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KELLYN ROSE PERHAM PA-C
NPI 1841881778
Physician Assistant in Newport Beach, CA

Active since February 02, 2021PECOS EnrolledAccepts Medicare Assignment
520 SUPERIOR AVE STE 370, NEWPORT BEACH, CA 92663(949) 574-7176(949) 574-7180 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 6, 2024, Jan 18, 2023, Feb 2, 2021 (3 updates tracked since 2021).

About Kellyn Rose Perham Pa-c NPPES

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

KELLYN ROSE PERHAM PA-C (NPI 1841881778) is an individual physician assistant in Newport Beach, California, licensed in California (PA59117) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1841881778
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLYN ROSE PERHAMCredential: PA-C
Location Address520 SUPERIOR AVE STE 370Newport Beach, CA 92663-3623
Mailing Address520 Superior Ave Ste 370Newport Beach, CA 92663-3623 · (949) 574-7176 · Fax (949) 574-7180
Phone(949) 574-7176
Fax(949) 574-7180
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 2, 2021
Last NPPES UpdateAugust 6, 20243 updates tracked since enumeration
NPPES CertifiedAugust 6, 2024
✔ NPI 1841881778 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 CA · PA59117
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.
520 SUPERIOR AVE STE 370, Newport Beach, CA 92663
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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

Kellyn Rose Perham 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 ID8921491366
PECOS Enrollment IDI20220208002291
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 2

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 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.
195 services166 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
58 services58 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92663 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 Kellyn Perham's NPI number?

The NPI number for Kellyn Perham is 1841881778. It was assigned to this individual provider in the NPPES registry on February 2, 2021.

Where is Kellyn Perham located?

Kellyn Perham practices at 520 Superior Ave Ste 370, Newport Beach, CA 92663. The listed phone number is (949) 574-7176.

What is Kellyn Perham's specialty?

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

Is Kellyn Perham enrolled in Medicare?

Yes. Kellyn Perham 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.

When was this NPI record last updated?

The NPPES record for Kellyn Perham was last updated on August 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.