KEVIN MULLEN (PA-C) – Physician Assistant, NPI 1093773665
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,091 PHYSICIAN ASSISTANT in MA
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Provider Addresses for KEVIN MULLEN (PA-C)
Landry's Bicycles, 1210, Boston-Providence Turnpike, Norwood, Norfolk County, Massachusetts, 02062, United States
NORWOOD, MA 020625061
Phone: (781) 255-0500
Fax: (781) 255-0400
Mailing address matches the actual address.
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: 2006-04-26
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 |
|---|---|---|---|---|
| I20060426000267 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 815 | 671 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 181 | 171 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 166 | 166 | $0 |
| 81002 | Urinalysis, manual test | 145 | 139 | $0 |
| 71046 | X-ray of chest, 2 views | 130 | 118 | $0 |
Insurance plans in this area (ZIP 02062)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MA | |
| Physician Assistant | MA | |
| Physician Assistant | MA | |
| Physician Assistant | MA | |
| Physician Assistant | PA | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | RI | |
| Physician Assistant | MA | |
| Physician Assistant | MA | |
| Physician Assistant | MA |
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