KELSEY LYNN SADLER (PA-C) – Surgical Physician Assistant, NPI 1053040568
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
Provider Addresses for KELSEY LYNN SADLER (PA-C)
3014 N O CONNOR RD STE 200
IRVING, TX 750624423
Phone:
Type: Mailing
4700 SETON CENTER PKWY STE 115
AUSTIN, TX 787595753
Phone: (346) 440-0645
Type: Mailing
963 STATE HIGHWAY 121 STE 1150
ALLEN, TX 750136034
Phone: (469) 322-1400
Fax: (469) 322-1401
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $31.
Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.
Last reported payment date: 2024-08-26 • Largest payer in this snapshot: Bioventus LLC ($18).
Total Amount
$31
General + Research + Ownership
Payments
2
Total payment records
General Amount
$31
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bioventus LLC | $18 |
| Pylant Medical | $13 |
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: 2023-03-06
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 |
|---|---|---|---|---|
| I20230306000247 | I | Physician Assistant | TX | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 54 | 14 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 43 | 30 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 27 | 27 | $0 |
| 73560 | X-ray of knee, 1-2 views | 16 | 16 | $0 |
| 73565 | X-ray of both knees while standing | 14 | 14 | $0 |
Insurance plans in this area (ZIP 75062)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| - | TX | |
| Orthopedic Surgery | TX | |
| - | TX | |
| Physical Therapist In Private Practice | TX | |
| Physical Therapist In Private Practice | TX | |
| Physical Therapist In Private Practice | TX | |
| - | CA | |
| Orthopedic Surgery | TX | |
| Physician Assistant | TX |
Reviews
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