MR. WORTHINGTON S. III KEVILLE (P.A-C) – Surgical Physician Assistant, NPI 1881623536

MR. WORTHINGTON S. III KEVILLE (P.A-C) is a healthcare provider. based in Vero beach, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A-C. They hold a License No. PA2528 (FL). The NPI Number for MR. WORTHINGTON S. III KEVILLE (P.A-C) is 1881623536

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
MR. WORTHINGTON S. III KEVILLE (P.A-C)
NPI
1881623536
Phone
(772) 978-7808
Address
1355 37TH ST
Enumeration Date
2 July 2006
Last Update Date
9 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7729787808
Graduation Year
1991 (35 years ago)
PAC ID
8921173584
Group Practice PAC ID
0042695991
Professional Enrollment ID
I20080815000296
Address ID
FL329607306VE787XXSTXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for MR. WORTHINGTON S. III KEVILLE (P.A-C)

  • 20th Street & 37th Avenue, 20th Street, Vero Beach, Indian River County, Florida, 32960, United States

    SUITE 301

    VERO BEACH, FL 329607321

    Phone: (772) 978-7808

    Fax: (772) 978-9320

    Type: Mailing

  • 787 37TH ST STE E2200

    VERO BEACH, FL 329607305

    Phone: (772) 978-7808

    Fax: (772) 978-9320

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $38.

Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.

Last reported payment date: 2023-07-12 • Largest payer in this snapshot: Smith+Nephew, Inc. ($38).

Total Amount

$38

General + Research + Ownership

Payments

1

Total payment records

General Amount

$38

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Smith+Nephew, Inc.$38
View all Open Payments →|Open Payments Risk Radar →

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: 2008-08-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080815000296IPhysician AssistantFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
27447Replacement of knee joint, both sides of knee2120$0
29826Shaving of part of shoulder bone and repair of ligament using an endoscope1818$0
27130Replacement of thigh bone and hip joint with prosthesis1313$0
29824Partial removal of collar bone at shoulder using an endoscope1313$0
29827Repair of shoulder rotator cuff using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 32960)

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Provider's Procedures

MR. WORTHINGTON S. III KEVILLE (P.A-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTFL20610Aspiration and/or injection of large joint or joint capsule8061
PHYSICIAN ASSISTANTFL27447Repair of knee joint3635

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042695991View full group profile
NameSpecialtyState
Orthopedic SurgeryFL
Orthopedic SurgeryFL

Reviews

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Frequently asked questions

Is there an official ID for MR. WORTHINGTON S. III KEVILLE (P.A-C) in U.S. healthcare records?
The official identifier for MR. WORTHINGTON S. III KEVILLE (P.A-C) is NPI 1881623536.
Is MR. WORTHINGTON S. III KEVILLE (P.A-C) shown as active in public data?
Registry records indicate MR. WORTHINGTON S. III KEVILLE (P.A-C) maintains an active NPI.
What kind of doctor is MR. WORTHINGTON S. III KEVILLE (P.A-C)?
MR. WORTHINGTON S. III KEVILLE (P.A-C) is associated with Surgical Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is MR. WORTHINGTON S. III KEVILLE (P.A-C) associated with Vero Beach?
Public fields place MR. WORTHINGTON S. III KEVILLE (P.A-C) around Vero Beach, Florida. Always confirm the exact site before visiting.
Does MR. WORTHINGTON S. III KEVILLE (P.A-C) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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