MISS KATHLEEN A GREENFIELD (PA-C) – Physician Assistant, NPI 1609901594
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
9,232 PHYSICIAN ASSISTANT in FL
Provider Addresses for MISS KATHLEEN A GREENFIELD (PA-C)
367 S. GULPH RD
ATT IPM CREDENTIALING
KING OF PRUSSIA, PA 194063121
Phone: (775) 356-9393
Fax: (775) 356-5590
Type: Mailing
943 S BENEVA RD STE 306
SARASOTA, FL 342322499
Phone: (941) 955-1108
Fax: (941) 954-4440
Type: Mailing
11505 RANGELAND PKWY
BRADENTON, FL 342114041
Phone: (941) 907-6016
Fax: (941) 729-5267
Type: Location
606 4TH AVE W
PALMETTO, FL 342215226
Phone: (941) 722-7785
Fax: (941) 729-5267
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 $23.
Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.
Last reported payment date: 2023-02-07 • Largest payer in this snapshot: Novo Nordisk Inc ($23).
Total Amount
$23
General + Research + Ownership
Payments
1
Total payment records
General Amount
$23
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-02-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $23 |
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: 2011-10-31
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 |
|---|---|---|---|---|
| I20111031000329 | I | Physician Assistant | FL | 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 | 17 | 17 | $0 |
Insurance plans in this area (ZIP 19406)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | FL | 83036 | Hemoglobin A1C level | 15 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Radiology, Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL | |
| Cardiovascular Disease (Cardiology) | FL | |
| - | FL | |
| - | FL | |
| N E U R O L O G Y | FL | |
| Internal Medicine, Hematology/Oncology | FL | |
| Internal Medicine | FL | |
| - | FL | |
| - | FL |
Reviews
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