KEVIN G MCGILLICUDDY (P.A.) – Medical Physician Assistant, NPI 1669430336
Medical Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
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Provider Addresses for KEVIN G MCGILLICUDDY (P.A.)
Boca Raton Regional Hospital, 800, Meadows Road, Boca Raton, Palm Beach County, Florida, 33486, United States
BOCA RATON, FL 334862304
Phone: (561) 955-7100
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $1,568.
Total Amount is formed as General ($1,568) + Research ($0) + Ownership ($0) = $1,568.
Last reported payment date: 2024-09-18 • Largest payer in this snapshot: ATRICURE, INC. ($578).
Total Amount
$1,568
General + Research + Ownership
Payments
19
Total payment records
General Amount
$1,568
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ATRICURE, INC. | $578 |
| LSI SOLUTIONS INC | $268 |
| Medtronic, Inc. | $256 |
| Davol Inc. | $222 |
| Getinge USA Sales, LLC | $211 |
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: 2004-03-30
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 |
|---|---|---|---|---|
| I20040330000244 | 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 |
|---|---|---|---|---|
| 33533 | Coronary artery bypass using artery graft, 1 graft | 11 | 11 | $0 |
Insurance plans in this area (ZIP 33486)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Internal Medicine | FL | |
| - | FL | |
| Emergency Medicine | FL | |
| H O S P I T A L I S T | FL | |
| - | FL | |
| Hospitalist, Internal Medicine | FL | |
| - | GA | |
| - | FL | |
| - | GA |
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