KYLE D MAHAFFEY (PA-C) – Physician Assistant, NPI 1508258310

KYLE D MAHAFFEY (PA-C) is a healthcare provider. based in University place, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA60696945 (WA). The NPI Number for KYLE D MAHAFFEY (PA-C) is 1508258310

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
KYLE D MAHAFFEY (PA-C)
NPI
1508258310
Phone
(360) 224-4665
Address
5111 76TH AVENUE CT W
Enumeration Date
3 March 2015
Last Update Date
10 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2538418939
Graduation Year
2016 (10 years ago)
PAC ID
4385924372
Group Practice PAC ID
1254225899
Professional Enrollment ID
I20161208001941
Address ID
WA983723742PU1519XSEXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

4,282 PHYSICIAN ASSISTANT in WA

Provider Addresses for KYLE D MAHAFFEY (PA-C)

  • 5111 76TH AVENUE CT W

    UNIVERSITY PLACE, WA 984674597

    Phone: (360) 224-4665

    Type: Mailing

  • 11411 BRIDGEPORT WAY SW

    LAKEWOOD, WA 984993047

    Phone: (253) 581-9002

    Type: Location

  • 5601 S Orchard St

    Tacoma, WA 984091371

    Phone: (253) 474-8421

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $351.

Total Amount is formed as General ($351) + Research ($0) + Ownership ($0) = $351.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Nevro Corp. ($183).

Total Amount

$351

General + Research + Ownership

Payments

11

Total payment records

General Amount

$351

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2016-12-08

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
I20161208001941IPhysician AssistantWATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes5741$0
63048Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment4120$0
99214Established patient office or other outpatient visit, 30-39 minutes4131$0
63047Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment3131$0
22853Insertion of cage or mesh device to spine bone and disc space during spine fusion2917$0
View full utilization report →

Insurance plans in this area (ZIP 98467)

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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: 1254225899View full group profile
NameSpecialtyState
Pain ManagementWA
Nurse PractitionerHI
A N E S T H E S I O L O G YWA
P O D I A T R YWA
Physician AssistantWA
Orthopedic SurgeryWA
Nurse PractitionerWA
N E U R O S U R G E R YWA

Reviews

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Frequently asked questions

What is the 10-digit NPI for KYLE D MAHAFFEY (PA-C)?
KYLE D MAHAFFEY (PA-C) — NPI 1508258310 — is the standard way to identify this listing.
Is KYLE D MAHAFFEY (PA-C) still practicing?
KYLE D MAHAFFEY (PA-C) is currently listed as active in the public NPI registry.
What healthcare role does KYLE D MAHAFFEY (PA-C) hold?
Scheduling teams often label KYLE D MAHAFFEY (PA-C) under Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does KYLE D MAHAFFEY (PA-C) serve?
KYLE D MAHAFFEY (PA-C)'s listing highlights University Place, Washington; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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