KELLY R RIDGE (PAC) – Surgical Physician Assistant, NPI 1992789739
Surgical 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 KELLY R RIDGE (PAC)
3, Washington Street, Stoughton, Norfolk County, Massachusetts, 02357, United States
STE 200
NORTH EASTON, MA 023561010
Phone: (508) 205-9630
Fax: (508) 796-2610
Type: Location
3 Washington St
STE 200
North Easton, MA 023561010
Phone: (508) 205-9630
Fax: (508) 796-2610
Type: Location
680 CENTRE ST
BROCKTON, MA 023023308
Phone: (508) 941-7000
Type: Location
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: 2008-06-13
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 |
|---|---|---|---|---|
| I20080613000543 | 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 | 649 | 297 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 454 | 277 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 218 | 190 | $0 |
| 73562 | X-ray of knee, 3 views | 113 | 108 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 99 | 89 | $0 |
Insurance plans in this area (ZIP 02356)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MA | 20610 | Aspiration and/or injection of large joint or joint capsule | 63 | 56 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | FL | |
| Internal Medicine | MA | |
| Family Practice | MN | |
| Family Practice | GA | |
| - | CA | |
| Pain Management | GA | |
| Internal Medicine | MA | |
| - | OH | |
| Internal Medicine | MA | |
| Orthopedic Surgery | FL |
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