KEVIN RANDALL WRIGHT (PA-C) – Surgical Physician Assistant, NPI 1104813849
Surgical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for KEVIN RANDALL WRIGHT (PA-C)
4300, Commerce Court, Lisle, DuPage County, Illinois, 60532, United States
SUITE 230
LISLE, IL 605323698
Phone: (630) 968-1881
Fax: (630) 245-9098
Type: Mailing
120 Spalding Dr Ste 400
Naperville, IL 605406559
Phone: (630) 967-2225
Fax: (630) 355-3273
Type: Location
1259, Rickert Drive, Naperville, DuPage County, Illinois, 60540, United States
SUITE 101
NAPERVILLE, IL 605408902
Phone: (630) 355-1300
Fax: (630) 355-3273
Type: Location
2650 RIDGE AVE STE 1223
EVANSTON, IL 602011700
Phone:
Type: Mailing
1200 S YORK ST STE 2000
ELMHURST, IL 601265634
Phone: (630) 646-7000
Type: Location
PO BOX 713260
CHICAGO, IL 606771260
Phone: (630) 469-9200
Fax: (630) 245-9098
Type: Mailing
120 SPALDING DR STE 400
NAPERVILLE, IL 605406559
Phone: (630) 967-2225
Fax: (630) 355-3273
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 50 Open Payments records for all available years, with a total value of $1,615.
Total Amount is formed as General ($1,615) + Research ($0) + Ownership ($0) = $1,615.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: NuVasive, Inc. ($1,090).
Total Amount
$1,615
General + Research + Ownership
Payments
50
Total payment records
General Amount
$1,615
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| NuVasive, Inc. | $1,090 |
| Globus Medical, Inc. | $393 |
| Amgen Inc. | $132 |
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: 2005-12-16
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 |
|---|---|---|---|---|
| I20051216000496 | I | Physician Assistant | IL | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 389 | 318 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 67 | 67 | $0 |
| 22614 | Fusion of additional segment of spine | 64 | 28 | $0 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 50 | 27 | $0 |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment | 32 | 17 | $0 |
Insurance plans in this area (ZIP 60532)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| E N D O C R I N O L O G Y | IL | |
| N E U R O L O G Y | IL | |
| Hospitalist, Internal Medicine | IL | |
| O P H T H A L M O L O G Y | IL | |
| - | IL | |
| E N D O C R I N O L O G Y | IL | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | IL | |
| Clinical Social Worker | IL | |
| Certified Nurse Midwife (Cnm) | IL |
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