Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KEVIN RYAN KELLOGG PA-C
NPI 1003899493
Physician Assistant - Surgical in Spokane, WA

Q: What is Kevin Kellogg's NPI number?

The NPI number for Kevin Kellogg is 1003899493. It was assigned to this individual provider in the NPPES registry on November 21, 2005.

Q: What is Kevin Kellogg's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Kellogg was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 21, 2005PECOS Enrolled

601 W 5TH AVE STE 400, SPOKANE, WA 99204(509) 252-3959 Get Directions Write a Review

NPPES record last updated: October 26, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 26, 2026, Mar 1, 2021 (2 updates tracked since 2021).

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About Kevin Ryan Kellogg Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN RYAN KELLOGG PA-C (NPI 1003899493) is an individual surgical provider in Spokane, Washington, licensed in Washington (PA10005240) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Providence Holy Family Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1003899493

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameKEVIN RYAN KELLOGGCredential: PA-C

Location Address601 W 5TH AVE STE 400Spokane, WA 99204-2715

Mailing Address601 W 5th Ave Ste 400Spokane, WA 99204-2715 · (509) 252-3959

Phone(509) 252-3959

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateNovember 21, 2005

Last NPPES UpdateOctober 26, 20262 updates tracked since enumeration

NPPES CertifiedOctober 26, 2026

✔ NPI 1003899493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in WA · PA10005240

601 W 5TH AVE STE 400, Spokane, WA 99204

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin Ryan Kellogg Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446212104

PECOS Enrollment IDI20080108000397

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

39 services33 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

26 services24 patients

Shaving of part of shoulder bone and repair of ligament using an endoscope 29826

This procedure involves using a tiny camera, called an endoscope, to view and repair a damaged shoulder ligament. Simultaneously, a small portion of the shoulder bone is shaved to alleviate discomfort and improve movement. It's a minimally invasive technique that aids in a quicker recovery.

25 services25 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

23 services23 patients

Repair of hip joint socket cartilage using an endoscope 29916

This procedure, known as hip arthroscopy, involves using a small camera, or endoscope, to view and repair damaged cartilage in the hip joint socket. It's a less invasive method, often resulting in quicker recovery times.

22 services22 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

20 services17 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence Holy Family Hospital

Acute Care Hospitals · Spokane, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500077

Location5633 North LidgerwoodSpokane, WA 99208 · Spokane County

Emergency services Birthing friendly

Providence Mount Carmel Hospital

Critical Access Hospitals · Colville, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number501326

Location982 East ColumbiaColville, WA 99114 · Stevens County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GARRETT EDWARD MITCHELL MD

Orthopaedic Surgery