MR. KEVIN SHAILESH AVICHAL (PA-C) – Medical Physician Assistant, NPI 1174040539
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,578 PHYSICIAN ASSISTANT in NJ
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Provider Addresses for MR. KEVIN SHAILESH AVICHAL (PA-C)
526, Broadway, Port Johnson, Bayonne, Hudson County, New Jersey, 07002, United States
BAYONNE, NJ 070023734
Phone: (201) 437-9700
Type: Location
2317 CENTER ISLAND
ROUTE 22
UNION, NJ 07083
Phone: (201) 354-1951
Fax: (201) 354-1952
Type: Location
1244, Plane Street, Union, Union County, New Jersey, 07083, United States
UNION, NJ 070833820
Phone: (908) 265-7873
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $137.
Total Amount is formed as General ($137) + Research ($0) + Ownership ($0) = $137.
Last reported payment date: 2024-08-27 • Largest payer in this snapshot: Abbott Laboratories ($106).
Total Amount
$137
General + Research + Ownership
Payments
6
Total payment records
General Amount
$137
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $106 |
| Stryker Corporation | $31 |
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: 2020-03-20
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 |
|---|---|---|---|---|
| I20200320000935 | I | Physician Assistant | NJ | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 65 | 60 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 42 | 14 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 35 | 33 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 33 | 27 | $0 |
| 27447 | Replacement of knee joint, both sides of knee | 18 | 16 | $0 |
Insurance plans in this area (ZIP 07002)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | NJ | |
| Radiation Oncology | NY | |
| - | NJ | |
| - | NJ | |
| Physical Therapist In Private Practice | NJ | |
| - | NJ | |
| - | NJ | |
| G A S T R O E N T E R O L O G Y | NJ | |
| - | NJ | |
| - | NJ |
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