BRIAN K KEPHART (PHYSICIAN ASSISTANT) – Physician Assistant, NPI 1093709099
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,689 PHYSICIAN ASSISTANT in PA
Provider Addresses for BRIAN K KEPHART (PHYSICIAN ASSISTANT)
PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States
BOSTON, MA 022848269
Phone: (610) 973-1700
Fax: (610) 973-1778
Type: Mailing
250 CETRONIA ROAD
SUITE 303
ALLENTOWN, PA 181049168
Phone: (610) 973-6200
Fax: (610) 973-6546
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $326.
Total Amount is formed as General ($326) + Research ($0) + Ownership ($0) = $326.
Last reported payment date: 2024-09-20 • Largest payer in this snapshot: Novus Surgical Consultants ($135).
Total Amount
$326
General + Research + Ownership
Payments
13
Total payment records
General Amount
$326
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novus Surgical Consultants | $135 |
| DePuy Synthes Sales Inc. | $54 |
| Bioventus LLC | $54 |
| Ferring Pharmaceuticals Inc. | $29 |
| ERMI Inc. | $28 |
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: 2006-09-13
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 |
|---|---|---|---|---|
| I20060913000501 | I | Physician Assistant | PA | 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 |
|---|---|---|---|---|
| 29823 | Removal of extensive shoulder joint tissue using an endoscope | 26 | 25 | $0 |
| 29826 | Shaving of part of shoulder bone and repair of ligament using an endoscope | 23 | 23 | $0 |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 23 | 22 | $0 |
Insurance plans in this area (ZIP 02284)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| Hand Surgery, Orthopedic Surgery | PA | |
| Orthopedic Surgery, Sports Medicine | MA | |
| - | PA | |
| Nurse Practitioner | PA | |
| - | MA | |
| Occupational Therapist In Private Practice | PA | |
| Orthopedic Surgery, Thoracic Surgery | PA | |
| Physician Assistant | PA | |
| Orthopedic Surgery | MA |
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