BRENT PATRICK KISH (PA-C) – Physician Assistant, NPI 1417998055
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
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Provider Addresses for BRENT PATRICK KISH (PA-C)
The Doctors Clinic - Ridgetop East, 9621, Ridgetop Boulevard Northwest, Silverdale, Kitsap County, Washington, 98383, United States
SILVERDALE, WA 983838502
Phone: (360) 830-1301
Type: Mailing
The Doctors Clinic - Salmon Medical Center, 2200, Northwest Myhre Road, Silverdale, Kitsap County, Washington, 98383, United States
SILVERDALE, WA 983837681
Phone: (360) 830-1301
Fax: (360) 830-1385
Type: Location
4409 NW ANDERSON HILL RD
SILVERDALE, WA 983836807
Phone: (360) 698-6630
Fax: (360) 698-7002
Type: Mailing
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: 2004-07-30
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 |
|---|---|---|---|---|
| I20040730000374 | 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 | 328 | 80 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 190 | 126 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 117 | 107 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 83 | 43 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 77 | 31 | $0 |
Insurance plans in this area (ZIP 98383)
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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 | 75 | 58 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | SC | |
| Physician Assistant | WA | |
| - | WA | |
| General Surgery | MI | |
| - | WA | |
| Nurse Practitioner | WA | |
| - | WI | |
| - | WA | |
| - | WA | |
| Family Practice | WA |
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