KAITLIN ELIZABETH FLAHERTY (PA-C) – Physician Assistant, NPI 1083231252

KAITLIN ELIZABETH FLAHERTY (PA-C) is a healthcare provider. based in Southfield, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601010335 (MI). The NPI Number for KAITLIN ELIZABETH FLAHERTY (PA-C) is 1083231252

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
KAITLIN ELIZABETH FLAHERTY (PA-C)
NPI
1083231252
Phone
(248) 217-7276
Address
30130 NORTHGATE LN
Enumeration Date
2 July 2020
Last Update Date
6 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2483778000
Graduation Year
2019 (7 years ago)
PAC ID
7911316732
Group Practice PAC ID
1355387564
Professional Enrollment ID
I20210507001180
Address ID
MI483262776AU3100XPKWY402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for KAITLIN ELIZABETH FLAHERTY (PA-C)

  • 30130 NORTHGATE LN

    SOUTHFIELD, MI 480761063

    Phone: (248) 217-7276

    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 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Sonex Health, Inc. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Sonex Health, Inc.$19
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: 2021-05-07

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
I20210507001180IPhysician 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
J7329Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg1,62820$0
20610Aspiration and/or injection of fluid from large joint10742$0
99203New patient office or other outpatient visit, 30-44 minutes5757$0
J7323Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose3512$0
99213Established patient office or other outpatient visit, 20-29 minutes2623$0
View full utilization report →

Insurance plans in this area (ZIP 48076)

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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: 1355387564View full group profile
NameSpecialtyState
Physician AssistantMI
Orthopedic SurgeryMI
Physical Therapist In Private PracticeMI
Physician AssistantMI
Orthopedic SurgeryMI
-MI
Orthopedic Surgery, Sports Medicine, Orthopedic SurgeryMI
Physical Therapist In Private PracticeIL
Orthopedic SurgeryMI
Occupational Therapist In Private PracticeMI

Reviews

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Frequently asked questions

Does KAITLIN ELIZABETH FLAHERTY (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KAITLIN ELIZABETH FLAHERTY (PA-C) uses 1083231252.
Does the file indicate KAITLIN ELIZABETH FLAHERTY (PA-C) is practicing under active NPI?
Directory data currently reports KAITLIN ELIZABETH FLAHERTY (PA-C) as active.
What taxonomy line describes KAITLIN ELIZABETH FLAHERTY (PA-C)?
For research purposes, treat KAITLIN ELIZABETH FLAHERTY (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where is KAITLIN ELIZABETH FLAHERTY (PA-C) based?
KAITLIN ELIZABETH FLAHERTY (PA-C) is tied to Southfield, Michigan in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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