VICTORIA KACZYNSKI (PA-C) – Physician Assistant, NPI 1760041610
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
773 PHYSICIAN ASSISTANT in RI
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Provider Addresses for VICTORIA KACZYNSKI (PA-C)
65, Village Square Drive, South Kingstown, South County, Rhode Island, 02879, United States
SOUTH KINGSTOWN, RI 028792292
Phone: (401) 738-4323
Type: Location
65 Village Square Dr
South Kingstown, RI 028792292
Phone: (401) 738-4323
Type: Location
3461 S COUNTY TRL STE 202
EAST GREENWICH, RI 028181463
Phone: (337) 640-1471
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 106 Open Payments records for all available years, with a total value of $1,300.
Total Amount is formed as General ($1,300) + Research ($0) + Ownership ($0) = $1,300.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Janssen Biotech, Inc. ($582).
Total Amount
$1,300
General + Research + Ownership
Payments
106
Total payment records
General Amount
$1,300
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $582 |
| ABBVIE INC. | $134 |
| Incyte Corporation | $122 |
| PFIZER INC. | $110 |
| E.R. Squibb & Sons, L.L.C. | $101 |
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: 2019-10-01
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 |
|---|---|---|---|---|
| I20191001003240 | I | Physician Assistant | RI | 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 | 656 | 124 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 277 | 252 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 185 | 166 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 158 | 145 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 133 | 105 | $0 |
Insurance plans in this area (ZIP 02879)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | RI | |
| Physician Assistant | NC | |
| Physician Assistant | RI | |
| Physician Assistant | RI | |
| P A T H O L O G Y | MA | |
| D E R M A T O L O G Y | MA | |
| P A T H O L O G Y | MA | |
| D E R M A T O L O G Y | RI | |
| Physician Assistant | RI | |
| Nurse Practitioner | RI |
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