KELLY FARRELL – Physician Assistant, NPI 1285602722
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
9,691 PHYSICIAN ASSISTANT in PA
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Provider Addresses for KELLY FARRELL
1201 GRAMPIAN BLVD
SUITE 3002
WILLIAMSPORT, PA 177011900
Phone:
Type: Mailing
Lewisburg, Greenbrier County, West Virginia, 24901, United States
SUITE 306
LEWISBURG, PA 178379350
Phone: (570) 522-4110
Fax: (570) 768-3911
Type: Mailing
740 HIGH ST STE 3002
SUITE 3002
WILLIAMSPORT, PA 177013102
Phone: (570) 321-2820
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $65.
Total Amount is formed as General ($65) + Research ($0) + Ownership ($0) = $65.
Last reported payment date: 2023-11-07 • Largest payer in this snapshot: LifeNet Health ($65).
Total Amount
$65
General + Research + Ownership
Payments
1
Total payment records
General Amount
$65
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| LifeNet Health | $65 |
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: 2004-01-06
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 |
|---|---|---|---|---|
| I20040106000202 | I | Physician Assistant | PA | 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 |
|---|---|---|---|---|
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 78 | 38 | $0 |
| 22614 | Fusion of additional segment of spine | 50 | 24 | $0 |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment | 36 | 20 | $0 |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 26 | 26 | $0 |
| 22842 | Placement of stabilizing device to back, 3-6 spine bone segments | 25 | 25 | $0 |
Insurance plans in this area (ZIP 17701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery, Critical Care (Intensivists) | PA | |
| - | PA | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| - | ME | |
| Pulmonary Disease, Critical Care (Intensivists) | PA | |
| - | PA | |
| Vascular Surgery | NY | |
| Cardiovascular Disease (Cardiology) | NM | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| Emergency Medicine | PA |
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