KATELYN JANE GENTRY (PA-C) – Physician Assistant, NPI 1619590338
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
Provider Addresses for KATELYN JANE GENTRY (PA-C)
2755 UNION AVE NE
MINERVA, OH 446579126
Phone: (574) 249-0150
Type: Mailing
2021 WALES AVE NW
MASSILLON, OH 446462393
Phone: (330) 834-3149
Type: Location
553 GLENWOOD DR
VALPARAISO, IN 463858822
Phone: (574) 249-0150
Type: Mailing
1701 S CREASY LN
LAFAYETTE, IN 479054972
Phone: (765) 502-4000
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 $42.
Total Amount is formed as General ($42) + Research ($0) + Ownership ($0) = $42.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: CSL Behring ($24).
Total Amount
$42
General + Research + Ownership
Payments
2
Total payment records
General Amount
$42
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CSL Behring | $24 |
| Medtronic, Inc. | $18 |
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: 2021-07-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20200921000407 | I | Physician Assistant | IN | TBD |
| I20210728004149 | I | Physician Assistant | OH | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 102 | 101 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 82 | 81 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 59 | 57 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 13 | 13 | $0 |
Insurance plans in this area (ZIP 44657)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | NC | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | PA | |
| - | NC | |
| Diagnostic Radiology | CO | |
| Diagnostic Radiology | MN | |
| Interventional Radiology, Diagnostic Radiology | OH | |
| Diagnostic Radiology, Cardiac Surgery, Hematology, Interventional Radiology | VA | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | IL |
Reviews
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