KEVIN RYAN KELLOGG (PA-C) – Surgical Physician Assistant, NPI 1003899493
Surgical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
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Provider Addresses for KEVIN RYAN KELLOGG (PA-C)
421, Liberty Lane, Evesham Township, Burlington County, New Jersey, 08053-5344, United States
LIBERTY LAKE, WA 990190421
Phone: (509) 624-2313
Type: Mailing
16528, East Desmet Court, Veradale, Spokane Valley, Spokane County, Washington, 99016, United States
SPOKANE VALLEY, WA 992163522
Phone: (509) 944-8920
Fax: (509) 227-7070
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: 2008-01-08
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 |
|---|---|---|---|---|
| I20080108000397 | I | Physician Assistant | WA | 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 | 49 | 42 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 30 | 27 | $0 |
| 73502 | X-ray of hip, 2-3 views | 20 | 17 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 19 | 19 | $0 |
| 29916 | Repair of hip joint socket cartilage using an endoscope | 18 | 18 | $0 |
Insurance plans in this area (ZIP 99019)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | WA | 20610 | Aspiration and/or injection of large joint or joint capsule | 95 | 61 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| Internal Medicine | WA | |
| - | WA | |
| Physician Assistant | WA | |
| - | WA | |
| - | WA | |
| Physician Assistant | WA | |
| Internal Medicine | WA | |
| - | WA | |
| - | WA |
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