KELLAN KALBAUGH (PA-C) – Medical Physician Assistant, NPI 1194343731
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,223 PHYSICIAN ASSISTANT in NV
Provider Addresses for KELLAN KALBAUGH (PA-C)
18600 WEDGE PKWY
RENO, NV 895113036
Phone: (530) 414-0520
Type: Mailing
310 S Halcyon Rd Ste 105
Arroyo Grande, CA 934203839
Phone: (805) 782-8844
Fax: (805) 782-8859
Type: Location
1941 Johnson Ave Ste 102
San Luis Obispo, CA 934014174
Phone: (805) 782-8844
Fax: (805) 782-8859
Type: Location
1941 JOHNSON AVE STE 101
SAN LUIS OBISPO, CA 934014154
Phone: (805) 782-8844
Fax: (805) 782-8859
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $39.
Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.
Last reported payment date: 2024-09-20 • Largest payer in this snapshot: Orthofix Medical, Inc. ($20).
Total Amount
$39
General + Research + Ownership
Payments
2
Total payment records
General Amount
$39
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Orthofix Medical, Inc. | $20 |
| Cerapedics Inc. | $19 |
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: 2023-01-30
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 |
|---|---|---|---|---|
| I20230130000518 | I | Physician Assistant | NV | 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 | 314 | 209 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 114 | 62 | $0 |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 109 | 109 | $0 |
| 72148 | Mri scan of lower spinal canal without contrast | 93 | 93 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 84 | 20 | $0 |
Insurance plans in this area (ZIP 89511)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | NV | |
| Physician Assistant | NV | |
| Physical Therapist In Private Practice | CA | |
| Physical Therapist In Private Practice | NV | |
| Nurse Practitioner | PA | |
| Physician Assistant | NV | |
| Physician Assistant | NV | |
| - | NV | |
| - | NV | |
| Pain Management | WA |
Reviews
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