MR. KEVIN K CARLISLE P.A.
NPI 1669467833
Physician Assistant - Surgical in Tampa, FL
About Mr. Kevin K Carlisle P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KEVIN K CARLISLE P.A. (NPI 1669467833) is an individual surgical provider in Tampa, Florida, licensed in Florida (PA1682) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Lakeland Regional Medical Center, and maintains a secondary practice location in Lakeland.Information from the official NPPES registry record, last updated March 4, 2026.
NPPES Registry Identity
Also on File with NPPES
Lakeland, FL 33805-4543
Phone (863) 687-1100
X1592 (Other, FL, Blue Cross Blue Shield)
290188900 (Medicaid, FL)
Medicare Participation & PECOS Enrollment Status
Kevin Carlisle is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Kevin Carlisle is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 2769477785
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20040419001106
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kevin Carlisle is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| LAKELAND REGIONAL MEDICAL CENTER | 1324 LAKELAND HILLS BLVD LAKELAND, FL 33805 | (863) 687-1100 | Acute Care Hospitals |
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Other Providers at the Same Location
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TAMPA, FL 33626
TAMPA, FL 33626
TAMPA, FL 33626
TAMPA, FL 33626
TAMPA, FL 33626
TAMPA, FL 33626
TAMPA, FL 33626
TAMPA, FL 33626
TAMPA, FL 33626
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669467833, enumerated as an "individual" on September 14, 2005.
The provider is located at 12880 COMMODITY PL TAMPA, FL 33626 and the phone number is (813) 343-5500.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.
The provider might be accepting Accepts: Tricare, Medicare, Medicaid and Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.
Kevin Carlisle is affiliated with: LAKELAND REGIONAL MEDICAL CENTER.