MR. KENNETH BOSTIC (PA-C) – Physician Assistant, NPI 1043360597
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,463 PHYSICIAN ASSISTANT in GA
Provider Addresses for MR. KENNETH BOSTIC (PA-C)
101 St Josephs Candler Dr Fl 1
Pooler, GA 313229579
Phone: (912) 355-6615
Fax: (912) 351-0645
Type: Location
4425 Paulsen St
Savannah, GA 314053662
Phone: (912) 355-6615
Fax: (912) 351-0645
Type: Location
Winn Army Community Hospital, 1061, Harmon Avenue, Bowen, Fort Stewart, Liberty County, Georgia, 31314, United States
WINN ARMY COMMUNITY HOSPITAL STE1D03
FORT STEWART, GA 313145641
Phone: (912) 435-5254
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 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: 2024-05-13 • Largest payer in this snapshot: Boston Scientific Corporation ($38).
Total Amount
$38
General + Research + Ownership
Payments
2
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
2024-05-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $38 |
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: 2007-08-06
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20070806000107 | I | Physician Assistant | GA | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 104 | 16 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 57 | 56 | $0 |
| 73560 | X-ray of knee, 1-2 views | 23 | 21 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 16 | 16 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 15 | 15 | $0 |
Insurance plans in this area (ZIP 31322)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | GA | |
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Physician Assistant | GA | |
| Physical Therapist In Private Practice | GA | |
| Physical Therapist In Private Practice | GA | |
| Orthopedic Surgery | GA | |
| Physical Therapist In Private Practice | GA | |
| Physician Assistant | GA | |
| Orthopedic Surgery | GA |
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