KELLY S. MICKULIK (PA-C) – Physician Assistant, NPI 1386643880
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,691 PHYSICIAN ASSISTANT in PA
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Provider Addresses for KELLY S. MICKULIK (PA-C)
Penn Avenue, Reading, Berks County, Pennsylvania, 19610, United States
READING, PA 196091436
Phone: (610) 750-7891
Fax: (610) 750-7894
Type: Mailing
2210 Ridgewood Rd
Ste 100
Wyomissing, PA 196101167
Phone: (610) 372-0502
Fax: (610) 372-9554
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 295 Open Payments records for all available years, with a total value of $6,673.
Total Amount is formed as General ($6,673) + Research ($0) + Ownership ($0) = $6,673.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($1,251).
Total Amount
$6,673
General + Research + Ownership
Payments
295
Total payment records
General Amount
$6,673
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,251 |
| Regeneron Healthcare Solutions, Inc. | $869 |
| E.R. Squibb & Sons, L.L.C. | $605 |
| Novartis Pharmaceuticals Corporation | $522 |
| Janssen Biotech, Inc. | $292 |
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: 2005-10-24
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 |
|---|---|---|---|---|
| I20051024000058 | 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 | 273 | 68 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 194 | 179 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 110 | 105 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 86 | 86 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 86 | 84 | $0 |
Insurance plans in this area (ZIP 19609)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | PA | |
| Physician Assistant | PA | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | PA | |
| Dermatology, Family Practice | PA | |
| Plastic And Reconstructive Surgery, Hand Surgery | PA |
Reviews
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