MR. GEORGE AVERY KONDIK (PA-C) – Surgical Physician Assistant, NPI 1861497661
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,728 PHYSICIAN ASSISTANT in KY
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Provider Addresses for MR. GEORGE AVERY KONDIK (PA-C)
560, South Loop Road, Summit Hills Heights, Edgewood, Kenton County, Kentucky, 41017, United States
EDGEWOOD, KY 410173405
Phone: (859) 301-2663
Fax: (859) 301-0655
Type: Mailing
2845, Chancellor Drive, Crestview Hills, Kenton County, Kentucky, 41017, United States
CRESTVIEW HILLS, KY 410173418
Phone: (859) 426-4200
Fax: (859) 426-4206
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $88.
Total Amount is formed as General ($88) + Research ($0) + Ownership ($0) = $88.
Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Stryker Corporation ($88).
Total Amount
$88
General + Research + Ownership
Payments
3
Total payment records
General Amount
$88
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $88 |
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: 2023-10-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20091210000194 | I | Physician Assistant | KY | TBD |
| I20161117002428 | I | Physician Assistant | OH | TBD |
| I20231005001699 | I | Physician Assistant | IN | 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 |
|---|---|---|---|---|
| 20610 | Aspiration and/or injection of fluid from large joint | 109 | 67 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 106 | 56 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 103 | 65 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 101 | 46 | $0 |
| 73562 | X-ray of knee, 3 views | 75 | 50 | $0 |
Insurance plans in this area (ZIP 41017)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | KY | 20610 | Aspiration and/or injection of large joint or joint capsule | 18 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | OH | |
| - | IN | |
| Nurse Practitioner | IN | |
| Family Practice | IN | |
| Mental Health Counselor | IN | |
| - | IN | |
| General Surgery | IN | |
| - | IN | |
| Diagnostic Radiology | IN | |
| Nurse Practitioner | IN |
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