KELLY EVANS (D.O.) – Internal Medicine Physician, NPI 1124107693
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,717 FAMILY PRACTICE in KY
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Provider Addresses for KELLY EVANS (D.O.)
1019, Cumberland Falls Highway, Corbin, Whitley County, Kentucky, 40701, United States
SUITE B201
CORBIN, KY 407012735
Phone: (606) 526-9005
Fax: (606) 526-8606
Type: Mailing
85, Jackson Crescent, Hulme, Manchester, Greater Manchester, North West England, England, M15 5EB, United Kingdom
MANCHESTER, KY 409628801
Phone: (606) 596-0410
Fax: (606) 528-8272
Type: Location
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 $173.
Total Amount is formed as General ($173) + Research ($0) + Ownership ($0) = $173.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($49).
Total Amount
$173
General + Research + Ownership
Payments
10
Total payment records
General Amount
$173
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $49 |
| ABBVIE INC. | $25 |
| Mylan Specialty L.P. | $23 |
| Merck Sharp & Dohme LLC | $16 |
| Amgen Inc. | $15 |
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: 2007-08-22
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 |
|---|---|---|---|---|
| I20070822000548 | I | Family Practice | 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 40701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | VA | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| - | KY | |
| Physician Assistant | KY | |
| Nurse Practitioner | KY | |
| - | KY | |
| - | KY | |
| Nurse Practitioner | TN | |
| Physician Assistant | KY |
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