KEVIN KALISZEWSKI (PA-C) – Physician Assistant, NPI 1760470488
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for KEVIN KALISZEWSKI (PA-C)
PO BOX 779
TAWAS CITY, MI 487640779
Phone: (989) 362-9411
Fax: (989) 362-9925
Type: Mailing
Beech Street, Tawas City, Iosco County, Michigan, 48763, United States
SUITE B
TAWAS CITY, MI 487638314
Phone: (989) 362-1015
Fax: (989) 362-9862
Type: Location
110 BEECH ST STE B
TAWAS CITY, MI 487638314
Phone: (989) 362-9859
Fax: (989) 362-9862
Type: Mailing
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: 2010-06-11
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 |
|---|---|---|---|---|
| I20100611000615 | 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 |
|---|---|---|---|---|
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 306 | 102 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 169 | 112 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 89 | 69 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 72 | 59 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 65 | 65 | $0 |
Insurance plans in this area (ZIP 48764)
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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 | 180 | 122 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| O T O L A R Y N G O L O G Y | MI | |
| Internal Medicine | MI | |
| - | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Nurse Practitioner | MI | |
| Medical Oncology | IA | |
| Physician Assistant | MI | |
| General Surgery | AZ | |
| - | MI |
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