KATLYN SACCO – Physician Assistant, NPI 1053918748

KATLYN SACCO is a healthcare provider. based in Saint joseph, Michigan. specializing in PHYSICIAN ASSISTANT. They hold a License No. 5601010077 (MI). The NPI Number for KATLYN SACCO is 1053918748

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
KATLYN SACCO
NPI
1053918748
Phone
(269) 985-4632
Address
1234 NAPIER AVE
Enumeration Date
6 October 2020
Last Update Date
9 November 2022

Doctor Profile

Medical School Name
WESTERN MICHIGAN UN HOMER STRYKER SCHOOL OF MED
Secondary Phone
-
Graduation Year
2020 (6 years ago)
PAC ID
0143631580
Group Practice PAC ID
1658427042
Professional Enrollment ID
I20201116002656
Address ID
MI490859151SA3950XRDXX300

Contacts

Other Endpoint
EPIC
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for KATLYN SACCO

  • 1234 NAPIER AVE

    SAINT JOSEPH, MI 490852112

    Phone: (269) 985-4632

    Fax: (269) 985-4535

    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 6 Open Payments records for all available years, with a total value of $114.

Total Amount is formed as General ($114) + Research ($0) + Ownership ($0) = $114.

Last reported payment date: 2023-06-23 • Largest payer in this snapshot: BioXcel Therapeutics, Inc. ($85).

Total Amount

$114

General + Research + Ownership

Payments

6

Total payment records

General Amount

$114

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-23

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: 2020-11-16

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
I20201116002656IPhysician AssistantMITBD

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
99285Emergency department visit with high level of medical decision making7764$0
99284Emergency department visit with moderate level of medical decision making4544$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only3525$0
99283Emergency department visit with low level of medical decision making1313$0
View full utilization report →

Insurance plans in this area (ZIP 49085)

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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: 1658427042View full group profile
NameSpecialtyState
-MI
Nurse PractitionerMI
Nurse PractitionerMI
-MI
-MI
Physician AssistantMI
-MI
Physician AssistantMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

How is KATLYN SACCO identified in CMS data?
CMS-hosted NPPES data lists KATLYN SACCO with NPI 1053918748.
Does CMS list KATLYN SACCO as active?
Yes — KATLYN SACCO is active in the NPI listing used on this page.
What is KATLYN SACCO's primary classification?
Physician Assistant is the headline specialty for KATLYN SACCO here. Clinical services aligned with this taxonomy classification.
Does KATLYN SACCO list a practice location?
Patients near Saint Joseph, Michigan may find KATLYN SACCO in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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