KELLY M. PITZER (PA) – Surgical Physician Assistant, NPI 1073945267
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
Provider Addresses for KELLY M. PITZER (PA)
3050 MACK RD
SUITE 200
FAIRFIELD, OH 450145379
Phone: (513) 924-8915
Fax: (513) 924-8929
Type: Mailing
6620 Clough Pike
Cincinnati, OH 452444053
Phone: (513) 232-2663
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $367.
Total Amount is formed as General ($367) + Research ($0) + Ownership ($0) = $367.
Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Medtronic, Inc. ($367).
Total Amount
$367
General + Research + Ownership
Payments
12
Total payment records
General Amount
$367
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $367 |
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: 2013-10-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (950 days ago).
Enrollment records
1
Earliest due date
2023-10-31
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 |
|---|---|---|---|---|
| I20131016002054 | I | Physician Assistant | OH | 2023-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 | 56 | 48 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 49 | 43 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 20 | 19 | $0 |
Insurance plans in this area (ZIP 45014)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | KY | |
| P O D I A T R Y | KY | |
| Physical Therapist In Private Practice | OH | |
| Orthopedic Surgery | OH | |
| Physician Assistant | KY | |
| P O D I A T R Y | OH | |
| Physical Therapist In Private Practice | KY | |
| Orthopedic Surgery | KY | |
| Physical Medicine And Rehabilitation | OH | |
| Pain Management, Anesthesiology, Interventional Pain Management | KY |
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