KEVIN B O'DONNELL (PA-C) – Physician Assistant, NPI 1144385675
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for KEVIN B O'DONNELL (PA-C)
230, Worcester Street, Sheridan Estates, Wellesley, Norfolk County, Massachusetts, 02481, United States
WELLESLEY, MA 024815420
Phone: (761) 765-4711
Fax: (781) 431-5329
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)
CMS reports 9 Open Payments records for all available years, with a total value of $241.
Total Amount is formed as General ($241) + Research ($0) + Ownership ($0) = $241.
Last reported payment date: 2023-09-13 • Largest payer in this snapshot: Incyte Corporation ($107).
Total Amount
$241
General + Research + Ownership
Payments
9
Total payment records
General Amount
$241
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Incyte Corporation | $107 |
| Lilly USA, LLC | $69 |
| E.R. Squibb & Sons, L.L.C. | $66 |
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: 2010-09-29
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 |
|---|---|---|---|---|
| I20100929001211 | 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 |
|---|---|---|---|---|
| J1030 | Injection, methylprednisolone acetate, 40 mg | 383 | 115 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 224 | 149 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 224 | 44 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 118 | 101 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 82 | 82 | $0 |
Insurance plans in this area (ZIP 02481)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| Family Practice | MA | |
| D E R M A T O L O G Y | MA | |
| Emergency Medicine | MA | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | MA | |
| - | MA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MA | |
| - | MA | |
| Internal Medicine | MA | |
| O T O L A R Y N G O L O G Y | MA |
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