KEVIN RYAN KELLOGG PA-C
NPI 1003899493
Physician Assistant - Surgical in Spokane Valley, 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 March 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 21, 2005PECOS EnrolledAccepts Medicare Assignment

16528 DESMET CT, SPOKANE VALLEY, WA 99216(509) 944-8920(509) 227-7070 Get Directions Write a Review

NPPES record last updated: March 1, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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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 Valley, 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 Address16528 DESMET CTSpokane Valley, WA 99216-3522

Mailing AddressPo Box 421Liberty Lake, WA 99019-0421 · (509) 624-2313

Phone(509) 944-8920

Fax(509) 227-7070

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateNovember 21, 2005

Last NPPES UpdateMarch 1, 2021

NPPES CertifiedMarch 1, 2021

✔ 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

16528 DESMET CT, Spokane Valley, WA 99216

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Other Identifiers 3

Other8869632Medicare

Medicaid8489171WA

Other0223708WA · Labor & Industries

Accepted Insurance

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

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

Other Providers at the Same Location NPPES 14

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

MARTHA WINJE PA-C

Physician Assistant