Active NPI 1194790139 Individual Practitioner Male Practitioner

Kenneth C. Holbrook , PA

Physician Assistant • Austell, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kenneth Holbrook, PA is a certified Physician Assistant practicing in Austell, GA. With approximately 24 years of clinical experience since graduating from Medical College Of Georgia School Of Medicine in 2002, Kenneth Holbrook delivers high-quality medical care to the local community at 2041 MESA VALLEY WAY.

Kenneth Holbrook is affiliated with Resurgens, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, established patient outpatient office visit, x-ray of lower and sacral spine, minimum of 4 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2041 Mesa Valley Way
Suite 100

Austell, GA 301066828

Telephone 7709441100

Fax 7709446469

Associated Practice Facility / Clinic

🏢 East West Surgery Center Lp Facility NPI 1366444929

Medicare Profile & Education

Medical School

Medical College Of Georgia School Of Medicine

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Austell, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +12.9 yrs vs City Avg

City Avg: 11.1 Yrs

State Avg: 12.9 Yrs

Regional Practice Density

88 Specialists

Practicing in Austell, GA (4726 Statewide)

Telehealth Adoption Rate

12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

93.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Holbrook (24 Years) 24 Yrs

Austell 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
J1010 Injection, methylprednisolone acetate, 1 mg	3,560	25	$0.40	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	149	87	$213.00	$76.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	85	$329.00	$108.45
72110 X-ray of lower and sacral spine, minimum of 4 views	95	84	$255.00	$44.65
20552 Injections of trigger points in 1 or 2 muscles	50	32	$281.00	$37.48
72100 X-ray of lower and sacral spine, 2-3 views	44	27	$181.00	$33.11
72040 X-ray of upper spine, 2-3 views	34	28	$173.00	$33.03
J1040 Injection, methylprednisolone acetate, 80 mg	25	16	$53.00	$8.75
20610 Aspiration and/or injection of fluid from large joint	22	12	$368.73	$56.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$518.00	$144.27
22612 Fusion of spine in lower back	15	15	$5611.00	$222.45
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	14	14	$4649.00	$78.18

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	138	107	$329.00	$106.96
99213 Established patient office or other outpatient visit, typically 15 minutes	111	77	$213.00	$75.23
72110 X-ray of lower and sacral spine, minimum of 4 views	98	86	$255.00	$43.36
J1040 Injection, methylprednisolone acetate, 80 mg	96	61	$53.00	$11.44
20552 Injections of trigger points in 1 or 2 muscles	66	52	$281.00	$39.65
72040 X-ray of upper spine, 2-3 views	50	38	$173.00	$33.93
72100 X-ray of lower and sacral spine, 2-3 views	40	29	$181.00	$34.58
20610 Aspiration and/or injection of fluid from large joint	35	21	$405.60	$58.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$518.00	$138.19
22614 Fusion of additional segment of spine	19	11	$1677.50	$53.87

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	154	116	$329.00	$105.10
J1040 Injection, methylprednisolone acetate, 80 mg	84	51	$53.00	$10.62
99213 Established patient office or other outpatient visit, typically 15 minutes	81	60	$213.00	$75.86
72110 X-ray of lower and sacral spine, minimum of 4 views	72	65	$255.00	$43.59
20552 Injections of trigger points in 1 or 2 muscles	68	51	$281.00	$41.55
72100 X-ray of lower and sacral spine, 2-3 views	58	39	$181.00	$33.26
72040 X-ray of upper spine, 2-3 views	53	44	$173.00	$34.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$518.00	$139.10
20610 Aspiration and/or injection of fluid from large joint	24	19	$380.25	$59.51
22612 Fusion of spine in lower back	12	12	$5611.00	$182.53

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	205	133	$329.00	$107.25
72100 X-ray of lower and sacral spine, 2-3 views	78	60	$181.00	$30.94
J1040 Injection, methylprednisolone acetate, 80 mg	76	52	$53.00	$10.09
20552 Injections of trigger points in 1 or 2 muscles	53	44	$281.00	$39.80
72110 X-ray of lower and sacral spine, minimum of 4 views	49	49	$255.00	$42.51
72040 X-ray of upper spine, 2-3 views	47	38	$173.00	$32.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$518.00	$145.39
99213 Established patient office or other outpatient visit, typically 15 minutes	30	27	$213.00	$77.07
20610 Aspiration and/or injection of fluid from large joint	29	22	$407.93	$60.81
72070 X-ray of middle spine, 2 views	14	13	$171.00	$24.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	222	142	$188.78	$64.28
72100 X-ray of lower and sacral spine, 2-3 views	113	80	$143.75	$32.52
J1040 Injection, methylprednisolone acetate, 80 mg	84	55	$53.00	$11.26
72040 X-ray of upper spine, 2-3 views	64	48	$135.81	$31.77
20552 Injections of trigger points in 1 or 2 muscles	49	40	$242.98	$43.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$294.93	$93.63
20610 Aspiration and/or injection of fluid from large joint	29	22	$336.62	$57.56
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	21	12	$1173.81	$33.64
22612 Fusion of spine in lower back	12	12	$4635.73	$199.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	250	153	$164.12	$61.34
72100 X-ray of lower and sacral spine, 2-3 views	147	95	$112.00	$28.26
J1040 Injection, methylprednisolone acetate, 80 mg	103	61	$53.00	$11.40
20552 Injections of trigger points in 1 or 2 muscles	67	46	$200.00	$40.31
72040 X-ray of upper spine, 2-3 views	57	41	$105.00	$29.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$244.17	$90.63
20610 Aspiration and/or injection of fluid from large joint	35	25	$272.51	$51.73
63048 Partial removal of spine bone with release of spinal cord and/or nerves	17	12	$899.50	$28.59
22614 Fusion of additional segment of spine	17	13	$1505.50	$52.92
72070 X-ray of middle spine, 2 views	15	14	$110.00	$25.24
22612 Fusion of spine in lower back	15	15	$3939.11	$196.02
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	12	12	$2742.52	$72.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	223	134	$164.12	$60.34
72100 X-ray of lower and sacral spine, 2-3 views	123	89	$112.00	$29.20
J1040 Injection, methylprednisolone acetate, 80 mg	121	76	$53.00	$12.46
20552 Injections of trigger points in 1 or 2 muscles	86	63	$200.00	$42.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$244.17	$92.21
72040 X-ray of upper spine, 2-3 views	43	40	$105.00	$27.77
20610 Aspiration and/or injection of fluid from large joint	35	25	$265.34	$52.11
22614 Fusion of additional segment of spine	24	14	$1505.50	$55.82
22612 Fusion of spine in lower back	22	22	$3828.49	$207.99
63048 Partial removal of spine bone with release of spinal cord and/or nerves	19	14	$899.50	$30.19
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	18	18	$2742.52	$82.31
72070 X-ray of middle spine, 2 views	13	13	$110.00	$28.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	164	97	$164.12	$61.75
J1040 Injection, methylprednisolone acetate, 80 mg	83	39	$53.00	$10.78
72100 X-ray of lower and sacral spine, 2-3 views	75	55	$112.00	$28.81
20552 Injections of trigger points in 1 or 2 muscles	50	39	$200.00	$40.33
72040 X-ray of upper spine, 2-3 views	50	36	$105.00	$25.89
20610 Aspiration and/or injection of fluid from large joint	28	18	$295.82	$55.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$244.17	$91.78

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License GA 003877

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

000150059B (GA)

Medicaid State Provider ID

100002161B (GA)

Medicaid State Provider ID

000150059C (GA)

Hospital & Practice Group Affiliations

Resurgens, Llc

5671 Peachtree Dunwoody Rd Ne, Atlanta, GA 303425022

Phone: 4048479999

Resurgens, Llc

2041 Mesa Valley Way, Austell, GA 301066856

Resurgens, Llc

3698 Largent Nw Way, Marietta, GA 300645923

Phone: 6783542883

Resurgens, Llc

270 Chastain Nwrd, Kennesaw, GA 301443012

Phone: 7704218005

Resurgens, Llc

5671 Peachtree Dunwoody Rd, Atlanta, GA 303425022

Practice Associates & Co-Workers

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

32 Associated Practitioners

Dr. Richard Boe , MD

Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery

NPI 1013327642

Doctor of Medicine (M.D.)

Jeffrey Hairston , PA-C

Physician Assistant - Surgical

NPI 1063625051

Physician Assistant (Certified)

Douglas Hernandez , PA

Physician Assistant

NPI 1114500642

Physician Assistant

Dr. Rafael Urrutia , MD

Orthopaedic Surgery

NPI 1124017397

Doctor of Medicine (M.D.)

Susan Kirby , NP-C

Nurse Practitioner

NPI 1154533875

Nurse Practitioner (Certified)

Nadia Wright

Physician Assistant

NPI 1194414250

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 20, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location May 20, 2011

Registered at 2041 MESA VALLEY WAY, SUITE 100, AUSTELL, GA 301066828 (Tel: 7709441100)

📍

Updated Business Mailing Address May 20, 2011

Registered at 2041 MESA VALLEY WAY, SUITE 100, AUSTELL, GA 301066828 (Tel: 7709441100)

👤

Provider Name / Credentials Updated May 20, 2011

Recorded as KENNETH HOLBROOK, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2011

Physician Assistant (License #003877 in GA)

🟢

Initial NPI Registration & Enumeration February 22, 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: 1194790139

Entity Type:

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

Enumeration Date: February 22, 2006

Last Update: May 20, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2041 Mesa Valley Way, Suite 100

Austell, GA 301066828

Phone: 7709441100

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.