DR. DEREK DAVID KESTILA (DO) – Family Medicine Physician, NPI 1154761252
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,100 FAMILY PRACTICE in PA
Provider Addresses for DR. DEREK DAVID KESTILA (DO)
2200 MEMORIAL DR
FARRELL, PA 161211357
Phone: (724) 983-7507
Fax: (724) 983-8930
Type: Mailing
1301 Creel Street
Conway, SC 295275018
Phone: (843) 248-4414
Fax: (843) 248-3781
Type: Location
300 SINGLETON RIDGE ROAD
ATTENTION PNS CREDENTIALING
CONWAY, SC 295269142
Phone: (843) 234-6946
Type: Mailing
6010 HIGHWAY 707
STE 100
MYRTLE BEACH, SC 295887321
Phone: (843) 234-8939
Fax: (843) 234-8959
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $142.
Total Amount is formed as General ($142) + Research ($0) + Ownership ($0) = $142.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: ABBVIE INC. ($54).
Total Amount
$142
General + Research + Ownership
Payments
8
Total payment records
General Amount
$142
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2021-06-14
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 |
|---|---|---|---|---|
| I20160810001427 | I | Family Practice | WI | TBD |
| I20210614000572 | I | Family Practice | SC | 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 | 415 | 304 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 210 | 177 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 25 | 25 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 22 | 22 | $0 |
| 99496 | Transitional care management services for problem of high complexity | 19 | 18 | $0 |
Insurance plans in this area (ZIP 16121)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | PA | 83036 | Hemoglobin A1C level | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | PA | |
| Ophthalmology, Neurology | SC | |
| - | SC | |
| Internal Medicine, Hematology/Oncology | SC | |
| Family Practice | SC | |
| Orthopedic Surgery | PA | |
| Family Practice | SC | |
| Family Practice | SC | |
| Orthopedic Surgery | SC | |
| Nurse Practitioner | SC |
Reviews
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