DANIELLE NICOLE KUTZENBERGER (P.A.) – Surgical Physician Assistant, NPI 1407184724
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 DANIELLE NICOLE KUTZENBERGER (P.A.)
2800 S TEXAS AVE STE 202
BRYAN, TX 778025361
Phone: (979) 774-2053
Fax: (979) 776-5914
Type: Mailing
2803 EARL RUDDER FWY S STE 103
COLLEGE STATION, TX 778456099
Phone: (979) 731-8888
Fax: (979) 731-8935
Type: Location
2800, Texas Avenue South, Bryan, Brazos County, Texas, 77802, United States
STE 202
BRYAN, TX 778025361
Phone: (979) 774-2053
Fax: (979) 776-5914
Type: Mailing
3526, Longmire Drive, College Station, Brazos County, Texas, 77845, United States
SUITE 200
COLLEGE STATION, TX 778456472
Phone: (979) 696-3344
Fax: (979) 696-5944
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2010-02-02
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 |
|---|---|---|---|---|
| I20100202000176 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 79 | 56 | $0 |
| 73502 | X-ray of hip, 2-3 views | 44 | 34 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 22 | 16 | $0 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 19 | 19 | $0 |
| 27236 | Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement | 18 | 18 | $0 |
Insurance plans in this area (ZIP 77802)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| - | TX | |
| Internal Medicine, Internal Medicine, Hospitalist | LA | |
| Physician Assistant | MA | |
| Hospitalist, Family Practice | TX | |
| Pulmonary Disease, Critical Care (Intensivists) | TX | |
| Pulmonary Disease, Critical Care (Intensivists), Sleep Medicine | TX | |
| - | TX | |
| - | TX | |
| Family Practice | CO |
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