BRIAN K KEPHART (PHYSICIAN ASSISTANT) – Physician Assistant, NPI 1093709099

BRIAN K KEPHART (PHYSICIAN ASSISTANT) is a healthcare provider. based in Boston, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PHYSICIAN ASSISTANT. They hold a License No. MA051154 (PA). The NPI Number for BRIAN K KEPHART (PHYSICIAN ASSISTANT) is 1093709099

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN K KEPHART (PHYSICIAN ASSISTANT)
NPI
1093709099
Phone
(610) 973-1700
Address
PO BOX 848269
Enumeration Date
6 September 2005
Last Update Date
31 July 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6109736200
Graduation Year
2002 (24 years ago)
PAC ID
0042214645
Group Practice PAC ID
7214841170
Professional Enrollment ID
I20060913000501
Address ID
PA181049168AL250XXRDXX306
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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

View all Open Payments →|Open Payments Risk Radar →

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060913000501IPhysician AssistantPATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
29823Removal of extensive shoulder joint tissue using an endoscope2625$0
29826Shaving of part of shoulder bone and repair of ligament using an endoscope2323$0
29827Repair of shoulder rotator cuff using an endoscope2322$0
View full utilization report →

Insurance plans in this area (ZIP 02284)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214841170View full group profile
NameSpecialtyState
-PA
Hand Surgery, Orthopedic SurgeryPA
Orthopedic Surgery, Sports MedicineMA
-PA
Nurse PractitionerPA
-MA
Occupational Therapist In Private PracticePA
Orthopedic Surgery, Thoracic SurgeryPA
Physician AssistantPA
Orthopedic SurgeryMA

Reviews

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Frequently asked questions

What unique ID ties claims to BRIAN K KEPHART (PHYSICIAN ASSISTANT)?
NPI 1093709099 is assigned to BRIAN K KEPHART (PHYSICIAN ASSISTANT) under the national enumeration system.
Does this profile mean BRIAN K KEPHART (PHYSICIAN ASSISTANT) is currently active?
Yes — BRIAN K KEPHART (PHYSICIAN ASSISTANT) appears active in the national provider directory.
Does BRIAN K KEPHART (PHYSICIAN ASSISTANT) list a primary specialty?
If you are matching referrals, note Physician Assistant for BRIAN K KEPHART (PHYSICIAN ASSISTANT). Clinical services aligned with this taxonomy classification.
Where does public data place BRIAN K KEPHART (PHYSICIAN ASSISTANT)?
The snapshot lists Boston, Massachusetts for BRIAN K KEPHART (PHYSICIAN ASSISTANT); download NPPES for the complete set.
What if Boston, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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