MRS. KRISTIN PASS (P.A.) – Physician Assistant, NPI 1750796561
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for MRS. KRISTIN PASS (P.A.)
3451 COBB PKWY NW
SUITE 4
ACWORTH, GA 301015766
Phone: (678) 574-5678
Fax: (678) 574-5605
Type: Mailing
35 COLLIER RD NW STE 775
ATLANTA, GA 303091608
Phone: (404) 350-1122
Type: Location
3451 Cobb Pkwy NW
Suite 4
Acworth, GA 301015766
Phone: (678) 574-5678
Fax: (678) 574-5605
Type: Location
PO BOX 102321
ATLANTA, GA 303682321
Phone:
Type: Mailing
105 COLLIER RD NW STE 2000
ATLANTA, GA 303091734
Phone: (404) 350-1122
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 165 Open Payments records for all available years, with a total value of $3,197.
Total Amount is formed as General ($3,197) + Research ($0) + Ownership ($0) = $3,197.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Lilly USA, LLC ($465).
Total Amount
$3,197
General + Research + Ownership
Payments
165
Total payment records
General Amount
$3,197
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $465 |
| ABBVIE INC. | $440 |
| Novo Nordisk Inc | $218 |
| Gilead Sciences, Inc. | $167 |
| PFIZER INC. | $130 |
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: 2015-02-16
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 |
|---|---|---|---|---|
| I20150216001216 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 148 | 122 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 126 | 100 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 107 | 89 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 36 | 36 | $0 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 20 | 20 | $0 |
Insurance plans in this area (ZIP 30101)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| - | GA | |
| - | GA | |
| Internal Medicine | OH | |
| - | GA | |
| - | GA | |
| - | GA | |
| Internal Medicine | GA |
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