MRS. AMANDA MALLORY SPILLMAN (PA-C) – Physician Assistant, NPI 1881866689
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,728 PHYSICIAN ASSISTANT in KY
Provider Addresses for MRS. AMANDA MALLORY SPILLMAN (PA-C)
4900 Houston Rd
Florence, KY 410424824
Phone: (859) 212-5441
Type: Location
Montgomery Road, O’Bryonville, Evanston, Cincinnati, Hamilton County, Ohio, 45207, United States
CINCINNATI, OH 452424400
Phone: (513) 865-9040
Type: Location
85 N Grand Ave
Fort Thomas, KY 410754027
Phone: (859) 572-3618
Type: Location
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 410173403
Phone: (859) 572-3617
Fax: (859) 572-2326
Type: Location
560, South Loop Road, Summit Hills Heights, Edgewood, Kenton County, Kentucky, 41017, United States
EDGEWOOD, KY 410173405
Phone: (859) 301-2663
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-07-29
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 |
|---|---|---|---|---|
| I20190218001760 | I | Physician Assistant | KY | TBD |
| I20250729002079 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 69 | 49 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 20 | 20 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 19 | 18 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 17 | 17 | $0 |
Insurance plans in this area (ZIP 41042)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | KY | |
| P O D I A T R Y | KY | |
| Physical Therapist In Private Practice | OH | |
| Orthopedic Surgery | OH | |
| Physician Assistant | KY | |
| P O D I A T R Y | OH | |
| Physical Therapist In Private Practice | KY | |
| Orthopedic Surgery | KY | |
| Physician Assistant | OH | |
| Physical Medicine And Rehabilitation | OH |
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