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Active NPI 1649758004 Individual Practitioner Female Practitioner

Keely M Staten , PA-C

Physician Assistant • Lecanto, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Keely Staten, PA-C is a certified Physician Assistant practicing in Lecanto, FL. With approximately 9 years of clinical experience since completing medical education in 2017, Keely Staten delivers high-quality medical care to the local community at 525 N DACIE PT.

Keely Staten is affiliated with Suncoast Skin Solutions and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

525 N Dacie Pt

Lecanto, FL 344618399

Telephone 8133211786
Fax 8133211787
Associated Practice Facility / Clinic

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 Lecanto, FL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -3.5 yrs vs City Avg
City Avg: 12.5 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
20 Specialists

Practicing in Lecanto, FL (10376 Statewide)

Telehealth Adoption Rate
5.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
62.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Staten (9 Years) 9 Yrs
Lecanto Specialty Average (12.5 Years) 12.5 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
17003 Destruction of precancer skin growth, 2-14 growths
1,550 297 $12.65 $5.30
99213 Established patient office or other outpatient visit, typically 15 minutes
731 553 $179.13 $75.05
17000 Destruction of skin growth
561 425 $131.86 $41.05
11102 Tangential biopsy of single skin lesion
368 313 $193.67 $72.15
17110 Destruction of up to 14 skin growths
246 210 $219.38 $89.61
11103 Biopsy of related skin growth, each additional growth
139 98 $97.24 $40.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
138 120 $253.43 $106.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
93 93 $220.63 $91.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
52 48 $111.11 $46.53
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm
46 42 $589.28 $246.88
17004 Destruction of precancer skin growth, 15 or more growths
44 34 $325.29 $136.29
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm
30 28 $477.50 $99.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
24 24 $332.51 $139.23
10060 Simple or single drainage of skin abscess
18 18 $248.44 $104.25
69100 Biopsy of ear
13 12 $185.77 $59.79

Medical Specialties & State Licenses

CMS Verified: 2022-11-12
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9112684

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
106795900 (FL)
Commercial Insurance / Payer ID License Number
PA00357 (MS)

Hospital & Practice Group Affiliations

Suncoast Skin Solutions

525 N Dacie Pt, Lecanto, FL 344618399

Phone: 8133211786

Practice Associates & Co-Workers

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

40 Associated Practitioners
Megan Mcgill , PA-C

Physician Assistant

NPI 1013678887

Physician Assistant (Certified)

NPI 1043406481

PHYSICIANASSISTANT

NPI 1063519254

Doctor of Medicine (M.D.)

Noreen Godfrey , PA-C

Physician Assistant

NPI 1063536670

Physician Assistant (Certified)

Jill Stchur , PA

Physician Assistant

NPI 1063958304

Physician Assistant

Chris Narsesian , NP

Nurse Practitioner - Family

NPI 1073159513

Nurse Practitioner

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location November 12, 2022

Registered at 525 N DACIE PT, LECANTO, FL 344618399 (Tel: 8133211786)

📍
Updated Business Mailing Address November 12, 2022

Registered at 4651 VAN DYKE RD, LUTZ, FL 335584880 (Tel: 8133211786)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2022

Physician Assistant (License #PA9112684 in FL)

NPI Profile Active July 29, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location July 29, 2018

Registered at 362 PARK CREEK DR, COLUMBUS, MS 397051326 (Tel: 6622448864)

📍
Updated Business Mailing Address July 29, 2018

Registered at 301 1ST ST S, COLUMBUS, MS 397015606 (Tel: 9313353359)

👤
Provider Name / Credentials Updated July 29, 2018

Recorded as KEELY STATEN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2018

Family Medicine (License #PA00357 in MS)

🟢
Initial NPI Registration & Enumeration July 29, 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: 1649758004
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 29, 2018
Last Update: November 12, 2022
Sole Proprietor: No

Mailing Address

4651 Van Dyke Rd

Lutz, FL 335584880

Phone: 8133211786

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.