Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891309688 Individual Practitioner Male Practitioner

Kyrian C Obidiegwu

Physician Assistant • Clovis, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kyrian Obidiegwu is a certified Physician Assistant practicing in Clovis, CA. With approximately 6 years of clinical experience since completing medical education in 2020, Kyrian Obidiegwu delivers high-quality medical care to the local community at 2021 HERNDON AVE # 101.

Kyrian Obidiegwu is affiliated with Community Foundation Medical Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg, hyaluronan or derivative, durolane, for intra-articular injection, 1 mg, injection, bupivicaine, not otherwise specified, 0.5 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2021 Herndon Ave # 101

Clovis, CA 936116316

Telephone 5108618246

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Clovis, CA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -4.1 yrs vs City Avg
City Avg: 10.1 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
18 Specialists

Practicing in Clovis, CA (14617 Statewide)

Telehealth Adoption Rate
22.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
73.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Obidiegwu (6 Years) 6 Yrs
Clovis Specialty Average (10.1 Years) 10.1 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
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg
5,880 16 $4.00 $0.52
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg
2,940 29 $31.00 $6.28
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg
367 22 $4.54 $0.01
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
266 44 $13.00 $0.97
20610 Aspiration and/or injection of fluid from large joint
108 72 $276.11 $65.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
76 68 $405.00 $110.00
73564 X-ray of knee, 4 or more views
33 27 $148.00 $42.40
99213 Established patient office or other outpatient visit, typically 15 minutes
30 29 $285.00 $78.95
73030 X-ray of shoulder, minimum of 2 views
25 21 $110.00 $31.31
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance
23 21 $379.83 $95.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
16 15 $176.00 $49.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
15 15 $521.00 $143.71

Medical Specialties & State Licenses

CMS Verified: 2020-10-02
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.

Hospital & Practice Group Affiliations

Community Foundation Medical Group

1630 E Herndon Ave, Fresno, CA 937203391

Phone: 5592907051

Community Foundation Medical Group

2335 E Kashian Ln, Fresno, CA 937012234

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Erick Green , MD

Family Medicine

NPI 1821371022

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location October 02, 2020

Registered at 2021 HERNDON AVE # 101, CLOVIS, CA 936116316 (Tel: 5108618246)

NPI Profile Active September 03, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location September 03, 2020

Registered at 40370 ROAD 222, BASS LAKE, CA 936049702 (Tel: 5108618246)

📍
Updated Business Mailing Address September 03, 2020

Registered at PO BOX 25639, FRESNO, CA 937295639

👤
Provider Name / Credentials Updated September 03, 2020

Recorded as KYRIAN OBIDIEGWU

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2020

Physician Assistant

🟢
Initial NPI Registration & Enumeration August 31, 2020

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: 1891309688
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2020
Last Update: October 02, 2020
Sole Proprietor: No

Mailing Address

Po Box 25639

Fresno, CA 937295639

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.