KELLIE LEA MUMFORD (PA-C) – Physician Assistant, NPI 1346496759
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
6,066 PHYSICIAN ASSISTANT in MI
Provider Addresses for KELLIE LEA MUMFORD (PA-C)
2147 PROFESSIONAL DR
GAYLORD, MI 497350003
Phone: (989) 732-1753
Fax: (989) 731-1425
Type: Location
829, North Center Avenue, Gaylord, Otsego County, Michigan, 49735, United States
SUITE 298
GAYLORD, MI 497351595
Phone: (989) 731-7708
Fax: (989) 731-7929
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $80.
Total Amount is formed as General ($80) + Research ($0) + Ownership ($0) = $80.
Last reported payment date: 2023-09-19 • Largest payer in this snapshot: ABBVIE INC. ($46).
Total Amount
$80
General + Research + Ownership
Payments
4
Total payment records
General Amount
$80
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $46 |
| Exact Sciences Corporation | $17 |
| Lilly USA, LLC | $17 |
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: 2008-10-08
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 |
|---|---|---|---|---|
| I20081008000486 | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 400 | 65 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 181 | 148 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 177 | 177 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 93 | 82 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 84 | 63 | $0 |
Insurance plans in this area (ZIP 49735)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MI | 20610 | Aspiration and/or injection of large joint or joint capsule | 45 | 33 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | MI | |
| Physician Assistant | MI | |
| Orthopedic Surgery | MI | |
| Physician Assistant | IA | |
| Orthopedic Surgery | MI | |
| Orthopedic Surgery | MI | |
| Orthopedic Surgery | MI | |
| - | MI | |
| Orthopedic Surgery | WV | |
| Nurse Practitioner | UT |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.