Active NPI 1760618730 Individual Practitioner Female Practitioner

Kelly Lynae Richardson , PA-C

Physician Assistant • Mesa, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kelly Richardson, PA-C is a certified Physician Assistant practicing in Mesa, AZ. With approximately 9 years of clinical experience since completing medical education in 2017, Kelly Richardson delivers high-quality medical care to the local community at 5555 E BASELINE RD.

Kelly Richardson maintains professional affiliations with Banner Physician Specialists Arizona Llc, Reddy Gi Associates and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, injection, triamcinolone acetonide, not otherwise specified, 10 mg, new 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

5555 E Baseline Rd

Mesa, AZ 852064709

Telephone 4803930575

Fax 4807044019

Associated Practice Facility / Clinic

🏢 Reddy Gi Associates Facility NPI 1194957241

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Mesa, AZ

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

9 Yrs +1.4 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

68.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Richardson (9 Years) 9 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	17	$208.09	$64.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	168	30	$3.23	$1.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$276.05	$92.46
99213 Established patient office or other outpatient visit, typically 15 minutes	38	38	$225.93	$74.52
20610 Aspiration and/or injection of fluid from large joint	31	30	$158.28	$52.47
73030 X-ray of shoulder, minimum of 2 views	24	23	$83.58	$28.56
73564 X-ray of knee, 4 or more views	21	21	$111.95	$38.60
73502 X-ray of hip, 2-3 views	12	12	$113.60	$38.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	220	35	$3.23	$1.11
73030 X-ray of shoulder, minimum of 2 views	111	84	$83.58	$27.89
J1885 Injection, ketorolac tromethamine, per 15 mg	104	22	$1.62	$0.53
99213 Established patient office or other outpatient visit, typically 15 minutes	92	67	$224.58	$70.29
20610 Aspiration and/or injection of fluid from large joint	79	54	$166.29	$50.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$276.05	$92.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$318.98	$105.99
73070 X-ray of elbow, 2 views	19	15	$71.03	$22.89
23472 Prosthetic repair of shoulder joint, total shoulder	17	17	$489.54	$193.76

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	47	46	$134.00	$83.63
99442 Telephone medical discussion with physician, 11-20 minutes	28	28	$67.00	$56.87
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$54.00	$54.00
99443 Telephone medical discussion with physician, 21-30 minutes	12	12	$100.00	$83.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$230.75	$123.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99443 Telephone medical discussion with physician, 21-30 minutes	62	58	$100.00	$67.03
99442 Telephone medical discussion with physician, 11-20 minutes	57	52	$67.07	$43.60
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	23	$221.00	$94.86
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$54.00	$43.39

Medical Specialties & State Licenses

CMS Verified: 2024-12-11

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AZ 7112

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License UT 10561256-1206

Hospital & Practice Group Affiliations

Reddy Gi Associates

9130 E Elliot Rd, Mesa, AZ 852129675

Phone: 4803930575

Banner Physician Specialists Arizona Llc

1125 S Alma School Rd, Chandler, AZ 852862811

Phone: 4807337300

Reddy Gi Associates

37000 N Gantzel Rd, Queen Creek, AZ 851407303

Phone: 4803930575

Secondary Practice Locations

5121 S Cottonwood St Ste 320

Murray, UT 841075701

Phone: 8015073380

2045 Franklin St

Denver, CO 802055437

Phone: 3032033797

Practice Associates & Co-Workers

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

18 Associated Practitioners

Dr. Raul Lopez Gonzalez , MD

Surgery

NPI 1003872318

Doctor of Medicine (M.D.)

Dr. Sudhakar Reddy , MD

Internal Medicine - Gastroenterology

NPI 1063458735

Doctor of Medicine (M.D.)

Nancy Rapkoch , PA

Physician Assistant

NPI 1124539812

Physician Assistant

Maria Norivic Soriano , NP

Nurse Practitioner - Family

NPI 1134602923

Nurse Practitioner

Dr. James Burgess , MD

Internal Medicine - Gastroenterology

NPI 1235118589

Doctor of Medicine (M.D.)

Ashley Silvey , AGACNP-BC

Nurse Practitioner

NPI 1235995481

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

15 Historical Events

📍

Updated Practice Location December 11, 2024

Registered at 5555 E BASELINE RD, MESA, AZ 852064709 (Tel: 4803930575)

📍

Updated Business Mailing Address December 11, 2024

Registered at 5555 E BASELINE RD, MESA, AZ 852064709 (Tel: 4803930575)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2024

Physician Assistant (License #10561256-1206 in UT)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Physician Assistant

✅

NPI Profile Active December 01, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location December 01, 2017

Registered at 5121 S COTTONWOOD ST STE 320, MURRAY, UT 841075701 (Tel: 8015073380)

📍

Updated Business Mailing Address December 01, 2017

Registered at 2124 BUHL AVE, NORTH SAINT PAUL, MN 55109 (Tel: 3038951675)

👤

Provider Name / Credentials Updated December 01, 2017

Recorded as KELLY RICHARDSON, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2017

Physician Assistant

✅

NPI Profile Active June 04, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location June 04, 2009

Registered at 2045 FRANKLIN ST, DENVER, CO 802055437 (Tel: 3032033797)

📍

Updated Business Mailing Address June 04, 2009

Registered at 1220 S EUDORA ST, DENVER, CO 802463211 (Tel: 3038951675)

👤

Provider Name / Credentials Updated June 04, 2009

Recorded as KELLY RICHARDSON, CST/CFA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2009

Specialist/Technologist, Other (License #95405 in CO)

🟢

Initial NPI Registration & Enumeration June 04, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760618730

Entity Type:

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

Enumeration Date: June 04, 2009

Last Update: December 11, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5555 E Baseline Rd

Mesa, AZ 852064709

Phone: 4803930575

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.