KELLY ANNE RAYBURN (PA-C) – Surgical Physician Assistant, NPI 1548228398

KELLY ANNE RAYBURN (PA-C) is a healthcare provider. based in Live oak, Texas. specializing in Surgical Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PA05332 (TX). The NPI Number for KELLY ANNE RAYBURN (PA-C) is 1548228398

Main info

Female
Name
KELLY ANNE RAYBURN (PA-C)
NPI
1548228398
Phone
(210) 477-5151
Address
12709 Toepperwein Rd Ste 101
Enumeration Date
2 May 2006
Last Update Date
2 December 2019
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for KELLY ANNE RAYBURN (PA-C)

  • 12709 Toepperwein Rd Ste 101

    Live Oak, TX 782333259

    Phone: (210) 477-5151

    Fax: (210) 477-5152

    Type: Location

  • 1100 WILFORD HALL LOOP

    JBSA LACKLAND, TX 782365638

    Phone: (210) 314-0779

    Type: Location

  • 10922, Iron Spring, The Ranch at Iron Horse Canyon, Helotes, Bexar County, Texas, 78023, United States

    HELOTES, TX 780234569

    Phone: (210) 314-0779

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $44.

Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: REVANCE THERAPEUTICS, INC. ($44).

Total Amount

$44

General + Research + Ownership

Payments

2

Total payment records

General Amount

$44

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78233)

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Reviews

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Frequently asked questions

What federal number belongs to KELLY ANNE RAYBURN (PA-C)?
The federal identifier for KELLY ANNE RAYBURN (PA-C) is NPI 1548228398.
Does this profile mean KELLY ANNE RAYBURN (PA-C) is currently active?
Yes — KELLY ANNE RAYBURN (PA-C) appears active in the national provider directory.
What does KELLY ANNE RAYBURN (PA-C) treat or focus on?
Patients typically see KELLY ANNE RAYBURN (PA-C) under the specialty Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is KELLY ANNE RAYBURN (PA-C)'s primary listing?
We display Live Oak, Texas because that is what the record indicates for KELLY ANNE RAYBURN (PA-C).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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