KEVIN C HARRIS (M.D.) – Otolaryngology Physician, NPI 1164496808

KEVIN C HARRIS (M.D.) is a healthcare provider. based in Mount vernon, Washington. specializing in OTOLARYNGOLOGY, ALLERGY/IMMUNOLOGY, PLASTIC AND RECONSTRUCTIVE SURGERY, SURGICAL ONCOLOGY. They hold the professional credentials M.D.. They hold a License No. 66209 (MN). The NPI Number for KEVIN C HARRIS (M.D.) is 1164496808

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN C HARRIS (M.D.)
NPI
1164496808
Phone
(360) 336-2178
Address
118 S 12th St
Enumeration Date
16 February 2006
Last Update Date
27 October 2021

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
3605888985
Graduation Year
1998 (28 years ago)
PAC ID
2961526348
Group Practice PAC ID
6800793522
Professional Enrollment ID
I20100908000372
Address ID
WA982212586AN1019XSTXX301
Telehealth
Yes

Contacts

Secure Messaging
kharris12621@skagit.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience83
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

321 OTOLARYNGOLOGY in WA

Provider Addresses for KEVIN C HARRIS (M.D.)

  • 118 S 12th St

    Mount Vernon, WA 982744036

    Phone: (360) 336-2178

    Fax: (360) 336-1995

    Type: Location

  • 1400, East Kincaid Street, Mount Vernon, Skagit County, Washington, 98274, United States

    MOUNT VERNON, WA 982744127

    Phone: (360) 336-2178

    Fax: (360) 336-1674

    Type: Mailing

  • 111, South 13th Street, Mount Vernon, Skagit County, Washington, 98274, United States

    MOUNT VERNON, WA 982744105

    Phone: (360) 336-2178

    Fax: (360) 336-1674

    Type: Location

  • 1019 24TH ST STE B

    ANACORTES, WA 982212586

    Phone: (360) 336-2178

    Fax: (360) 299-8147

    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: 2010-09-08

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100908000372IOtolaryngologyWATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
95165Professional service for preparation and provision of 1 or more antigens83524$0
69210Removal of impacted ear wax532383$0
99213Established patient office or other outpatient visit, 20-29 minutes504370$0
95117Professional service for multiple injections of allergen34519$0
99203New patient office or other outpatient visit, 30-44 minutes243243$0
View full utilization report →

Insurance plans in this area (ZIP 98274)

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Provider's Procedures

KEVIN C HARRIS (M.D.) performs procedures in OTOLARYNGOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OTOLARYNGOLOGYWA95117Injection of incremental dosages of allergen, 2 or more injections18215

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800793522View full group profile
NameSpecialtyState
D E R M A T O L O G YNY
Otolaryngology, Allergy/Immunology, Plastic And Reconstructive Surgery, Surgical OncologyWA
Nurse PractitionerWA
Nurse PractitionerWA
-WA
Orthopedic SurgeryWA
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)WA
Internal MedicineWA
O B S T E T R I C S/ G Y N E C O L O G YWA
G A S T R O E N T E R O L O G YWA

Reviews

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Frequently asked questions

Is KEVIN C HARRIS (M.D.) listed with a National Provider Identifier?
Yes — KEVIN C HARRIS (M.D.) has NPI 1164496808 on file in the registry.
Would KEVIN C HARRIS (M.D.) appear as active to a payer?
You can treat KEVIN C HARRIS (M.D.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for KEVIN C HARRIS (M.D.)?
At a glance, KEVIN C HARRIS (M.D.) is tied to Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with KEVIN C HARRIS (M.D.)?
Directory geography for KEVIN C HARRIS (M.D.) centers on Mount Vernon, Washington.
Does KEVIN C HARRIS (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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