KEVIN RYAN PATRICK (PHYSICIAN ASSISTANT) – Surgical Physician Assistant, NPI 1306405931
Surgical Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
4,431 PHYSICIAN ASSISTANT in GA
Provider Addresses for KEVIN RYAN PATRICK (PHYSICIAN ASSISTANT)
Eisenhower Army Medical Center, 300, East Hospital Road, Augusta, Richmond County, Georgia, 30905, United States
FORT GORDON, GA 309055650
Phone: (706) 787-1745
Type: Mailing
INTERSERIVE PHYSICIAN ASSITANT PROGRAM
300 EAST HOSPITAL ROAD
FORT GORDON, GA 309055670
Phone: (585) 224-5680
Fax: (706) 787-1745
Type: Location
87th Medical Group
3458 Neely Rd
McGuire AFB, NJ 08641
Phone: (866) 377-2778
Fax: (609) 754-9223
Type: Location
606 Cross Keys Rd
Sicklerville, NJ 080819513
Phone: (856) 237-1016
Type: Location
34 MAPLE ST
NORWALK, CT 068503894
Phone: (203) 852-2000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $117.
Total Amount is formed as General ($117) + Research ($0) + Ownership ($0) = $117.
Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Kerecis Limited ($117).
Total Amount
$117
General + Research + Ownership
Payments
1
Total payment records
General Amount
$117
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kerecis Limited | $117 |
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: 2025-12-18
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 |
|---|---|---|---|---|
| I20241203001256 | I | Physician Assistant | CT | TBD |
| I20251218001671 | I | Physician Assistant | NY | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30905)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NY | |
| Physician Assistant | CT | |
| Orthopedic Surgery | NY | |
| Sports Medicine | CT | |
| Physical Therapist In Private Practice | VT | |
| Physical Therapist In Private Practice | CT | |
| - | CT | |
| Physical Therapist In Private Practice | NY | |
| Orthopedic Surgery | CT | |
| Physician Assistant | CT |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.