KELLY ANDREW LARA – Surgery Physician, NPI 1083008940
Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
3,317 GENERAL SURGERY in CA
Provider Addresses for KELLY ANDREW LARA
7325 WELLWOOD DR
INDIANAPOLIS, IN 462177036
Phone: (520) 307-1859
Type: Mailing
11175 CAMPUS ST # 21111
LOMA LINDA, CA 923501801
Phone: (909) 558-5939
Type: Location
PO BOX 689022
FRANKLIN, TN 370689022
Phone:
Type: Mailing
2300 S HOUGHTON RD STE 160
TUCSON, AZ 857480046
Phone: (520) 352-1083
Fax: (520) 352-1088
Type: Location
1305 JEAN AVE
REDLANDS, CA 923742750
Phone:
Type: Mailing
10120 E OLD VAIL RD STE 100
TUCSON, AZ 857479414
Phone: (520) 730-7392
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $18,575.
Total Amount is formed as General ($18,575) + Research ($0) + Ownership ($0) = $18,575.
Last reported payment date: 2024-09-04 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($16,610).
Total Amount
$18,575
General + Research + Ownership
Payments
23
Total payment records
General Amount
$18,575
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $16,610 |
| Medical Device Business Services, Inc. | $847 |
| TELA Bio, Inc. | $845 |
| Ethicon US, LLC | $119 |
| Hologic Sales and Service, LLC | $66 |
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: 2021-09-10
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 |
|---|---|---|---|---|
| I20200729000907 | I | General Surgery | CA | TBD |
| I20210910002584 | I | General Surgery | AZ | 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 |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 38 | 37 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 37 | 29 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 30 | 19 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 28 | 28 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 17 | 16 | $0 |
Insurance plans in this area (ZIP 46217)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | AZ | |
| - | AZ | |
| - | AZ | |
| - | AZ | |
| General Surgery | MD | |
| - | AZ | |
| - | AZ | |
| Nurse Practitioner | AZ | |
| - | AZ | |
| - | AZ |
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