AMANDA KOHL (P.A.C.) – Pain Medicine Physician, NPI 1114536844
Pain Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
Provider Addresses for AMANDA KOHL (P.A.C.)
5429 RIVER RUN TRL # 5
FORT WAYNE, IN 468256039
Phone: (715) 864-1539
Type: Mailing
2428 EAST 117TH ST
BURNSVILLE, MN 55337
Phone: (612) 444-3000
Fax: (612) 444-9000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $211.
Total Amount is formed as General ($211) + Research ($0) + Ownership ($0) = $211.
Last reported payment date: 2024-06-28 • Largest payer in this snapshot: Saluda Medical Americas, Inc. ($96).
Total Amount
$211
General + Research + Ownership
Payments
8
Total payment records
General Amount
$211
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Saluda Medical Americas, Inc. | $96 |
| Indivior Inc. | $19 |
| ABBVIE INC. | $19 |
| Teva Pharmaceuticals USA, Inc. | $17 |
| Braeburn Inc. | $16 |
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: 2021-11-09
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 |
|---|---|---|---|---|
| I20210825002033 | I | Physician Assistant | IN | TBD |
| I20211109001789 | I | Physician Assistant | MN | 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 |
|---|---|---|---|---|
| 80305 | Testing for presence of drug, read by direct observation | 484 | 117 | $0 |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 481 | 115 | $0 |
| 96127 | Assessment of emotional or behavioral problems | 341 | 89 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 241 | 83 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 151 | 58 | $0 |
Insurance plans in this area (ZIP 46825)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MN | |
| - | MN | |
| Physician Assistant | MN | |
| - | MN | |
| Nurse Practitioner | MN | |
| Pain Management, Physical Medicine And Rehabilitation | MN | |
| Physician Assistant | MN | |
| Addiction Medicine | MN | |
| Physician Assistant | MN | |
| Nurse Practitioner | MN |
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