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KEVEN R MOTTINGER PAC
NPI 1154377091
Physician Assistant in Kenosha, WI

Active since May 25, 2006PECOS Enrolled
79.61/100
CMS Quality Rating
3400 MARKET LN, KENOSHA, WI 53144(262) 551-4600(262) 551-4630 Get Directions Write a Review

NPPES record last updated: August 31, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keven R Mottinger Pac NPPES

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

KEVEN R MOTTINGER PAC (NPI 1154377091) is an individual physician assistant in Kenosha, Wisconsin, licensed in Wisconsin (1868) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154377091
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKEVEN R MOTTINGERCredential: PAC
Location Address3400 MARKET LNKenosha, WI 53144-3430
Mailing Address4536 22nd AveKenosha, WI 53140-5917 · (262) 656-0044 · Fax (262) 653-2218
Phone(262) 551-4600
Fax(262) 551-4630
Sole ProprietorNo
Enumeration DateMay 25, 2006
Last NPPES UpdateAugust 31, 2020
NPPES CertifiedAugust 31, 2020
✔ NPI 1154377091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WI · 1868
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.
3400 MARKET LN, Kenosha, WI 53144
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Other Identifiers 1

Other12006222Caqh

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keven R Mottinger Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53144 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.88
Promoting Interoperability100
Improvement Activities40
Cost61.15

Other Providers at the Same Location NPPES 15

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

AMANDA QUINONEZ APNP
Nurse Practitioner
3400 MARKET LN
KENOSHA, WI 53144
Kenosha County (262) 551-4600
SABRINA BROWN
Nurse Practitioner (Family)
3400 MARKET LN
KENOSHA, WI 53144
Kenosha County (262) 551-4600
CLAIRE NICOLE STABLEIN DNP, APRN, FNP-C
Nurse Practitioner (Family)
3400 MARKET LN
KENOSHA, WI 53144
Kenosha County (262) 551-4600
JESSICA M ALLES FNP
Nurse Practitioner (Family)
3400 MARKET LN
KENOSHA, WI 53144
Kenosha County (262) 612-2350
REBEKAH COSTELLO DO
Family Medicine
3400 MARKET LN
KENOSHA, WI 53144
Kenosha County (262) 551-4600
NEIL A SHEPLER MD
Family Medicine
3400 MARKET LN
KENOSHA, WI 53144
Kenosha County (262) 551-4600
EMILY ELLEN FULK PA-C
Physician Assistant
3400 MARKET LN
KENOSHA, WI 53144
Kenosha County (262) 551-4600
DR. NAOMI SKINNER DPT
Physical Therapist
3400 MARKET LN
KENOSHA, WI 53144
Kenosha County (262) 551-4600

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 Keven Mottinger's NPI number?

The NPI number for Keven Mottinger is 1154377091. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Keven Mottinger located?

Keven Mottinger practices at 3400 Market Ln, Kenosha, WI 53144. The listed phone number is (262) 551-4600.

What is Keven Mottinger's specialty?

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

Is Keven Mottinger enrolled in Medicare?

Yes. Keven Mottinger is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Keven Mottinger was last updated on August 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.