KITTRICK KANE (PAC) – Medical Physician Assistant, NPI 1063897957
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
Provider Addresses for KITTRICK KANE (PAC)
875 SWIFT BLVD
STE A
RICHLAND, WA 993523592
Phone: (509) 942-3627
Fax: (509) 627-2983
Type: Mailing
140 E MAIN ST
OTHELLO, WA 993441040
Phone: (509) 488-5256
Fax: (509) 488-9939
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $390.
Total Amount is formed as General ($390) + Research ($0) + Ownership ($0) = $390.
Last reported payment date: 2023-10-19 • Largest payer in this snapshot: SI-BONE, INC. ($163).
Total Amount
$390
General + Research + Ownership
Payments
3
Total payment records
General Amount
$390
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SI-BONE, INC. | $163 |
| DePuy Synthes Sales Inc. | $150 |
| Stryker Corporation | $77 |
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: 2015-09-15
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 |
|---|---|---|---|---|
| I20150915000350 | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 904 | 67 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 128 | 77 | $0 |
| 27447 | Replacement of knee joint, both sides of knee | 50 | 50 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 43 | 39 | $0 |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 23 | 23 | $0 |
Insurance plans in this area (ZIP 99352)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Medical Oncology, Hematology, Hematology/Oncology, Internal Medicine | WA | |
| - | MO | |
| Hospitalist, Internal Medicine | WA | |
| - | WA | |
| P O D I A T R Y | WA | |
| Hematology/Oncology, Internal Medicine | WA | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | NC | |
| Internal Medicine | WA | |
| Physical Therapist In Private Practice | WA |
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