Active NPI 1255876041 Individual Practitioner Male Practitioner

John Edward Kelly , PA

Physician Assistant • Leesburg, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

John Kelly, PA is a certified Physician Assistant practicing in Leesburg, FL. With approximately 10 years of clinical experience since completing medical education in 2016, John Kelly delivers high-quality medical care to the local community at 1340 CITIZENS BLVD.

John Kelly is affiliated with Johnny Gurgen Do Pa 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

1340 Citizens Blvd

Leesburg, FL 347483924

Telephone 3524357695

Fax 3524357453

Associated Practice Facility / Clinic

🏢 Johnny Gurgen Do Pa Facility NPI 1770856833

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Leesburg, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs -5.8 yrs vs City Avg

City Avg: 15.8 Yrs

State Avg: 11.1 Yrs

Regional Practice Density

21 Specialists

Practicing in Leesburg, FL (10376 Statewide)

Telehealth Adoption Rate

9.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kelly (10 Years) 10 Yrs

Leesburg Specialty Average (15.8 Years) 15.8 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	361	67	$12.53	$5.27
99213 Established patient office or other outpatient visit, typically 15 minutes	120	116	$177.57	$74.97
17000 Destruction of skin growth	80	78	$130.74	$45.46
11102 Tangential biopsy of single skin lesion	54	52	$192.21	$78.62
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	48	44	$820.55	$341.58
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	37	32	$473.56	$99.47
11103 Biopsy of related skin growth, each additional growth	35	20	$96.60	$40.55
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	34	33	$332.39	$69.94
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	33	31	$763.72	$316.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$109.48	$46.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,164	183	$11.61	$5.40
99213 Established patient office or other outpatient visit, typically 15 minutes	470	312	$155.88	$75.24
17000 Destruction of skin growth	331	235	$131.65	$45.19
11102 Tangential biopsy of single skin lesion	240	187	$198.57	$83.36
11103 Biopsy of related skin growth, each additional growth	128	76	$99.53	$41.48
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	125	103	$495.69	$101.56
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	108	94	$885.75	$352.05
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	102	91	$798.03	$330.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	69	$222.46	$106.96
17004 Destruction of precancer skin growth, 15 or more growths	64	54	$312.26	$140.02
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	55	51	$334.68	$72.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$218.54	$94.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	47	$104.01	$46.90
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	27	23	$310.95	$65.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$332.26	$140.31
69100 Biopsy of ear	20	16	$203.90	$48.06
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	15	14	$566.32	$116.44
13100 Complicated repair of wound of trunk, 1.1-2.5 cm	12	12	$718.22	$283.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	703	144	$11.40	$5.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	420	335	$217.09	$110.25
17000 Destruction of skin growth	224	198	$131.40	$44.80
11102 Tangential biopsy of single skin lesion	186	167	$199.00	$86.40
11103 Biopsy of related skin growth, each additional growth	114	65	$100.37	$44.45
17004 Destruction of precancer skin growth, 15 or more growths	38	34	$306.04	$139.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$332.26	$143.72
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$148.82	$77.62
69100 Biopsy of ear	14	14	$207.00	$53.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,087	171	$11.40	$4.99
99213 Established patient office or other outpatient visit, typically 15 minutes	471	318	$148.82	$63.85
17000 Destruction of skin growth	325	247	$131.40	$42.43
11102 Tangential biopsy of single skin lesion	315	252	$199.00	$84.43
11103 Biopsy of related skin growth, each additional growth	172	112	$106.00	$45.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	106	106	$218.30	$91.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	67	$89.98	$38.49
17004 Destruction of precancer skin growth, 15 or more growths	55	43	$306.04	$133.74
69100 Biopsy of ear	16	15	$207.00	$57.23
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$153.08	$64.61

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9109928

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

Johnny Gurgen Do Pa

920 Rolling Acres Rd Unit, Lady Lake, FL 321595029

Johnny Gurgen Do Pa

1340 Citizens Blvd, Leesburg, FL 347483924

Phone: 3524357695

Johnny Gurgen Do Pa

920 Rolling Acres Rd, Lady Lake, FL 321595029

Phone: 3524357695

Johnny Gurgen Do Pa

210 S Lake St, Leesburg, FL 347487369

Phone: 3524357695

Practice Associates & Co-Workers

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

4 Associated Practitioners

Jeren Kowalewski , PA-C

Dermatology

NPI 1174153969

Physician Assistant (Certified)

Stephany Leclair , MSN, APRN, A-GNP-C

Registered Nurse

NPI 1376155929

Master of Science in Nursing, Advanced Practice Registered Nurse, Adult-Gerontology Nurse Practitioner (Certified)

Murat Gurgen , ARNP

Nurse Practitioner

NPI 1861816555

Advanced Registered Nurse Practitioner

Dr. Johnny Gurgen , DO

Dermatology

NPI 1962666966

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 03, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 03, 2017

Registered at 1340 CITIZENS BLVD, LEESBURG, FL 347483924 (Tel: 3524357695)

📍

Updated Business Mailing Address January 03, 2017

Registered at PO BOX 1621, INVERNESS, FL 344511621 (Tel: 3527262947)

👤

Provider Name / Credentials Updated January 03, 2017

Recorded as JOHN KELLY, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2017

Physician Assistant (License #PA9109928 in FL)

🟢

Initial NPI Registration & Enumeration January 03, 2017

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: 1255876041

Entity Type:

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

Enumeration Date: January 03, 2017

Last Update: January 03, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 1621

Inverness, FL 344511621

Phone: 3527262947

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.