Active NPI 1518523836 Individual Practitioner Female Practitioner

Kathryn Nannette Cannon

Physician Assistant • Orange Park, FL

Professional Overview & Biography Verified Profile Summary

Kathryn Cannon is a certified Physician Assistant practicing in Orange Park, FL. With approximately 7 years of clinical experience since completing medical education in 2019, Kathryn Cannon delivers high-quality medical care to the local community at 2300 PARK AVE STE 200.

Kathryn Cannon maintains professional affiliations with Lake Area Physical Therapy Inc., St Vincent'S Ambulatory Care Inc and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, advance care planning, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2300 Park Ave Ste 200

Orange Park, FL 320735571

Telephone 9042962900

Fax 9042961140

Associated Practice Facility / Clinic

🏢 Sacred Heart Health System, Inc. Facility NPI 1619928165

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Orange Park, FL

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

7 Yrs -7.0 yrs vs City Avg

City Avg: 14.0 Yrs

State Avg: 11.1 Yrs

Regional Practice Density

52 Specialists

Practicing in Orange Park, FL (10376 Statewide)

Telehealth Adoption Rate

5.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

83.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cannon (7 Years) 7 Yrs

Orange Park Specialty Average (14.0 Years) 14.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	523	270	$323.46	$76.19
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	98	98	$457.35	$42.69
99497 Advance care planning, first 30 minutes	93	93	$252.00	$3.52
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	72	63	$45.53	$10.77
81003 Automated urinalysis test	26	25	$9.00	$2.20
99213 Established patient office or other outpatient visit, typically 15 minutes	21	20	$224.62	$59.04
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	19	$435.21	$88.80

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	510	260	$323.00	$79.51
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	105	105	$456.33	$49.06
99497 Advance care planning, first 30 minutes	100	100	$249.00	$8.75
99213 Established patient office or other outpatient visit, typically 15 minutes	44	41	$220.00	$63.16
81003 Automated urinalysis test	39	31	$9.00	$2.14
93000 Routine ekg using at least 12 leads including interpretation and report	18	18	$51.00	$12.25
81002 Urinalysis, manual test	12	12	$11.00	$3.15
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$501.00	$131.58

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	503	288	$323.00	$78.71
99213 Established patient office or other outpatient visit, typically 15 minutes	140	117	$220.00	$75.35
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	55	55	$349.00	$50.56
99497 Advance care planning, first 30 minutes	53	53	$249.00	$10.91
93000 Routine ekg using at least 12 leads including interpretation and report	39	37	$51.00	$12.20
81003 Automated urinalysis test	38	32	$9.00	$2.16
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	16	15	$75.00	$12.03
81002 Urinalysis, manual test	15	12	$11.00	$3.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$497.00	$135.82
69210 Removal of impacted ear wax	13	13	$103.00	$38.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	307	205	$220.00	$75.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	299	180	$323.00	$107.55
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	74	74	$349.00	$110.55
99497 Advance care planning, first 30 minutes	74	74	$249.00	$71.91
81003 Automated urinalysis test	37	27	$9.00	$2.25
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	25	20	$75.00	$11.87
93000 Routine ekg using at least 12 leads including interpretation and report	19	19	$51.00	$12.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$497.00	$143.72

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	270	150	$323.00	$89.75
99213 Established patient office or other outpatient visit, typically 15 minutes	158	109	$220.00	$62.79
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	29	29	$349.00	$97.57
81003 Automated urinalysis test	28	24	$9.00	$2.25
93000 Routine ekg using at least 12 leads including interpretation and report	26	24	$51.00	$12.90
99497 Advance care planning, first 30 minutes	23	23	$249.00	$73.54
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	20	15	$75.00	$11.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$497.00	$141.19
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$436.00	$124.05
81002 Urinalysis, manual test	13	12	$11.00	$3.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	20	18	$220.00	$62.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$323.00	$91.20

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9112385

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

St Vincent's Ambulatory Care Inc

1801 Barrs St, Jacksonville, FL 322044738

Phone: 9043082006

Lake Area Physical Therapy Inc.

Po Box, Melrose, FL 326661099

St Vincent's Ambulatory Care Inc

2300 Park Ave, Orange Park, FL 320735571

Phone: 9042692900

Lake Area Physical Therapy Inc.

Po Box, Melrose, FL 326661099

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Barbara Cruikshank , MD

Family Medicine

NPI 1053463075

Doctor of Medicine (M.D.)

Dr. Justin Stark , DO

Family Medicine

NPI 1093087579

Doctor of Osteopathic Medicine (D.O.)

Jessica Bowden

Psychologist - Clinical

NPI 1609426352

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location October 28, 2019

Registered at 2300 PARK AVE STE 200, ORANGE PARK, FL 320735571 (Tel: 9042962900)

📍

Updated Business Mailing Address October 28, 2019

Registered at 4205 BELFORT RD STE 4015, JACKSONVILLE, FL 322163623

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2019

Physician Assistant (License #PA9112385 in FL)

✅

NPI Profile Active May 13, 2019

NPI status registered as active in NPPES database

📍

Updated Practice Location May 13, 2019

Registered at 2553 HUNTINGTON WAY, ORANGE PARK, FL 320735705 (Tel: 9043338112)

📍

Updated Business Mailing Address May 13, 2019

Registered at 2553 HUNTINGTON WAY, ORANGE PARK, FL 320735705

👤

Provider Name / Credentials Updated May 13, 2019

Recorded as KATHRYN CANNON

🎓

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: 1518523836

Entity Type:

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

Enumeration Date: May 13, 2019

Last Update: October 28, 2019

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

4205 Belfort Rd Ste 4015

Jacksonville, FL 322163623

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.