KENT LYLE SHIPPEN (PA) – Physician Assistant, NPI 1942379003
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,531 PHYSICIAN ASSISTANT in ID
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Provider Addresses for KENT LYLE SHIPPEN (PA)
North 1st Street, Driggs, Teton County, Idaho, 83422, United States
DRIGGS, ID 834225109
Phone: (208) 354-2302
Fax: (208) 354-8392
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $248.
Total Amount is formed as General ($248) + Research ($0) + Ownership ($0) = $248.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: GENZYME CORPORATION ($151).
Total Amount
$248
General + Research + Ownership
Payments
7
Total payment records
General Amount
$248
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $151 |
| ABBVIE INC. | $54 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $26 |
| Lilly USA, LLC | $17 |
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: 2016-09-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160915000840 | I | Physician Assistant | WY | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 4,793 | 634 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,326 | 923 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 815 | 675 | $0 |
| 17004 | Destruction of precancer skin growth, 15 or more growths | 502 | 373 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 205 | 192 | $0 |
Insurance plans in this area (ZIP 83422)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WY | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | AZ |
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