Active NPI 1558540500 Individual Practitioner Male Practitioner

Earnest E Kepler , PA-C

Physician Assistant • St Augustine, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Earnest Kepler, PA-C is a certified Physician Assistant practicing in St Augustine, FL. With approximately 42 years of clinical experience since completing medical education in 1984, Earnest Kepler delivers high-quality medical care to the local community at 45 GROOVER LOOP STE 201.

Earnest Kepler is affiliated with Southeast Orthopedic Specialists Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, x-ray of hand, minimum of 3 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

45 Groover Loop Ste 201

St Augustine, FL 320866586

Telephone 9046340640

Fax 9046340640

Associated Practice Facility / Clinic

🏢 Southeast Orthopedic Specialists, Llc Facility NPI 1730815184

Medicare Profile & Education

Medical School

Other

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in St Augustine, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +30.9 yrs vs City Avg

City Avg: 11.1 Yrs

State Avg: 11.1 Yrs

Regional Practice Density

41 Specialists

Practicing in St Augustine, FL (10376 Statewide)

Telehealth Adoption Rate

2.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kepler (42 Years) 42 Yrs

St Augustine Specialty Average (11.1 Years) 11.1 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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,156	341	$4.13	$0.97
99213 Established patient office or other outpatient visit, typically 15 minutes	888	555	$273.96	$75.04
73130 X-ray of hand, minimum of 3 views	236	170	$106.32	$29.94
20610 Aspiration and/or injection of fluid from large joint	224	156	$276.23	$60.20
73030 X-ray of shoulder, minimum of 2 views	221	159	$100.47	$28.02
73110 X-ray of wrist, minimum of 3 views	205	111	$117.21	$32.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	162	162	$338.43	$92.30
20550 Injection into tendon or ligament	129	96	$200.00	$43.11
20600 Aspiration and/or injection of fluid from small joint	113	72	$176.49	$46.29
73140 X-ray of finger, minimum of 2 views	70	55	$109.02	$30.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	43	$389.10	$106.19
73080 X-ray of elbow, minimum of 3 views	42	33	$94.53	$25.95
20605 Aspiration and/or injection of medium joint or joint capsule	27	26	$167.35	$43.45
77002 Fluoroscopic guidance for needle placement	22	20	$341.22	$88.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$507.24	$139.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,980	278	$4.13	$1.06
99213 Established patient office or other outpatient visit, typically 15 minutes	764	462	$273.96	$74.71
73130 X-ray of hand, minimum of 3 views	220	150	$106.32	$30.19
20610 Aspiration and/or injection of fluid from large joint	211	139	$278.44	$59.63
73110 X-ray of wrist, minimum of 3 views	187	103	$117.61	$32.71
73030 X-ray of shoulder, minimum of 2 views	185	133	$100.47	$28.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	131	131	$338.43	$93.42
20600 Aspiration and/or injection of fluid from small joint	87	61	$181.02	$48.63
20550 Injection into tendon or ligament	82	61	$201.22	$43.50
73140 X-ray of finger, minimum of 2 views	66	46	$109.02	$30.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	41	$389.10	$102.77
20605 Aspiration and/or injection of medium joint or joint capsule	36	30	$168.87	$47.30
77002 Fluoroscopic guidance for needle placement	33	20	$341.22	$95.03
73070 X-ray of elbow, 2 views	29	25	$85.62	$23.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$507.24	$139.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	21	$167.28	$44.74
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	14	13	$61.20	$22.77
29075 Application of elbow to finger cast	13	12	$262.38	$74.40
20526 Injection of carpal tunnel	13	12	$441.35	$67.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,345	257	$3.80	$1.13
99213 Established patient office or other outpatient visit, typically 15 minutes	371	283	$261.11	$75.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	318	254	$363.90	$107.62
73030 X-ray of shoulder, minimum of 2 views	216	142	$93.45	$28.71
20610 Aspiration and/or injection of fluid from large joint	162	120	$244.96	$59.02
73130 X-ray of hand, minimum of 3 views	139	108	$103.10	$29.97
73110 X-ray of wrist, minimum of 3 views	139	86	$113.16	$33.46
20550 Injection into tendon or ligament	84	68	$184.06	$45.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$458.10	$142.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$323.47	$93.82
20600 Aspiration and/or injection of fluid from small joint	48	44	$173.71	$47.86
73140 X-ray of finger, minimum of 2 views	43	39	$97.71	$31.34
73070 X-ray of elbow, 2 views	42	36	$81.40	$24.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	32	$163.27	$47.50
73060 X-ray of upper arm, minimum of 2 views	22	12	$88.14	$26.65
77002 Fluoroscopic guidance for needle placement	22	17	$328.44	$97.17
20605 Aspiration and/or injection of medium joint or joint capsule	18	17	$156.72	$46.79
20551 Injection into tendon at attachment to bone or muscle	13	13	$161.40	$49.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,834	417	$3.00	$1.27
20610 Aspiration and/or injection of fluid from large joint	652	380	$199.22	$61.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	567	394	$323.62	$109.88
99213 Established patient office or other outpatient visit, typically 15 minutes	455	338	$224.60	$77.50
73030 X-ray of shoulder, minimum of 2 views	445	339	$83.83	$28.35
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	214	33	$135.00	$75.62
73560 X-ray of knee, 1-2 views	199	145	$83.93	$28.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	117	117	$422.52	$142.25
77002 Fluoroscopic guidance for needle placement	92	64	$284.13	$96.68
23350 Injection of dye for X-ray imaging of shoulder joint	83	59	$527.83	$159.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$282.43	$92.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	44	$135.13	$47.40
73070 X-ray of elbow, 2 views	28	28	$71.93	$24.26
73502 X-ray of hip, 2-3 views	22	19	$113.73	$38.56
73020 X-ray of shoulder, 1 view	15	13	$53.93	$18.11
72040 X-ray of upper spine, 2-3 views	14	14	$96.57	$32.72
20605 Aspiration and/or injection of medium joint or joint capsule	14	12	$136.86	$43.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,300	350	$3.00	$1.45
99213 Established patient office or other outpatient visit, typically 15 minutes	695	433	$189.00	$63.61
20610 Aspiration and/or injection of fluid from large joint	532	302	$187.17	$58.18
73030 X-ray of shoulder, minimum of 2 views	373	319	$81.51	$27.49
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	198	31	$135.00	$79.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	135	125	$274.99	$91.78
77002 Fluoroscopic guidance for needle placement	99	73	$264.03	$89.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	99	99	$270.88	$91.82
23350 Injection of dye for X-ray imaging of shoulder joint	92	68	$424.01	$137.45
73560 X-ray of knee, 1-2 views	86	74	$81.91	$27.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$415.90	$139.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	39	$113.95	$38.49
73060 X-ray of upper arm, minimum of 2 views	27	11	$77.00	$26.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,430	403	$3.00	$1.59
99213 Established patient office or other outpatient visit, typically 15 minutes	894	532	$186.65	$62.51
20610 Aspiration and/or injection of fluid from large joint	677	384	$185.12	$56.50
73030 X-ray of shoulder, minimum of 2 views	418	330	$74.81	$24.91
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	292	47	$135.00	$78.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	200	200	$272.58	$91.94
73560 X-ray of knee, 1-2 views	150	121	$79.64	$26.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	95	$272.86	$91.07
77002 Fluoroscopic guidance for needle placement	67	47	$248.39	$83.76
23350 Injection of dye for X-ray imaging of shoulder joint	58	40	$369.93	$121.15
73502 X-ray of hip, 2-3 views	20	16	$106.00	$35.48
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$261.00	$87.60
72040 X-ray of upper spine, 2-3 views	12	12	$91.00	$30.27
A4565 Slings	12	12	$22.00	$8.72
20605 Aspiration and/or injection of medium joint or joint capsule	12	11	$140.83	$38.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,892	338	$3.00	$1.78
99213 Established patient office or other outpatient visit, typically 15 minutes	750	497	$182.35	$61.24
20610 Aspiration and/or injection of fluid from large joint	518	323	$181.95	$55.74
73030 X-ray of shoulder, minimum of 2 views	328	272	$73.00	$24.25
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	179	31	$135.00	$84.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	161	161	$270.00	$91.40
73560 X-ray of knee, 1-2 views	112	84	$77.00	$25.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	43	$268.00	$90.55
73070 X-ray of elbow, 2 views	22	21	$68.00	$22.53
77002 Fluoroscopic guidance for needle placement	21	19	$232.00	$77.92
23350 Injection of dye for X-ray imaging of shoulder joint	19	16	$357.00	$114.36
73502 X-ray of hip, 2-3 views	18	15	$102.00	$34.10
72100 X-ray of lower and sacral spine, 2-3 views	15	14	$86.00	$28.94
20605 Aspiration and/or injection of medium joint or joint capsule	14	13	$137.14	$44.80
72040 X-ray of upper spine, 2-3 views	13	13	$82.00	$27.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
27447 Replacement of knee joint, both sides of knee	26	25	$1564.00	$182.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$144.00	$88.42
29827 Repair of shoulder rotator cuff using an endoscope	11	11	$960.00	$144.40

Medical Specialties & State Licenses

CMS Verified: 2025-07-28

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA1917

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.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License FL PA1917

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

123835000 (FL)

Hospital & Practice Group Affiliations

Southeast Orthopedic Specialists Llc

10475 Centurion Pkwy N, Jacksonville, FL 322565004

Phone: 9046340640

Secondary Practice Locations

3055 County Road 210 W Ste 110

St Johns, FL 322597001

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

4565 Us Highway 17 Ste 200

Fleming Island, FL 320034823

Phone: 9046340640

2 Shircliff Way Ste 605

Jacksonville, FL 322044762

Phone: 9046340640

2627 Riverside Ave Ste 300

Jacksonville, FL 322044717

Phone: 9046340640

232 Ponte Vedra Park Dr

Ponte Vedra Beach, FL 320826600

Phone: 9046340640

1690 Us Highway 1 S Ste F

St Augustine, FL 320846024

Phone: 9046340640

10475 Centurion Pkwy N Ste 220

Jacksonville, FL 322565004

Phone: 9046340640

15255 Max Legget Pkwy Ste 5300

Jacksonville, FL 322187274

Phone: 9046340640

Practice Associates & Co-Workers

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

40 Associated Practitioners

Paul Steinke , PA-C

Physician Assistant

NPI 1003235599

Physician Assistant (Certified)

Dr. Gianpaolo Passeggiata , DC

Chiropractor

NPI 1003403288

Doctor of Chiropractic

Dr. Kayla Stadius , PT, DPT, EP-C

Physical Therapist

NPI 1003420068

Physical Therapist, Doctor of Physical Therapy, EPC

Dr. Farid Hakim , MD

Orthopaedic Surgery

NPI 1013002849

Doctor of Medicine (M.D.)

Dr. Krupa Alford , DPT

Physical Therapist

NPI 1013087881

Doctor of Physical Therapy

Andrea Parris , APRN

Nurse Practitioner - Family

NPI 1013587781

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Practice Location May 16, 2025

Registered at 45 GROOVER LOOP STE 201, ST AUGUSTINE, FL 320866586 (Tel: 9046340640)

📍

Updated Practice Location October 09, 2023

Registered at 216 SOUTHPARK CIR E STE 216, ST AUGUSTINE, FL 320865135 (Tel: 9046340640)

📍

Updated Business Mailing Address October 09, 2023

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

📍

Updated Practice Location September 14, 2018

Registered at 1 ORTHOPAEDIC PL, ST AUGUSTINE, FL 320864202 (Tel: 9042580540)

📍

Updated Business Mailing Address September 14, 2018

Registered at 1 ORTHOPAEDIC PL, ST AUGUSTINE, FL 320864202 (Tel: 9048250540)

👤

Provider Name / Credentials Updated September 14, 2018

Recorded as EARNEST KEPLER, PA-C

✅

NPI Profile Active October 26, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location October 26, 2007

Registered at 7625 LAKE WORTH RD, LAKE WORTH, FL 334672534 (Tel: 5614332232)

📍

Updated Business Mailing Address October 26, 2007

Registered at 7625 LAKE WORTH RD, LAKE WORTH, FL 334672534 (Tel: 5614332232)

👤

Provider Name / Credentials Updated October 26, 2007

Recorded as EARNEST KEPLER, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2007

Physician Assistant (License #PA1917 in FL)

🟢

Initial NPI Registration & Enumeration October 26, 2007

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: 1558540500

Entity Type:

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

Enumeration Date: October 26, 2007

Last Update: July 28, 2025

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.