Active NPI 1750884391 Individual Practitioner Female Practitioner

Krystal S Mccain , PA

Physician Assistant • Modesto, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Krystal Mccain, PA is a certified Physician Assistant practicing in Modesto, CA. With approximately 9 years of clinical experience since completing medical education in 2017, Krystal Mccain delivers high-quality medical care to the local community at 1114 6TH ST.

Krystal Mccain is affiliated with American Family Care, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, dexamethasone sodium phosphate, 1 mg, detection test by immunoassay with direct visual observation for influenza virus, 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

1114 6th St

Modesto, CA 953542203

Telephone 2095762845

Fax 2095768842

Associated Practice Facility / Clinic

🏢 Golden Valley Health Center Facility NPI 1346224417

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 Modesto, CA

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

9 Yrs -2.3 yrs vs City Avg

City Avg: 11.3 Yrs

State Avg: 11.5 Yrs

Regional Practice Density

124 Specialists

Practicing in Modesto, CA (14617 Statewide)

Telehealth Adoption Rate

14.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mccain (9 Years) 9 Yrs

Modesto Specialty Average (11.3 Years) 11.3 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
J1100 Injection, dexamethasone sodium phosphate, 1 mg	76	13	$0.40	$0.12
87804 Detection test by immunoassay with direct visual observation for influenza virus	33	16	$42.00	$16.22
99213 Established patient office or other outpatient visit, typically 15 minutes	25	24	$142.90	$69.70
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	19	13	$30.00	$10.88
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	16	16	$61.83	$50.28
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	13	13	$198.56	$40.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$176.00	$84.99
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	11	11	$25.00	$16.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	126	21	$0.40	$0.12
87804 Detection test by immunoassay with direct visual observation for influenza virus	36	18	$40.11	$16.22
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	31	22	$28.87	$11.05
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	25	25	$93.57	$50.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$202.00	$100.85
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$143.00	$70.96
71046 X-ray of chest, 2 views	12	12	$54.00	$25.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	130	19	$0.40	$0.12
99285 Emergency department visit for life threatening or functioning severity	37	35	$1562.08	$135.91
99284 Emergency department visit with moderate level of medical decision making	35	35	$1034.42	$93.16
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	33	33	$150.00	$50.58
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	32	24	$26.06	$11.40
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	31	31	$75.97	$6.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$149.07	$90.32
87804 Detection test by immunoassay with direct visual observation for influenza virus	22	11	$23.91	$16.27
99283 Emergency department visit with low level of medical decision making	19	19	$552.35	$57.46
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$104.11	$73.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$245.62	$134.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	340	43	$0.40	$0.16
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	159	148	$150.00	$50.99
J0696 Injection, ceftriaxone sodium, per 250 mg	116	28	$20.00	$0.54
99213 Established patient office or other outpatient visit, typically 15 minutes	115	102	$94.51	$73.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	97	97	$119.28	$89.58
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	95	56	$30.00	$11.37
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	27	27	$27.00	$7.77
81002 Urinalysis, manual test	26	25	$10.00	$3.48
36415 Insertion of needle into vein for collection of blood sample	25	25	$7.00	$3.00
71046 X-ray of chest, 2 views	25	23	$88.00	$26.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	22	$60.00	$45.31
99284 Emergency department visit with moderate level of medical decision making	23	23	$996.00	$92.50
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$85.21	$57.02
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	14	13	$72.00	$6.75
99285 Emergency department visit for life threatening or functioning severity	13	12	$1467.00	$129.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	94	89	$150.00	$50.76
J1100 Injection, dexamethasone sodium phosphate, 1 mg	77	14	$0.40	$0.13
J0696 Injection, ceftriaxone sodium, per 250 mg	68	17	$20.00	$0.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$118.81	$85.87
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	32	18	$30.00	$11.43
99213 Established patient office or other outpatient visit, typically 15 minutes	29	26	$94.50	$59.26
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$82.00	$61.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	35	32	$916.00	$93.46
99283 Emergency department visit with low level of medical decision making	20	20	$480.00	$49.57
99285 Emergency department visit for life threatening or functioning severity	18	18	$1343.56	$128.52
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	11	11	$65.91	$6.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	90	83	$913.71	$93.55
99285 Emergency department visit for life threatening or functioning severity	70	70	$1339.86	$136.37
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	43	42	$66.81	$6.79
99283 Emergency department visit with low level of medical decision making	39	38	$480.00	$50.01

Medical Specialties & State Licenses

CMS Verified: 2024-02-28

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA 62527

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 AL PA.1331

Hospital & Practice Group Affiliations

American Family Care, Llc

8151 Whitesburg Dr Se, Huntsville, AL 358024557

Phone: 2568829711

American Family Care, Llc

366 E Meighan Blvd, Gadsden, AL 359031049

Phone: 2564850982

American Family Care, Llc

30 Holmes Dr, Oxford, AL 362032420

Phone: 2564033534

American Family Care, Llc

20 Hazelwood Dr, Pell City, AL 351253382

Phone: 2053388008

Practice Associates & Co-Workers

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

23 Associated Practitioners

Kamalpreet Kaur , FNP

Nurse Practitioner

NPI 1063919561

Family Nurse Practitioner

Natasha Douglass , FNP

Nurse Practitioner - Family

NPI 1093379752

Family Nurse Practitioner

Paul Kiruuta , FNP

Nurse Practitioner - Family

NPI 1124562939

Family Nurse Practitioner

Dr. Laura Stallone , MD

Obstetrics & Gynecology

NPI 1194708370

Doctor of Medicine (M.D.)

Guadalupe Lopez

Social Worker - Clinical

NPI 1235374497

Natalie Mattos , PA

Physician Assistant - Medical

NPI 1265415525

Physician Assistant

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location February 28, 2024

Registered at 1114 6TH ST, MODESTO, CA 953542203 (Tel: 2095762845)

📍

Updated Business Mailing Address February 28, 2024

Registered at 737 W CHILDS AVE, MERCED, CA 953416805 (Tel: 2093846481)

✅

NPI Profile Active March 09, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location March 09, 2018

Registered at 701 PRINCETON AVE SW, BIRMINGHAM, AL 352111303 (Tel: 2568013108)

📍

Updated Business Mailing Address March 09, 2018

Registered at 701 PRINCETON AVE SW, BIRMINGHAM, AL 352111303

👤

Provider Name / Credentials Updated March 09, 2018

Recorded as KRYSTAL MCCAIN, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2018

Physician Assistant (License #PA.1331 in AL)

🟢

Initial NPI Registration & Enumeration March 09, 2018

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: 1750884391

Entity Type:

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

Enumeration Date: March 09, 2018

Last Update: February 28, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

737 W Childs Ave

Merced, CA 953416805

Phone: 2093846481

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.