Active NPI 1104482314 Individual Practitioner Female Practitioner

Kyra Maria Frey , PA-C

Physician Assistant • Jacksonville, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Kyra Frey, PA-C is a certified Physician Assistant practicing in Jacksonville, FL. With approximately 7 years of clinical experience since completing medical education in 2019, Kyra Frey delivers high-quality medical care to the local community at 4500 SAN PABLO RD S.

Kyra Frey maintains professional affiliations with Mayo Clinic Jacksonville, Southeast Orthopedic Specialists Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of shoulder, minimum of 2 views, x-ray of hip, 2-3 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4500 San Pablo Rd S

Jacksonville, FL 322241865

Telephone 9049532000

Associated Practice Facility / Clinic

🏢 Mayo Clinic Jacksonville Facility NPI 1790772317

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Jacksonville, FL

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

7 Yrs -4.2 yrs vs City Avg

City Avg: 11.2 Yrs

State Avg: 11.1 Yrs

Regional Practice Density

844 Specialists

Practicing in Jacksonville, FL (10376 Statewide)

Telehealth Adoption Rate

20.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

83.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Frey (7 Years) 7 Yrs

Jacksonville Specialty Average (11.2 Years) 11.2 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
99213 Established patient office or other outpatient visit, typically 15 minutes	180	139	$273.96	$74.64
73030 X-ray of shoulder, minimum of 2 views	83	51	$100.47	$28.11
73502 X-ray of hip, 2-3 views	80	61	$130.93	$36.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	52	$389.10	$106.17
73560 X-ray of knee, 1-2 views	53	40	$91.75	$24.25
73552 X-ray of thigh bone, minimum 2 views	47	33	$95.25	$25.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	36	$410.91	$108.90
73110 X-ray of wrist, minimum of 3 views	28	17	$118.11	$32.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$507.24	$139.32
27245 Treatment of broken neck of thigh bone with bone implant	20	20	$1736.55	$168.52
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	20	20	$1686.75	$163.72
73610 X-ray of ankle, minimum of 3 views	19	13	$98.69	$26.87
73070 X-ray of elbow, 2 views	17	13	$82.02	$22.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	113	95	$273.96	$75.68
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	84	84	$410.91	$112.24
73030 X-ray of shoulder, minimum of 2 views	71	40	$95.33	$27.35
73502 X-ray of hip, 2-3 views	59	47	$116.78	$32.08
73552 X-ray of thigh bone, minimum 2 views	39	32	$93.57	$26.81
73560 X-ray of knee, 1-2 views	38	28	$94.36	$26.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$338.43	$95.65
27245 Treatment of broken neck of thigh bone with bone implant	23	23	$1736.55	$172.86
73110 X-ray of wrist, minimum of 3 views	21	14	$113.70	$32.70
73610 X-ray of ankle, minimum of 3 views	20	17	$95.03	$27.19
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	17	16	$1686.75	$164.96
73070 X-ray of elbow, 2 views	17	13	$82.02	$23.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	91	75	$273.96	$77.22
99221 Initial hospital inpatient care per day, typically 30 minutes	84	84	$307.71	$86.15
73502 X-ray of hip, 2-3 views	58	51	$136.11	$39.54
73030 X-ray of shoulder, minimum of 2 views	34	25	$100.47	$28.31
27245 Treatment of broken neck of thigh bone with bone implant	29	29	$1736.55	$172.52
73110 X-ray of wrist, minimum of 3 views	20	16	$118.11	$34.43
73560 X-ray of knee, 1-2 views	13	13	$100.35	$28.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$338.43	$96.41
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	13	13	$1686.75	$170.30
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$410.91	$116.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	31	29	$188.51	$77.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	25	$254.00	$110.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$394.00	$143.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$268.13	$95.89
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$273.40	$87.18

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	41	36	$254.00	$92.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$259.00	$91.65
99213 Established patient office or other outpatient visit, typically 15 minutes	26	22	$168.00	$63.56
99443 Telephone medical discussion with physician, 21-30 minutes	25	21	$216.36	$89.45
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	12	$181.00	$62.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$254.00	$68.56
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$244.00	$88.60

Medical Specialties & State Licenses

CMS Verified: 2026-01-28

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9112380

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

111615700 (FL)

Hospital & Practice Group Affiliations

Southeast Orthopedic Specialists Llc

2 Shircliff Way, Jacksonville, FL 322044762

Phone: 9046340640

Southeast Orthopedic Specialists Llc

2627 Riverside Ave, Jacksonville, FL 322044717

Phone: 9046340640

Mayo Clinic Jacksonville

4500 San Pablo Rd S, Jacksonville, FL 322241865

Phone: 9049532000

Southeast Orthopedic Specialists Llc

10475 Centurion Pkwy N, Jacksonville, FL 322565004

Phone: 9046340640

Secondary Practice Locations

4565 Us Highway 17 Ste 200

Fleming Island, FL 320034823

Phone: 9046300640

1690 Us Highway 1 S Ste F

St Augustine, FL 320846024

Phone: 9046340640

232 Ponte Vedra Park Dr

Ponte Vedra Beach, FL 320826600

Phone: 9046340640

4268 Oldfield Crossing Dr Ste 201

Jacksonville, FL 322238800

Phone: 9046340640

216 Southpark Cir E Ste 216

St Augustine, FL 320865135

Phone: 9046340640

15255 Max Legget Pkwy Ste 5300

Jacksonville, FL 322187274

Phone: 9046340640

2627 Riverside Ave Ste 300

Jacksonville, FL 322044717

Phone: 9046340640

10475 Centurion Pkwy N Ste 220

Jacksonville, FL 322565004

Phone: 9046340640

2 Shircliff Way Ste 605

Jacksonville, FL 322044762

Phone: 9046340640

3055 County Road 210 W Ste 110

St Johns, FL 322597001

Phone: 9046340640

Practice Associates & Co-Workers

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

40 Associated Practitioners

Katherine Walsh , PA-C, MPH

Physician Assistant

NPI 1003015280

Physician Assistant (Certified), Master of Public Health

Dr. Jami Kinnucan , MD

Internal Medicine - Gastroenterology

NPI 1003045634

Doctor of Medicine (M.D.)

Dr. Glenn Shi , MD

Orthopaedic Surgery

NPI 1003058660

Doctor of Medicine (M.D.)

Dr. Michelle Tulang , MD

Internal Medicine

NPI 1003073586

Doctor of Medicine (M.D.)

Dr. Ricardo Pagan , MD

Hospitalist

NPI 1003100520

Doctor of Medicine (M.D.)

Crystal Lynn , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003148768

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Practice Location January 28, 2026

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

👤

Provider Name / Credentials Updated January 28, 2026

Recorded as KYRA FREY, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2023

Physician Assistant (License #PA9112380 in FL)

📍

Updated Practice Location March 09, 2023

Registered at 2 SHIRCLIFF WAY STE 605, JACKSONVILLE, FL 322044762 (Tel: 9046340640)

📍

Updated Business Mailing Address March 09, 2023

Registered at 6800 SOUTHPOINT PKWY STE 300, JACKSONVILLE, FL 322168203 (Tel: 9046340640)

✅

NPI Profile Active May 13, 2019

NPI status registered as active in NPPES database

📍

Updated Practice Location May 13, 2019

Registered at 3009 W FAIR OAKS AVE, TAMPA, FL 336111640 (Tel: 8137315059)

📍

Updated Business Mailing Address May 13, 2019

Registered at 3009 W FAIR OAKS AVE, TAMPA, FL 336111640 (Tel: 8137315059)

👤

Provider Name / Credentials Updated May 13, 2019

Recorded as KYRA FREY

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2019

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration May 13, 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: 1104482314

Entity Type:

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

Enumeration Date: May 13, 2019

Last Update: January 28, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6800 Southpoint Pkwy Ste 300

Jacksonville, FL 322168203

Phone: 9046340640

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.