MS. EMILY ROSE KAVOUKSORIAN (P.A. - C) – Surgical Physician Assistant, NPI 1174549745
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
385 PHYSICIAN ASSISTANT in VT
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Provider Addresses for MS. EMILY ROSE KAVOUKSORIAN (P.A. - C)
354, Mountain View Drive, Colchester, Chittenden County, Vermont, 05404, United States
SUITE 103
COLCHESTER, VT 054465968
Phone: (802) 847-3340
Fax: (802) 847-2539
Type: Location
24, Bayberry Lane, Treetop, South Burlington, Chittenden County, Vermont, 05403, United States
SOUTH BURLINGTON, VT 054038205
Phone: (802) 236-4706
Type: Mailing
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: 2004-12-02
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 |
|---|---|---|---|---|
| I20041202001001 | I | Physician Assistant | VT | 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 | 180 | 104 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 64 | 64 | $0 |
| 20550 | Injection into tendon or ligament | 25 | 20 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 19 | 19 | $0 |
Insurance plans in this area (ZIP 05446)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | VT | 20610 | Aspiration and/or injection of large joint or joint capsule | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VT | |
| Nurse Practitioner | MA | |
| - | VT | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| - | VT | |
| - | VT | |
| - | CT | |
| - | VT | |
| - | IN | |
| - | VT |
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