KIERSTEN REVORD (PA-C) – Physician Assistant, NPI 1033535133
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,091 PHYSICIAN ASSISTANT in MA
Provider Addresses for KIERSTEN REVORD (PA-C)
280 CHESTNUT ST
2ND FLOOR
SPRINGFIELD, MA 011991001
Phone: (413) 794-5700
Type: Mailing
48 SANDERSON ST
GREENFIELD, MA 013012778
Phone: (413) 773-2220
Type: Location
3455 MAIN ST STE 5
SPRINGFIELD, MA 011071147
Phone: (413) 733-9600
Fax: (413) 732-6534
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2023-05-19 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pacira Pharmaceuticals Incorporated | $19 |
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: 2016-12-20
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 |
|---|---|---|---|---|
| I20161220001739 | I | Physician Assistant | MA | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 2,718 | 266 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 539 | 287 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 156 | 145 | $0 |
| 73564 | X-ray of knee, 4 or more views | 151 | 150 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 120 | 108 | $0 |
Insurance plans in this area (ZIP 01199)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Dermatology, Micrographic Dermatologic Surgery (Mds) | MA | |
| Physician Assistant | MA | |
| - | NY | |
| Physician Assistant | MA | |
| D E R M A T O L O G Y | MA | |
| Physician Assistant | MA | |
| Physician Assistant | MA | |
| P A T H O L O G Y | MA | |
| P A T H O L O G Y | MA | |
| D E R M A T O L O G Y | MA |
Reviews
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