KOURTNEY KACIAN PHYSICIAN ASSISTANT
NPI 1154059277
Physician Assistant in Somerville, MA

Active since August 09, 2022PECOS EnrolledAccepts Medicare Assignment
40 HOLLAND ST, SOMERVILLE, MA 02144(617) 629-6000 Get Directions Write a Review

NPPES record last updated: August 9, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kourtney Kacian Physician Assistant NPPES

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

KOURTNEY KACIAN PHYSICIAN ASSISTANT (NPI 1154059277) is an individual physician assistant in Somerville, Massachusetts and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Northeast Hospital Corporation, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1154059277
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKOURTNEY KACIANCredential: PHYSICIAN ASSISTANT
Location Address40 HOLLAND STSomerville, MA 02144-2705
Mailing Address40 Holland StSomerville, MA 02144-2705 · (617) 629-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 9, 2022
NPPES CertifiedAugust 9, 2022
NPI 1154059277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

40 HOLLAND ST, Somerville, MA 02144

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

Kourtney Kacian Physician Assistant 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 ID3779953864
PECOS Enrollment IDI20230106000203
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 17

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.
155 services154 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
94 services45 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
59 services54 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
48 services46 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
45 services44 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
45 services43 patients

Hospital Affiliations CMS Care Compare 2

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

Northeast Hospital Corporation

Acute Care Hospitals · Beverly, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220033
Location85 Herrick StreetBeverly, MA 01915 · Essex County
Emergency services Birthing friendly

North Shore Medical Center -

Acute Care Hospitals · Salem, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220035
Location81 Highland AvenueSalem, MA 01970 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02144 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Speech-Language Pathologist
40 HOLLAND ST
SOMERVILLE, MA 02144
Dietitian, Registered
40 HOLLAND ST
SOMERVILLE, MA 02144
Physical Therapist
40 HOLLAND ST
SOMERVILLE, MA 02144
Physical Therapy Assistant
40 HOLLAND ST
SOMERVILLE, MA 02144
Internal Medicine
40 HOLLAND ST, INTERNAL MEDICINE
SOMERVILLE, MA 02144
Internal Medicine
40 HOLLAND ST, INTERNAL MEDICINE
SOMERVILLE, MA 02144
Obstetrics & Gynecology
40 HOLLAND ST
SOMERVILLE, MA 02144
Registered Nurse (Psychiatric/Mental Health, Adult)
40 HOLLAND ST
SOMERVILLE, MA 02144

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kourtney Kacian's NPI number?

The NPI number for Kourtney Kacian is 1154059277. It was assigned to this individual provider in the NPPES registry on August 9, 2022.

Where is Kourtney Kacian located?

Kourtney Kacian practices at 40 Holland St, Somerville, MA 02144. The listed phone number is (617) 629-6000.

What is Kourtney Kacian's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kourtney Kacian enrolled in Medicare?

Yes. Kourtney Kacian is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kourtney Kacian affiliated with any hospitals?

According to CMS data, Kourtney Kacian is affiliated with Northeast Hospital Corporation and North Shore Medical Center -.

When was this NPI record last updated?

The NPPES record for Kourtney Kacian was last updated on August 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.