KEGAN REILLY (PA-C) – Physician Assistant, NPI 1669876561
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,118 PHYSICIAN ASSISTANT in TN
Provider Addresses for KEGAN REILLY (PA-C)
599 OAK RIDGE TPKE
OAK RIDGE, TN 378307177
Phone: (865) 482-2129
Fax: (865) 482-4036
Type: Mailing
5005 N PIEDRAS ST
WBAMC
EL PASO, TX 799205001
Phone: (915) 569-4890
Type: Mailing
9430 PARK WEST BLVD STE 130
KNOXVILLE, TN 379234205
Phone: (865) 690-4861
Fax: (865) 560-8525
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 231 Open Payments records for all available years, with a total value of $4,157.
Total Amount is formed as General ($4,157) + Research ($0) + Ownership ($0) = $4,157.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($629).
Total Amount
$4,157
General + Research + Ownership
Payments
231
Total payment records
General Amount
$4,157
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2019-02-19
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 |
|---|---|---|---|---|
| I20190219000384 | I | Physician Assistant | TN | 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 | 1,600 | 320 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 868 | 750 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 457 | 427 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 384 | 353 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 222 | 186 | $0 |
Insurance plans in this area (ZIP 37830)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | TN | |
| Nurse Practitioner | TN | |
| D E R M A T O L O G Y | TN | |
| Physician Assistant | TN | |
| Physician Assistant | TN | |
| - | TN | |
| Micrographic Dermatologic Surgery (Mds) | TN | |
| Physician Assistant | TN | |
| - | TN | |
| Physician Assistant | TN |
Reviews
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