MR. BRYANT RANDALL KEARNEY (PAC) – Surgical Physician Assistant, NPI 1366725541
Surgical Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
3,672 PHYSICIAN ASSISTANT in WI
Provider Addresses for MR. BRYANT RANDALL KEARNEY (PAC)
705 SOUTH UNIVERSITY AVE
STE 150
BEAVER DAM, WI 539163041
Phone: (920) 885-2663
Fax: (920) 885-2466
Type: Mailing
705 S UNIVERSITY AVE
STE 150
BEAVER DAM, WI 539163053
Phone: (920) 885-2663
Fax: (920) 885-2466
Type: Location
250 26TH ST
PRAIRIE DU SAC, WI 535782204
Phone: (608) 643-2471
Fax: (608) 643-4788
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2011-11-22
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 |
|---|---|---|---|---|
| I20111122000815 | I | Physician Assistant | WI | 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 |
|---|---|---|---|---|
| 27447 | Replacement of knee joint, both sides of knee | 63 | 56 | $0 |
| 27687 | Lengthening of calf muscle | 33 | 33 | $0 |
| 28740 | Fusion of foot in midfoot region | 11 | 11 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 53916)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WI | |
| Physician Assistant | WI | |
| Physician Assistant | WI | |
| - | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| Physician Assistant | WI | |
| Nurse Practitioner | WI | |
| Physician Assistant | WI |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.