MR. KANE MATTHEW DEEM (PA-C) – Medical Physician Assistant, NPI 1629058805

MR. KANE MATTHEW DEEM (PA-C) is a healthcare provider. based in Carson city, Nevada. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for MR. KANE MATTHEW DEEM (PA-C) is 1629058805

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
MR. KANE MATTHEW DEEM (PA-C)
NPI
1629058805
Phone
(775) 883-3336
Address
1460 SOUTH CURRY STREET
Enumeration Date
23 January 2006
Last Update Date
29 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2004 (22 years ago)
PAC ID
7315047891
Group Practice PAC ID
1759284862
Professional Enrollment ID
I20130502000413
Address ID
NV897034625Ca1600XPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

1,223 PHYSICIAN ASSISTANT in NV

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Provider Addresses for MR. KANE MATTHEW DEEM (PA-C)

  • 1460, South Curry Street, Carson City, Nevada, 89703, United States

    SUITE 100

    CARSON CITY, NV 89703

    Phone: (775) 883-3336

    Fax: (775) 883-0877

    Type: Mailing

  • Grant Avenue, Gardnerville, Douglas County, Nevada, 89410, United States

    GARDNERVILLE, NV 894107824

    Phone: (775) 445-7220

    Type: Location

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: 2013-05-02

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
I20130502000413IPhysician AssistantNVTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes9593$0
99212Established patient office or other outpatient visit, 10-19 minutes4948$0
99214Established patient office or other outpatient visit, 30-39 minutes2525$0
99203New patient office or other outpatient visit, 30-44 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 89703)

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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: 1759284862View full group profile
NameSpecialtyState
Nurse PractitionerNV
Physician AssistantCA
Pain ManagementNV
Nurse PractitionerNV
Nurse PractitionerNV
Nurse PractitionerNV
Nurse PractitionerNV
Nurse PractitionerNV
Physician AssistantNV
-NV

Reviews

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Frequently asked questions

What is the registry number for MR. KANE MATTHEW DEEM (PA-C)?
The registry entry for MR. KANE MATTHEW DEEM (PA-C) shows NPI 1629058805.
Is MR. KANE MATTHEW DEEM (PA-C)'s NPI status active today?
Active status means MR. KANE MATTHEW DEEM (PA-C)'s NPI record is not deactivated in the public file.
What services align with MR. KANE MATTHEW DEEM (PA-C)'s listing?
MR. KANE MATTHEW DEEM (PA-C)'s public classification highlights Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit MR. KANE MATTHEW DEEM (PA-C) in Carson City, Nevada?
For routing, start with Carson City, Nevada for MR. KANE MATTHEW DEEM (PA-C), then verify phone and hours locally.
Who maintains MR. KANE MATTHEW DEEM (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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