KYLE M. RICHTER (P.A.-C.) – Physician Assistant, NPI 1093751703
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
Provider Addresses for KYLE M. RICHTER (P.A.-C.)
200 NE Mother Joseph Pl
Suite 110
Vancouver, WA 986643299
Phone: (360) 254-6161
Fax: (360) 449-1146
Type: Location
Northeast Mother Joseph Place, Vancouver, Clark County, Washington, 98664, United States
SUITE 210
VANCOUVER, WA 986643299
Phone: (360) 254-6161
Fax: (360) 449-1139
Type: Mailing
PO BOX 4825
PORTLAND, OR 972084825
Phone: (360) 882-2778
Type: Mailing
2529 NE 139TH ST
VANCOUVER, WA 986862719
Phone: (360) 882-2778
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $2,103.
Total Amount is formed as General ($2,103) + Research ($0) + Ownership ($0) = $2,103.
Last reported payment date: 2023-12-04 • Largest payer in this snapshot: Smith+Nephew, Inc. ($2,085).
Total Amount
$2,103
General + Research + Ownership
Payments
8
Total payment records
General Amount
$2,103
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $2,085 |
| Pacira Pharmaceuticals Incorporated | $18 |
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: 2004-08-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040610000334 | I | Physician Assistant | OR | TBD |
| I20040812001499 | 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 | 56 | 44 | $0 |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 22 | 22 | $0 |
| 27447 | Replacement of knee joint, both sides of knee | 11 | 11 | $0 |
Insurance plans in this area (ZIP 98664)
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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 | 171 | 89 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TN | |
| Internal Medicine, Infectious Disease | PA | |
| Internal Medicine | WA | |
| Diagnostic Radiology | OR | |
| Internal Medicine | OR | |
| O P H T H A L M O L O G Y | IA | |
| - | OR | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | WA | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | CA |
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