KATHRYN CHARLICK (PA-C) – Physician Assistant, NPI 1144891177
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
Provider Addresses for KATHRYN CHARLICK (PA-C)
2590 SIGNATURE CIR
PINCKNEY, MI 481698163
Phone:
Type: Mailing
6200 N HAGGERTY RD
CANTON, MI 481873605
Phone: (734) 526-8860
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 136 Open Payments records for all available years, with a total value of $3,960.
Total Amount is formed as General ($3,960) + Research ($0) + Ownership ($0) = $3,960.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Boston Scientific Corporation ($1,687).
Total Amount
$3,960
General + Research + Ownership
Payments
136
Total payment records
General Amount
$3,960
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $1,687 |
| ABBVIE INC. | $761 |
| Collegium Pharmaceutical, Inc. | $411 |
| Nalu Medical, Inc. | $215 |
| SCILEX PHARMACEUTICALS INC. | $87 |
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: 2021-10-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211007001227 | I | Physician Assistant | MI | 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 | 102 | 59 | $0 |
| 80305 | Testing for presence of drug, read by direct observation | 19 | 17 | $0 |
Insurance plans in this area (ZIP 48169)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Anesthesiology, Interventional Pain Management | MI | |
| Physician Assistant | MI |
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