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Active NPI 1104905751 Individual Practitioner Female Practitioner

Kimberly Beth Siders , PA-C

Physician Assistant • Tampa, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kimberly Siders, PA-C is a certified Physician Assistant practicing in Tampa, FL. With approximately 20 years of clinical experience since completing medical education in 2006, Kimberly Siders delivers high-quality medical care to the local community at 15310 AMBERLY DR.

Kimberly Siders is affiliated with Aqua Dermatology Of Florida, 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

15310 Amberly Dr
Suite 150

Tampa, FL 336472199

Telephone 8139788888
Fax 8139728974
Associated Practice Facility / Clinic
🏢 Ruth Hanno Md Pa Facility NPI 1104891936

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Tampa, FL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
20 Yrs +11.7 yrs vs City Avg
City Avg: 8.3 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
855 Specialists

Practicing in Tampa, FL (10376 Statewide)

Telehealth Adoption Rate
18.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Siders (20 Years) 20 Yrs
Tampa Specialty Average (8.3 Years) 8.3 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
1,428 219 $14.00 $5.23
99213 Established patient office or other outpatient visit, typically 15 minutes
637 418 $191.00 $74.91
17000 Destruction of skin growth
416 281 $142.00 $35.53
11102 Tangential biopsy of single skin lesion
310 237 $209.00 $65.25
17110 Destruction of up to 14 skin growths
243 198 $237.00 $87.52
11103 Biopsy of related skin growth, each additional growth
117 76 $105.00 $40.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
56 53 $270.00 $105.98
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm
56 46 $312.00 $109.15
17004 Destruction of precancer skin growth, 15 or more growths
36 23 $352.00 $136.36
17111 Destruction of skin growth, 15 or more growths
34 27 $278.00 $100.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
34 34 $119.00 $46.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
29 29 $238.00 $92.96
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
22 12 $2.00 $0.96
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm
22 17 $254.00 $82.57
69100 Biopsy of ear
17 16 $201.00 $52.55
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm
17 16 $639.00 $247.19
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs
11 11 $209.00 $47.91

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9103918

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

Aqua Dermatology Of Florida, Pa

1015 Crosspointe Dr, Naples, FL 341100949

Phone: 2395969075

Aqua Dermatology Of Florida, Pa

15310 Amberly Dr, Tampa, FL 336471644

Phone: 8139788888

Aqua Dermatology Of Florida, Pa

14840 Tamiami Trl, North Port, FL 342872701

Phone: 9415641542

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1033438742

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active March 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 10, 2017

Registered at 15310 AMBERLY DR, SUITE 150, TAMPA, FL 336472199 (Tel: 8139788888)

📍
Updated Business Mailing Address March 10, 2017

Registered at 15051 S TAMIAMI TRL, SUITE 203, FORT MYERS, FL 339085182 (Tel: 2394378810)

👤
Provider Name / Credentials Updated March 10, 2017

Recorded as KIMBERLY SIDERS, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2017

Physician Assistant (License #PA9103918 in FL)

NPI Profile Active February 08, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location February 08, 2010

Registered at 8220 US HIGHWAY 19, PORT RICHEY, FL 346686639 (Tel: 7278483761)

📍
Updated Business Mailing Address February 08, 2010

Registered at 8220 US HIGHWAY 19, PORT RICHEY, FL 346686639 (Tel: 7278483761)

👤
Provider Name / Credentials Updated February 08, 2010

Recorded as KIMBERLY SIDERS, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2010

Physician Assistant (License #PA9103918 in FL)

🟢
Initial NPI Registration & Enumeration November 03, 2006

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: 1104905751
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 03, 2006
Last Update: March 10, 2017
Sole Proprietor: No

Mailing Address

15051 S Tamiami Trl, Suite 203

Fort Myers, FL 339085182

Phone: 2394378810

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.