Active NPI 1023566817 Individual Practitioner Male Practitioner

Kendal Packer

Physician Assistant • Mesa, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kendal Packer is a certified Physician Assistant practicing in Mesa, AZ. With approximately 10 years of clinical experience since completing medical education in 2016, Kendal Packer delivers high-quality medical care to the local community at 10238 E HAMPTON AVE STE 404.

Kendal Packer is affiliated with Hw Dermatology Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, destruction of skin growth, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10238 E Hampton Ave Ste 404

Mesa, AZ 852093319

Telephone 4807717546

Associated Practice Facility / Clinic

🏢 Hw Dermatology Pllc Facility NPI 1750800033

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Mesa, AZ

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs +2.4 yrs vs City Avg

City Avg: 7.6 Yrs

State Avg: 12.5 Yrs

Regional Practice Density

474 Specialists

Practicing in Mesa, AZ (3711 Statewide)

Telehealth Adoption Rate

8.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Packer (10 Years) 10 Yrs

Mesa Specialty Average (7.6 Years) 7.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	58	15	$11.69	$5.45
17000 Destruction of skin growth	19	19	$119.03	$33.62
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$159.97	$74.56
11102 Tangential biopsy of single skin lesion	15	15	$176.13	$71.24
17110 Destruction of up to 14 skin growths	14	12	$200.22	$93.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$195.71	$91.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	21	$123.00	$108.45
99213 Established patient office or other outpatient visit, typically 15 minutes	23	13	$85.00	$76.36
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	13	13	$150.00	$110.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	31	$163.00	$90.20
99213 Established patient office or other outpatient visit, typically 15 minutes	51	24	$110.00	$60.08
82962 Blood glucose (sugar) test performed by hand-held instrument	47	18	$3.00	$2.85
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	43	18	$55.00	$34.84
96127 Assessment of emotional or behavioral problems	34	22	$20.00	$4.64
83036 Hemoglobin A1C level	25	15	$45.00	$9.65
96160 Administration and interpretation of patient-focused health risk assessment	15	12	$5.00	$2.07
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	14	14	$177.00	$96.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	94	36	$156.09	$90.69
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	73	33	$55.00	$34.65
82962 Blood glucose (sugar) test performed by hand-held instrument	56	22	$4.18	$3.10
99213 Established patient office or other outpatient visit, typically 15 minutes	32	23	$103.44	$61.98
36415 Insertion of needle into vein for collection of blood sample	27	18	$5.78	$2.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$152.25	$96.50
G0444 Annual depression screening, 5 to 15 minutes	12	12	$29.67	$14.98
G0442 Annual alcohol misuse screening, 5 to 15 minutes	11	11	$20.00	$14.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	259	64	$55.00	$35.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	113	31	$150.00	$89.98
82962 Blood glucose (sugar) test performed by hand-held instrument	78	16	$4.08	$3.09
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes	38	12	$85.00	$52.76
36415 Insertion of needle into vein for collection of blood sample	32	20	$4.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	27	17	$100.00	$60.93
99497 Advance care planning, first 30 minutes	15	13	$120.00	$70.83
G0442 Annual alcohol misuse screening, 5 to 15 minutes	13	13	$20.00	$15.24
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$150.00	$97.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	321	73	$64.84	$35.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	28	$212.00	$90.04
82962 Blood glucose (sugar) test performed by hand-held instrument	86	20	$4.00	$2.42
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes	36	13	$106.89	$51.52
36415 Insertion of needle into vein for collection of blood sample	28	18	$13.71	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	22	15	$145.00	$61.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$215.00	$90.95

Medical Specialties & State Licenses

CMS Verified: 2025-04-07

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

184512 (AZ)

Commercial Insurance / Payer ID Medicare

Z194890 (AZ)

Hospital & Practice Group Affiliations

Hw Dermatology Pllc

10238 E Hampton Ave, Mesa, AZ 852093319

Phone: 4807717546

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Luke Killpack , DO

Dermatology

NPI 1679955041

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location April 07, 2025

Registered at 10238 E HAMPTON AVE STE 404, MESA, AZ 852093319 (Tel: 4807717546)

📍

Updated Business Mailing Address September 22, 2020

Registered at 4220 N 20TH AVE, PHOENIX, AZ 850155124 (Tel: 6028899401)

✅

NPI Profile Active September 21, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 21, 2016

Registered at 3306 W ROOSEVELT ST, PHOENIX, AZ 850093404 (Tel: 6022784930)

📍

Updated Business Mailing Address September 21, 2016

Registered at 3306 W ROOSEVELT ST, PHOENIX, AZ 850093404

👤

Provider Name / Credentials Updated September 21, 2016

Recorded as KENDAL PACKER

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2016

Physician Assistant

🟢

Initial NPI Registration & Enumeration September 21, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Kendal Packer. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1023566817

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 21, 2016

Last Update: April 07, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

4220 N 20th Ave

Phoenix, AZ 850155124

Phone: 6028899401

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.