KYLE MITCHELL KOELKER (PA-C) – Physician Assistant, NPI 1619535366
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KYLE MITCHELL KOELKER (PA-C)
874 Ed Hall Dr Ste 104
Kaufman, TX 751421800
Phone: (214) 256-3778
Type: Location
351, East Tarleton Street, Stephenville, Erath County, Texas, 76401, United States
STEPHENVILLE, TX 764013511
Phone: (254) 968-0292
Fax: (888) 289-1607
Type: Location
1860 CRESTLAND DR
LUCAS, TX 750028566
Phone: (972) 835-9582
Type: Mailing
222 S COLLINS RD STE 101
SUNNYVALE, TX 751824645
Phone: (512) 519-1254
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $71.
Total Amount is formed as General ($71) + Research ($0) + Ownership ($0) = $71.
Last reported payment date: 2024-08-22 • Largest payer in this snapshot: Bioventus LLC ($21).
Total Amount
$71
General + Research + Ownership
Payments
4
Total payment records
General Amount
$71
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bioventus LLC | $21 |
| PUMA BIOTECHNOLOGY, INC. | $21 |
| Fidia Pharma USA Inc. | $16 |
| DePuy Synthes Sales Inc. | $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: 2019-08-02
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 |
|---|---|---|---|---|
| I20190802000916 | 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 |
|---|---|---|---|---|
| 27447 | Replacement of knee joint, both sides of knee | 88 | 83 | $0 |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 44 | 43 | $0 |
| 27446 | Replacement of knee joint on side of knee | 20 | 20 | $0 |
Insurance plans in this area (ZIP 75142)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| Orthopedic Surgery | TX |
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