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KEVIN MIDDLETON
NPI 1659181402
Physician Assistant in Penn Yan, NY

Active since January 13, 2025PECOS EnrolledAccepts Medicare Assignment
207 LAKE ST, PENN YAN, NY 14527(315) 536-3362 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kevin Middleton NPPES

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

KEVIN MIDDLETON (NPI 1659181402) is an individual physician assistant in Penn Yan, New York, licensed in New York (033202) and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1659181402
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKEVIN MIDDLETON
Location Address207 LAKE STPenn Yan, NY 14527-1802
Mailing Address100 Kings Hwy SRochester, NY 14617-5504
Phone(315) 536-3362
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 13, 2025
Last NPPES UpdateFebruary 21, 2025
NPPES CertifiedFebruary 21, 2025
✔ NPI 1659181402 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 NY · 033202
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.
207 LAKE ST, Penn Yan, NY 14527
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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 Middleton 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 ID3779006549
PECOS Enrollment IDI20250402001599
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.

Hospital Affiliations CMS Care Compare 2

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

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Soldiers And Sailors Memorial Hospital Of Yates

Critical Access Hospitals · Penn Yan, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331314
Location418 North Main StreetPenn Yan, NY 14527 · Yates County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14527 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

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 Kevin Middleton's NPI number?

The NPI number for Kevin Middleton is 1659181402. It was assigned to this individual provider in the NPPES registry on January 13, 2025.

Where is Kevin Middleton located?

Kevin Middleton practices at 207 Lake St, Penn Yan, NY 14527. The listed phone number is (315) 536-3362.

What is Kevin Middleton's specialty?

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

Is Kevin Middleton enrolled in Medicare?

Yes. Kevin Middleton 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 Kevin Middleton affiliated with any hospitals?

According to CMS data, Kevin Middleton is affiliated with Rochester General Hospital and Soldiers And Sailors Memorial Hospital Of Yates.

When was this NPI record last updated?

The NPPES record for Kevin Middleton was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.