KEVIN STAPLES ISEMAN (PA-C) – Physician Assistant, NPI 1447229729

KEVIN STAPLES ISEMAN (PA-C) is a healthcare provider. based in Salt lake city, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 6449997-1206 (UT). The NPI Number for KEVIN STAPLES ISEMAN (PA-C) is 1447229729

Main info

Male
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN STAPLES ISEMAN (PA-C)
NPI
1447229729
Phone
(801) 498-6000
Address
PO BOX 27128
Enumeration Date
17 March 2006
Last Update Date
2 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5404583300
Graduation Year
1997 (29 years ago)
PAC ID
7911924774
Group Practice PAC ID
4789658261
Professional Enrollment ID
I20110912000504
Address ID
VA244502448LE1XXXXCIRX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,429 PHYSICIAN ASSISTANT in VA

Provider Addresses for KEVIN STAPLES ISEMAN (PA-C)

  • PO BOX 27128

    SALT LAKE CITY, UT 841270128

    Phone: (801) 498-6000

    Type: Mailing

  • 1 HEALTH CIR

    LEXINGTON, VA 244502448

    Phone: (540) 981-7000

    Type: Location

  • 1175 Corporate Park Dr

    Forest, VA 245512238

    Phone: (434) 525-6964

    Type: Location

  • 213 S JEFFERSON ST STE 1006

    ROANOKE, VA 240111713

    Phone: (540) 224-5353

    Type: Mailing

  • Main St @ 250 N, Main Street, Kaysville, Davis County, Utah, 84037, United States

    KAYSVILLE, UT 840371194

    Phone: (804) 498-6000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 66 Open Payments records for all available years, with a total value of $1,314.

Total Amount is formed as General ($1,314) + Research ($0) + Ownership ($0) = $1,314.

Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Novo Nordisk Inc ($328).

Total Amount

$1,314

General + Research + Ownership

Payments

66

Total payment records

General Amount

$1,314

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-03-04

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110912000504IPhysician AssistantVATBD
I20240304000378IPhysician AssistantDCTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes11582$0
99213Established patient office or other outpatient visit, 20-29 minutes5550$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1212$0
View full utilization report →

Insurance plans in this area (ZIP 84127)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789658261View full group profile
NameSpecialtyState
Diagnostic RadiologyOR
Family PracticeVA
-VA
Emergency MedicineVA
Diagnostic RadiologyVA
Orthopedic SurgeryVA
Diagnostic RadiologyWV
Diagnostic RadiologyVA
Family PracticeVA
-VA

Reviews

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Frequently asked questions

What number should I use to identify KEVIN STAPLES ISEMAN (PA-C) for billing?
Administrative and clinical systems typically use NPI 1447229729 for KEVIN STAPLES ISEMAN (PA-C).
Is KEVIN STAPLES ISEMAN (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists KEVIN STAPLES ISEMAN (PA-C) as active.
What does the directory say KEVIN STAPLES ISEMAN (PA-C) does?
Insurance directories may phrase it differently, but here KEVIN STAPLES ISEMAN (PA-C) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
Is KEVIN STAPLES ISEMAN (PA-C) tied to Salt Lake City, Utah?
If you are local to Salt Lake City, Utah, KEVIN STAPLES ISEMAN (PA-C) may be relevant to your search.
Can I export KEVIN STAPLES ISEMAN (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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