MR. KEVIN PAUL HUFFMAN (PAC) – Surgical Physician Assistant, NPI 1124122858

MR. KEVIN PAUL HUFFMAN (PAC) is a healthcare provider. based in Jefferson city, Missouri. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. PA03301 (TX). The NPI Number for MR. KEVIN PAUL HUFFMAN (PAC) is 1124122858

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
MR. KEVIN PAUL HUFFMAN (PAC)
NPI
1124122858
Phone
(573) 681-3759
Address
2505 MISSION DR
Enumeration Date
12 September 2006
Last Update Date
18 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2002 (24 years ago)
PAC ID
7315952553
Group Practice PAC ID
8921917352
Professional Enrollment ID
I20130313000426
Address ID
MO651099508JE2505XDRXX300

Contacts

Secure Messaging
khuffman97299@direct-ehr-ssmhc.com
FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

1,853 PHYSICIAN ASSISTANT in MO

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Provider Addresses for MR. KEVIN PAUL HUFFMAN (PAC)

  • St. Mary's Hospital, 2505, Mission Drive, Jefferson City, Cole County, Missouri, 65109, United States

    SUITE 200

    JEFFERSON CITY, MO 651099508

    Phone: (573) 681-3759

    Fax: (573) 681-3659

    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 $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2023-06-19 • Largest payer in this snapshot: Abbott Laboratories ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$20
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: 2013-03-13

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
I20130313000426IPhysician AssistantMOTBD

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
72100X-ray of lower and sacral spine, 2-3 views138122$0
22853Insertion of cage or mesh device to spine bone and disc space during spine fusion11881$0
22845Placement of stabilizing device to front, 2-3 spine bone segments6764$0
22558Fusion of lower spine bone through abdomen with partial removal of disc6360$0
22612Fusion of spine in lower back6361$0
View full utilization report →

Insurance plans in this area (ZIP 65109)

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Provider's Procedures

MR. KEVIN PAUL HUFFMAN (PAC) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTMO22842Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments1716

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: 8921917352View full group profile
NameSpecialtyState
-MO
Nurse PractitionerMO
Nurse PractitionerMO
Physician AssistantMO
-MO
Physician AssistantMO
Nurse PractitionerMO
P S Y C H I A T R YKS
Cardiovascular Disease (Cardiology), Internal MedicineAR
N E P H R O L O G YMO

Reviews

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Frequently asked questions

Is there an official ID for MR. KEVIN PAUL HUFFMAN (PAC) in U.S. healthcare records?
The official identifier for MR. KEVIN PAUL HUFFMAN (PAC) is NPI 1124122858.
Is there an active status for MR. KEVIN PAUL HUFFMAN (PAC)?
For scheduling context, MR. KEVIN PAUL HUFFMAN (PAC) is shown as active in the registry.
What expertise is attributed to MR. KEVIN PAUL HUFFMAN (PAC)?
MR. KEVIN PAUL HUFFMAN (PAC)'s specialty line reads Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MR. KEVIN PAUL HUFFMAN (PAC) associated with Jefferson City?
Public fields place MR. KEVIN PAUL HUFFMAN (PAC) around Jefferson City, Missouri. Always confirm the exact site before visiting.
Can I trust this NPI listing for MR. KEVIN PAUL HUFFMAN (PAC)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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