MR. RUSSELL AARON KELLY (PA-C) – Physician Assistant, NPI 1043316532
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MR. RUSSELL AARON KELLY (PA-C)
103, Myron Street, Cayenne, West Springfield, Hampden County, Massachusetts, 01089, United States
SUITE A
WEST SPRINGFIELD, MA 010891598
Phone: (413) 592-1980
Type: Location
6 Lexington St Fl 3
Waltham, MA 024524401
Phone: (978) 662-1002
Fax: (978) 767-4757
Type: Location
21, Maplewood Road, Lynnfield, Essex County, Massachusetts, 01940, United States
LYNNFIELD, MA 019401942
Phone: (617) 947-3258
Type: Mailing
10 LAKEWOOD RD
LYNNFIELD, MA 019401945
Phone: (817) 249-6671
Fax: (978) 767-4757
Type: Mailing
451 ANDOVER ST STE 206A
NORTH ANDOVER, MA 018455044
Phone: (978) 662-1002
Fax: (978) 767-4757
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: 2009-02-26
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 |
|---|---|---|---|---|
| I20090226000355 | I | Physician Assistant | MA | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 43 | 43 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 34 | 34 | $0 |
| 87400 | Detection test by immunoassay technique for influenza virus | 26 | 13 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 23 | 23 | $0 |
| 81003 | Automated urinalysis test | 18 | 16 | $0 |
Insurance plans in this area (ZIP 01089)
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