930616
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 KAELA BACON (PA)
38135, Market Square, Zephyrhills, Pasco County, Florida, 33542, United States
ZEPHYRHILLS, FL 335427505
Phone: (352) 567-0188
Type: Mailing
Bruce B Downs Boulevard, Wesley Chapel, Pasco County, Florida, United States
WESLEY CHAPEL, FL 335449203
Phone: (813) 929-3600
Type: Location
PO BOX 198441
ATLANTA, GA 303848441
Phone: (813) 745-7365
Fax: (813) 449-8618
Type: Mailing
12902 USF MAGNOLIA DR
TAMPA, FL 336129416
Phone: (813) 745-7365
Fax: (813) 449-8618
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $1,329.
Total Amount is formed as General ($1,329) + Research ($0) + Ownership ($0) = $1,329.
Last reported payment date: 2024-04-23 • Largest payer in this snapshot: Elucent Medical ($970).
Total Amount
$1,329
General + Research + Ownership
Payments
6
Total payment records
General Amount
$1,329
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Elucent Medical | $970 |
| Amgen Inc. | $241 |
| Gilead Sciences, Inc. | $102 |
| Hologic Sales and Service, LLC | $16 |
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: 2019-01-15
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 |
|---|---|---|---|---|
| I20190115000388 | 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 | 19 | 19 | $0 |
| 19303 | Simple complete removal of breast | 14 | 14 | $0 |
Insurance plans in this area (ZIP 33542)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| Diagnostic Radiology | FL | |
| Nurse Practitioner | FL | |
| Emergency Medicine | FL | |
| Nurse Practitioner | NJ | |
| Diagnostic Radiology | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| Diagnostic Radiology | FL | |
| Physician Assistant | FL |
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