KELLY NICOLE REBKOVICH – Family Medicine Physician, NPI 1194082602
Family Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
3,174 FAMILY PRACTICE in VA
Provider Addresses for KELLY NICOLE REBKOVICH
388 BEN BOLT AVE
TAZEWELL, VA 246515386
Phone: (276) 988-8850
Fax: (276) 988-6050
Type: Mailing
4550 LEE HWY STE B
DUBLIN, VA 240843802
Phone: (540) 674-4560
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 84 Open Payments records for all available years, with a total value of $1,552.
Total Amount is formed as General ($1,552) + Research ($0) + Ownership ($0) = $1,552.
Last reported payment date: 2024-07-01 • Largest payer in this snapshot: Lilly USA, LLC ($306).
Total Amount
$1,552
General + Research + Ownership
Payments
84
Total payment records
General Amount
$1,552
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $306 |
| ABBVIE INC. | $218 |
| Novo Nordisk Inc | $202 |
| AstraZeneca Pharmaceuticals LP | $153 |
| Otsuka America Pharmaceutical, Inc. | $61 |
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: 2015-08-04
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 |
|---|---|---|---|---|
| I20150804003491 | I | Family Practice | VA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 378 | 163 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 174 | 111 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 97 | 97 | $0 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 49 | 15 | $0 |
| G0008 | Administration of influenza virus vaccine | 34 | 34 | $0 |
Insurance plans in this area (ZIP 24651)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | WV | |
| - | VA | |
| Mental Health Counselor | VA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | VA | |
| Physician Assistant | VA | |
| Clinical Social Worker | VA | |
| Clinical Social Worker | VA | |
| Family Practice | VA |
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