SIARA NICOLE KOLPON (PHYSICIAN ASSITANT) – Physician Assistant, NPI 1730669243
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,576 PHYSICIAN ASSISTANT in NJ
Provider Addresses for SIARA NICOLE KOLPON (PHYSICIAN ASSITANT)
59 Main St Ste 201
West Orange, NJ 070525333
Phone: (973) 447-3525
Type: Location
51 E 25th St Fl 6
New York, NY 100108207
Phone: (212) 433-2662
Fax: (201) 500-9451
Type: Location
196 PATERSON AVE STE 302
EAST RUTHERFORD, NJ 070731841
Phone: (201) 500-9450
Fax: (201) 500-9451
Type: Location
741, Teaneck Road, Teaneck Township, Bergen County, New Jersey, 07666, United States
TEANECK, NJ 076664243
Phone: (201) 833-2888
Type: Location
630, Broad Street, Carlstadt, Bergen County, New Jersey, 07072, United States
STE 300
CARLSTADT, NJ 070721169
Phone: (201) 500-9450
Fax: (201) 500-9451
Type: Mailing
630 BROAD ST STE 3-300
CARLSTADT, NJ 070721169
Phone: (201) 500-9450
Fax: (201) 500-9451
Type: Location
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 $50.
Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.
Last reported payment date: 2023-08-09 • Largest payer in this snapshot: SeaPearl East, Inc ($50).
Total Amount
$50
General + Research + Ownership
Payments
2
Total payment records
General Amount
$50
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SeaPearl East, Inc | $50 |
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: 2020-01-15
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 |
|---|---|---|---|---|
| I20200115002765 | 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 | 79 | 37 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 35 | 11 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 20 | 15 | $0 |
Insurance plans in this area (ZIP 07052)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | NJ |
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