KEVIN ROY POOLE (PA-C) – Physician Assistant, NPI 1477529915
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for KEVIN ROY POOLE (PA-C)
NAVAL HOSPITAL GREAT LAKES
3001A SIXTH ST.
GREAT LAKES, IL 60088
Phone: (847) 688-3995
Type: Location
Naval Hospital Great Lakes
3001A Sixth St.
Great Lakes, IL 60088
Phone: (847) 688-3995
Type: Location
PO BOX 735044
CHICAGO, IL 606735044
Phone: (262) 857-5000
Type: Mailing
12500 AURORA DR
PLEASANT PRAIRIE, WI 531581227
Phone: (262) 857-5000
Type: Location
911, Countrywood Drive, Lorelei Acres, Zion, Lake County, Illinois, 60099, United States
ZION, IL 600995401
Phone: (608) 448-9638
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $371.
Total Amount is formed as General ($371) + Research ($0) + Ownership ($0) = $371.
Last reported payment date: 2023-11-07 • Largest payer in this snapshot: Organogenesis Inc. ($337).
Total Amount
$371
General + Research + Ownership
Payments
10
Total payment records
General Amount
$371
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $337 |
| Radius Health, Inc. | $33 |
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: 2023-10-31
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 |
|---|---|---|---|---|
| I20231031002619 | I | Physician Assistant | WI | 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 | 51 | 44 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 48 | 40 | $0 |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | 25 | 11 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 21 | 21 | $0 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 18 | 14 | $0 |
Insurance plans in this area (ZIP 60088)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | IL | 73562 | X-ray of knee, 3 views | 20 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| Family Practice | WI | |
| Family Practice | WI | |
| Geriatric Medicine, Internal Medicine | WI | |
| - | WI | |
| - | WI | |
| - | IL | |
| Family Practice | WI | |
| - | OH | |
| - | WI |
Reviews
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