DAVID ANDREW KELLENBERGER (PA, RD) – Physician Assistant, NPI 1073632410
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
Provider Addresses for DAVID ANDREW KELLENBERGER (PA, RD)
PO BOX 846098
DALLAS, TX 752846098
Phone: (903) 324-6400
Type: Mailing
800 E DAWSON ST
TYLER, TX 757012036
Phone: (903) 606-4129
Type: Location
618 N Main St
Corsicana, TX 751103028
Phone: (903) 874-6731
Fax: (903) 872-0126
Type: Location
PO BOX 11126
BELFAST, ME 049154002
Phone: (877) 856-3774
Fax: (239) 599-2612
Type: Mailing
2343 AARON ST
PORT CHARLOTTE, FL 339525305
Phone: (855) 979-5700
Fax: (855) 979-5701
Type: Location
618 N MAIN ST
CORSICANA, TX 751103028
Phone: (903) 874-6731
Fax: (903) 872-0126
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $53.
Total Amount is formed as General ($53) + Research ($0) + Ownership ($0) = $53.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Lilly USA, LLC ($19).
Total Amount
$53
General + Research + Ownership
Payments
3
Total payment records
General Amount
$53
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $19 |
| Exact Sciences Corporation | $18 |
| Bayer Healthcare Pharmaceuticals Inc. | $16 |
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: 2025-08-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20070712000286 | I | Physician Assistant | TX | TBD |
| I20250805000924 | 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 |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 129 | 90 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 107 | 53 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 54 | 42 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 27 | 23 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 24 | 24 | $0 |
Insurance plans in this area (ZIP 75284)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Emergency Medicine, Internal Medicine, Hospitalist | TX | |
| - | NY | |
| - | TX | |
| Internal Medicine, Pediatric Medicine | TX | |
| Nurse Practitioner | MI | |
| Internal Medicine | NY | |
| Nurse Practitioner | TX | |
| - | TX |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.