KAITLIN BUSH (PA-C) – Physician Assistant, NPI 1104570142
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,728 PHYSICIAN ASSISTANT in KY
Provider Addresses for KAITLIN BUSH (PA-C)
205 Keelridge Dr
Georgetown, KY 403242517
Phone: (606) 339-5247
Type: Location
205 KEELRIDGE DR
GEORGETOWN, KY 403242517
Phone:
Type: Mailing
PO BOX 1120
OWINGSVILLE, KY 403601120
Phone: (606) 674-6386
Fax: (606) 674-3096
Type: Mailing
632 SLATE AVE
OWINGSVILLE, KY 403602206
Phone: (606) 674-6386
Fax: (606) 674-3096
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $116.
Total Amount is formed as General ($116) + Research ($0) + Ownership ($0) = $116.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Novo Nordisk Inc ($38).
Total Amount
$116
General + Research + Ownership
Payments
6
Total payment records
General Amount
$116
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2023-01-25
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 |
|---|---|---|---|---|
| I20230125000881 | I | Physician Assistant | KY | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 40324)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Vascular Surgery | AZ | |
| Physician Assistant | KY | |
| Physician Assistant | KY | |
| General Surgery | KY | |
| Family Practice | OH | |
| Physician Assistant | KY | |
| A N E S T H E S I O L O G Y | KY | |
| General Surgery | KY | |
| Clinical Social Worker | KY | |
| Internal Medicine | KY |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.