Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679124861 Individual Practitioner Female Practitioner

Mary Ann Kogan

Physician Assistant • Boca Raton, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mary Kogan is a certified Physician Assistant practicing in Boca Raton, FL. With approximately 7 years of clinical experience since completing medical education in 2019, Mary Kogan delivers high-quality medical care to the local community at 621 NW 53RD ST STE 330.

Mary Kogan is affiliated with Specialtycare Surgical Assist, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of gallbladder using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

621 Nw 53rd St Ste 330

Boca Raton, FL 334878281

Telephone 8004880279
Associated Practice Facility / Clinic
🏢 Pa Surgical Inc Facility NPI 1942313879

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Boca Raton, FL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -2.6 yrs vs City Avg
City Avg: 9.6 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
173 Specialists

Practicing in Boca Raton, FL (10376 Statewide)

Telehealth Adoption Rate
12.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
84.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kogan (7 Years) 7 Yrs
Boca Raton Specialty Average (9.6 Years) 9.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
47562 Removal of gallbladder using an endoscope
11 11 $656.00 $103.98

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL 9112615

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

Commercial Insurance / Payer ID Pa License Number
9112615 (FL)

Hospital & Practice Group Affiliations

Specialtycare Surgical Assist, Llc

20900 Biscayne Blvd, Aventura, FL 331801407

Phone: 3056827000

Practice Associates & Co-Workers

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

3 Associated Practitioners
Pedro Acosta , PA-C

Physician Assistant - Surgical

NPI 1114278538

Physician Assistant (Certified)

Charles Strader , PA-C

Physician Assistant - Surgical

NPI 1891801171

Physician Assistant (Certified)

Morgan Winokur , PA-C

Physician Assistant - Surgical

NPI 1982975512

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 27, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location September 27, 2019

Registered at 621 NW 53RD ST STE 330, BOCA RATON, FL 334878281 (Tel: 8004880279)

📍
Updated Business Mailing Address September 27, 2019

Registered at 20301 NE 30TH AVE APT 212, AVENTURA, FL 331801572 (Tel: 7862804761)

👤
Provider Name / Credentials Updated September 27, 2019

Recorded as MARY KOGAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2019

Physician Assistant (License #9112615 in FL)

🟢
Initial NPI Registration & Enumeration September 27, 2019

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: 1679124861
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 27, 2019
Last Update: September 27, 2019
Sole Proprietor: No

Mailing Address

20301 Ne 30th Ave Apt 212

Aventura, FL 331801572

Phone: 7862804761

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.