KELLY L CAMPBELL (PA) – Surgical Physician Assistant, NPI 1386605913
Surgical Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
Provider Addresses for KELLY L CAMPBELL (PA)
3640 NW Samaritan Dr Ste 120
Corvallis, OR 973303738
Phone: (541) 768-5223
Type: Location
8230 WALNUT HILL LN STE 208
DALLAS, TX 752314409
Phone: (214) 692-6135
Type: Location
10140, Estate Lane, Lake Highlands, Dallas, Dallas County, Texas, 75231:75238, United States
DALLAS, TX 752382135
Phone: (972) 672-8468
Fax: (214) 221-0614
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $594.
Total Amount is formed as General ($594) + Research ($0) + Ownership ($0) = $594.
Last reported payment date: 2024-11-27 • Largest payer in this snapshot: ABIOMED ($225).
Total Amount
$594
General + Research + Ownership
Payments
16
Total payment records
General Amount
$594
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABIOMED | $225 |
| Getinge USA Sales, LLC | $119 |
| ATRICURE, INC. | $101 |
| Edwards Lifesciences Corporation | $70 |
| Pylant Medical | $26 |
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: 2025-06-25
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 |
|---|---|---|---|---|
| I20050225000023 | I | Physician Assistant | TX | TBD |
| I20250625000775 | I | Physician Assistant | OR | 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 |
|---|---|---|---|---|
| 33508 | Harvest of vein using an endoscope | 20 | 20 | $0 |
| 33533 | Coronary artery bypass using artery graft, 1 graft | 16 | 16 | $0 |
| 33518 | Coronary artery bypass using vein or artery graft, 2 grafts | 12 | 12 | $0 |
Insurance plans in this area (ZIP 97330)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | TX | 33405 | Replacement of left lower heart chamber valve using artificial valve on heart-lung machine | 20 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | TX | |
| Vascular Surgery | PA | |
| Internal Medicine | TX | |
| - | TX | |
| - | TX | |
| N E U R O S U R G E R Y | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| Cardiovascular Disease (Cardiology), Internal Medicine | TX |
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