KAITLIN M SCHUPP (P.A.) – Medical Physician Assistant, NPI 1255616124

KAITLIN M SCHUPP (P.A.) is a healthcare provider. based in Gahanna, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 50.003369 (OH). The NPI Number for KAITLIN M SCHUPP (P.A.) is 1255616124

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
KAITLIN M SCHUPP (P.A.)
NPI
1255616124
Phone
(614) 473-9519
Address
925 N HAMILTON RD
Enumeration Date
11 October 2011
Last Update Date
26 August 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6144739519
Graduation Year
2011 (15 years ago)
PAC ID
5496922882
Group Practice PAC ID
2264439181
Professional Enrollment ID
I20120126000176
Address ID
OH432308709GA925XXRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for KAITLIN M SCHUPP (P.A.)

  • 925 N HAMILTON RD

    GAHANNA, OH 432308708

    Phone: (614) 473-9519

    Fax: (614) 473-9543

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 442 Open Payments records for all available years, with a total value of $6,617.

Total Amount is formed as General ($6,617) + Research ($0) + Ownership ($0) = $6,617.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($820).

Total Amount

$6,617

General + Research + Ownership

Payments

442

Total payment records

General Amount

$6,617

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2012-01-26

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
I20120126000176IPhysician AssistantOHTBD

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
17003Destruction of precancer skin growth, 2-14 growths24444$0
99213Established patient office or other outpatient visit, 20-29 minutes197159$0
17110Destruction of skin growth, 1-14 growths12781$0
99212Established patient office or other outpatient visit, 10-19 minutes9682$0
17000Destruction of precancer skin growth, 1 growth9172$0
View full utilization report →

Insurance plans in this area (ZIP 43230)

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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: 2264439181View full group profile
NameSpecialtyState
D E R M A T O L O G YOH
P A T H O L O G YOH
D E R M A T O L O G YOH
Physician AssistantOH
D E R M A T O L O G YOH

Reviews

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Frequently asked questions

What NPI should I save for KAITLIN M SCHUPP (P.A.)?
Save NPI 1255616124 if you need a stable reference for KAITLIN M SCHUPP (P.A.).
Does this profile mean KAITLIN M SCHUPP (P.A.) is currently active?
Yes — KAITLIN M SCHUPP (P.A.) appears active in the national provider directory.
Can you summarize KAITLIN M SCHUPP (P.A.)'s specialty in plain language?
Clinically, the directory lists KAITLIN M SCHUPP (P.A.) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for KAITLIN M SCHUPP (P.A.)?
We surface Gahanna, Ohio for KAITLIN M SCHUPP (P.A.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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