KELLY LONG (PA-C) – Physician Assistant, NPI 1740791623
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
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Provider Addresses for KELLY LONG (PA-C)
12692, Pioneer Trail Drive, North Royalton, Cuyahoga County, Ohio, 44133, United States
NORTH ROYALTON, OH 441333756
Phone: (440) 821-4241
Type: Mailing
University Hospitals Cleveland Medical Center, 11100, Euclid Avenue, University Circle, Cleveland, Cuyahoga County, Ohio, 44106, United States
CLEVELAND, OH 441061716
Phone: (216) 844-1000
Type: Location
11750 W 2ND PL STE 160
LAKEWOOD, CO 802281724
Phone: (303) 430-2700
Fax: (303) 430-2770
Type: Location
7951 E MAPLEWOOD AVE STE 350
GREENWOOD VILLAGE, CO 801114758
Phone: (303) 930-7803
Fax: (303) 930-5503
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 47 Open Payments records for all available years, with a total value of $1,094.
Total Amount is formed as General ($1,094) + Research ($0) + Ownership ($0) = $1,094.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Seagen Inc. ($120).
Total Amount
$1,094
General + Research + Ownership
Payments
47
Total payment records
General Amount
$1,094
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Seagen Inc. | $120 |
| Celgene Corporation | $88 |
| Daiichi Sankyo Inc. | $71 |
| Genentech USA, Inc. | $68 |
| AstraZeneca Pharmaceuticals LP | $62 |
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: 2021-04-19
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 |
|---|---|---|---|---|
| I20210419000979 | I | Physician Assistant | CO | 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 | 289 | 214 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 194 | 142 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 170 | 11 | $0 |
| J2469 | Injection, palonosetron hcl, 25 mcg | 130 | 12 | $0 |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 26 | 21 | $0 |
Insurance plans in this area (ZIP 44133)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CO | |
| H E M A T O L O G Y/ O N C O L O G Y | CO | |
| Radiation Oncology | CO | |
| Medical Oncology, Hematology/Oncology | CO | |
| - | CO | |
| Internal Medicine, Medical Oncology | CO | |
| Physician Assistant | CO | |
| Medical Oncology | MO | |
| - | CO | |
| Nurse Practitioner | CO |
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