KEIFER DEWAYNE RICHARDSON (PA-C) – Medical Physician Assistant, NPI 1174031660
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for KEIFER DEWAYNE RICHARDSON (PA-C)
1120 15th St
Augusta, GA 309123828
Phone: (706) 721-8623
Fax: (706) 721-1459
Type: Location
526 Richland Ave W
Aiken, SC 298013828
Phone: (803) 648-3130
Type: Location
526, Richland Avenue, Aiken, Aiken County, South Carolina, 29801, United States
AIKEN, SC 298013828
Phone: (803) 648-3130
Type: Location
1120 15TH ST STE BI1056
AUGUSTA, GA 309120004
Phone: (706) 721-3813
Fax: (706) 721-9286
Type: Mailing
526 RICHLAND AVE W
AIKEN, SC 298013828
Phone: (803) 648-3130
Fax: (803) 648-9860
Type: Mailing
2050 WALTON WAY
AUGUSTA, GA 309042305
Phone: (706) 434-1590
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 193 Open Payments records for all available years, with a total value of $5,895.
Total Amount is formed as General ($5,895) + Research ($0) + Ownership ($0) = $5,895.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Medtronic, Inc. ($2,060).
Total Amount
$5,895
General + Research + Ownership
Payments
193
Total payment records
General Amount
$5,895
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $2,060 |
| Xeris Pharmaceuticals, Inc. | $605 |
| Novo Nordisk Inc | $395 |
| Dexcom, Inc. | $358 |
| Lilly USA, LLC | $204 |
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: 2019-09-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20180208002297 | I | Physician Assistant | SC | TBD |
| I20190923000635 | 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 |
|---|---|---|---|---|
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 722 | 500 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 287 | 265 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 260 | 240 | $0 |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 106 | 106 | $0 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 104 | 104 | $0 |
Insurance plans in this area (ZIP 30912)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| General Practice | FL | |
| Physician Assistant | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| General Practice | GA | |
| A L L E R G Y/ I M M U N O L O G Y | GA | |
| Physician Assistant | GA | |
| Clinical Social Worker | GA | |
| Nurse Practitioner | GA | |
| Infectious Disease | GA |
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