KALY R MACCONNELL (PA-C) – Medical Physician Assistant, NPI 1295045474
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,691 PHYSICIAN ASSISTANT in PA
Provider Addresses for KALY R MACCONNELL (PA-C)
1259 S CEDAR CREST BLVD STE 100
ALLENTOWN, PA 181036373
Phone: (610) 437-4134
Fax: (610) 433-9690
Type: Mailing
130 S Bryn Mawr Ave Ste H321
Bryn Mawr, PA 19010
Phone: (484) 337-4097
Fax: (484) 337-4082
Type: Location
385 Oxford Valley Rd Ste 420
Yardley, PA 190677723
Phone: (215) 321-3500
Type: Location
5458 RIDGE AVE
PHILADELPHIA, PA 191283732
Phone: (215) 487-1887
Fax: (215) 487-1818
Type: Mailing
130 S BRYN MAWR AVE STE H321
BRYN MAWR, PA 19010
Phone: (484) 337-4097
Fax: (484) 337-4082
Type: Location
1709 N BROAD ST
LANSDALE, PA 194461115
Phone: (215) 362-5555
Fax: (215) 362-6353
Type: Mailing
1259 S Cedar Crest Blvd Ste 100
Allentown, PA 181036373
Phone: (610) 437-4134
Fax: (610) 433-9690
Type: Location
5458 Ridge Ave
Philadelphia, PA 191283732
Phone: (215) 487-1887
Fax: (215) 487-1818
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 42 Open Payments records for all available years, with a total value of $1,054.
Total Amount is formed as General ($1,054) + Research ($0) + Ownership ($0) = $1,054.
Last reported payment date: 2024-08-19 • Largest payer in this snapshot: Janssen Biotech, Inc. ($455).
Total Amount
$1,054
General + Research + Ownership
Payments
42
Total payment records
General Amount
$1,054
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $455 |
| ABBVIE INC. | $257 |
| Amgen Inc. | $174 |
| GENZYME CORPORATION | $109 |
| Incyte Corporation | $27 |
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: 2018-07-12
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 |
|---|---|---|---|---|
| I20180712001113 | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 334 | 67 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 136 | 126 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 115 | 98 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 105 | 97 | $0 |
| 11103 | Biopsy of related skin growth, each additional growth | 74 | 49 | $0 |
Insurance plans in this area (ZIP 18103)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | PA | |
| D E R M A T O L O G Y | PA | |
| D E R M A T O L O G Y | PA | |
| D E R M A T O L O G Y | MI | |
| Nurse Practitioner | PA | |
| - | PA | |
| Physician Assistant | FL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | PA | |
| D E R M A T O L O G Y | PA | |
| D E R M A T O L O G Y | PA |
Reviews
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