Active NPI 1942379003 Individual Practitioner Male Practitioner

Kent Lyle Shippen , PA

Physician Assistant • Driggs, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kent Shippen, PA is a certified Physician Assistant practicing in Driggs, ID. With approximately 21 years of clinical experience since completing medical education in 2005, Kent Shippen delivers high-quality medical care to the local community at 283 N 1ST E.

Kent Shippen is affiliated with Advanced Dermatology Of Wyoming Inc 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

283 N 1st E

Driggs, ID 834225109

Telephone 2083542302

Fax 2083548392

Associated Practice Facility / Clinic

🏢 Teton Valley Health Care Inc Facility NPI 1013264183

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Driggs, ID

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs +7.5 yrs vs City Avg

City Avg: 13.5 Yrs

State Avg: 12.4 Yrs

Regional Practice Density

2 Specialists

Practicing in Driggs, ID (1261 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shippen (21 Years) 21 Yrs

Driggs Specialty Average (13.5 Years) 13.5 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	4,068	543	$25.00	$5.60
99213 Established patient office or other outpatient visit, typically 15 minutes	1,295	927	$318.00	$75.61
17000 Destruction of skin growth	694	593	$245.00	$53.05
17004 Destruction of precancer skin growth, 15 or more growths	597	456	$617.00	$139.76
11102 Tangential biopsy of single skin lesion	190	176	$380.00	$83.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	130	130	$393.00	$92.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	42	$446.00	$106.66
11103 Biopsy of related skin growth, each additional growth	45	35	$189.00	$41.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	20	$201.00	$47.07
17110 Destruction of up to 14 skin growths	20	20	$420.00	$95.62
69100 Biopsy of ear	19	16	$355.00	$62.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	4,793	634	$25.00	$5.77
99213 Established patient office or other outpatient visit, typically 15 minutes	1,326	923	$318.00	$76.72
17000 Destruction of skin growth	815	675	$245.00	$53.71
17004 Destruction of precancer skin growth, 15 or more growths	502	373	$617.00	$145.29
11102 Tangential biopsy of single skin lesion	205	192	$380.00	$87.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	129	129	$393.00	$95.02
11103 Biopsy of related skin growth, each additional growth	54	35	$189.00	$43.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	26	$446.00	$108.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$201.00	$48.13
69100 Biopsy of ear	17	17	$355.00	$75.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	4,173	576	$19.00	$5.89
99213 Established patient office or other outpatient visit, typically 15 minutes	1,290	940	$117.00	$77.94
17000 Destruction of skin growth	691	605	$135.00	$54.47
17004 Destruction of precancer skin growth, 15 or more growths	653	509	$341.00	$146.91
11102 Tangential biopsy of single skin lesion	230	213	$182.00	$89.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	166	166	$183.67	$95.77
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	117	22	$3.00	$1.18
11103 Biopsy of related skin growth, each additional growth	57	39	$98.00	$44.56
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	44	17	$50.00	$12.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	34	$178.00	$109.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	26	$73.00	$48.57
69100 Biopsy of ear	20	20	$183.00	$74.01
17110 Destruction of up to 14 skin growths	19	17	$191.00	$99.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,120	543	$19.00	$5.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,310	939	$178.00	$111.35
17004 Destruction of precancer skin growth, 15 or more growths	906	665	$341.00	$143.95
17000 Destruction of skin growth	647	560	$135.00	$53.61
11102 Tangential biopsy of single skin lesion	241	213	$182.00	$90.35
99213 Established patient office or other outpatient visit, typically 15 minutes	226	188	$117.00	$78.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	141	141	$278.00	$143.96
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	134	30	$3.00	$1.29
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	70	26	$50.00	$12.17
11103 Biopsy of related skin growth, each additional growth	57	39	$98.00	$46.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$183.00	$96.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	26	$73.00	$48.31
69100 Biopsy of ear	17	16	$183.00	$73.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,487	437	$19.00	$5.24
99213 Established patient office or other outpatient visit, typically 15 minutes	1,563	1,021	$117.00	$64.59
17004 Destruction of precancer skin growth, 15 or more growths	1,180	864	$341.00	$137.40
17000 Destruction of skin growth	534	460	$135.00	$51.33
11102 Tangential biopsy of single skin lesion	364	321	$182.00	$86.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	178	178	$183.00	$92.71
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	172	34	$3.00	$1.46
11103 Biopsy of related skin growth, each additional growth	127	73	$98.00	$46.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	114	113	$178.00	$93.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	109	90	$73.00	$38.92
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	93	31	$50.00	$12.25
99202 New patient office or other outpatient visit, typically 20 minutes	37	37	$125.00	$65.45
J1040 Injection, methylprednisolone acetate, 80 mg	37	25	$14.00	$11.52
69100 Biopsy of ear	20	18	$183.00	$70.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,923	502	$19.00	$4.80
99213 Established patient office or other outpatient visit, typically 15 minutes	1,431	970	$117.08	$63.04
17004 Destruction of precancer skin growth, 15 or more growths	1,295	897	$341.00	$129.60
17000 Destruction of skin growth	596	519	$135.00	$51.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	398	372	$178.00	$92.11
11102 Tangential biopsy of single skin lesion	342	310	$182.00	$84.22
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	203	39	$3.00	$1.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	149	117	$73.00	$38.27
99202 New patient office or other outpatient visit, typically 20 minutes	129	129	$125.00	$65.00
11103 Biopsy of related skin growth, each additional growth	112	72	$98.00	$45.37
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	106	34	$50.00	$14.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	99	99	$183.00	$91.86
J1040 Injection, methylprednisolone acetate, 80 mg	54	33	$14.00	$12.31
69100 Biopsy of ear	20	20	$183.00	$71.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,849	459	$19.00	$4.41
99213 Established patient office or other outpatient visit, typically 15 minutes	1,378	893	$117.00	$60.73
17004 Destruction of precancer skin growth, 15 or more growths	980	697	$341.00	$120.87
17000 Destruction of skin growth	575	469	$135.00	$52.03
11100 Biopsy of single growth of skin and/or tissue	243	220	$177.00	$88.24
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	228	39	$3.00	$1.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	154	122	$73.00	$36.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	118	118	$183.00	$89.86
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	102	35	$50.00	$17.10
99202 New patient office or other outpatient visit, typically 20 minutes	65	65	$125.00	$62.39
J1040 Injection, methylprednisolone acetate, 80 mg	63	36	$14.00	$13.03
11101 Biopsy of each additional growth of skin and/or tissue	59	43	$99.00	$27.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	57	$178.00	$89.43
69100 Biopsy of ear	22	21	$183.00	$72.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,430	387	$19.00	$4.83
99213 Established patient office or other outpatient visit, typically 15 minutes	1,274	822	$117.03	$62.08
17004 Destruction of precancer skin growth, 15 or more growths	921	656	$341.00	$128.23
17000 Destruction of skin growth	482	400	$135.00	$52.65
11100 Biopsy of single growth of skin and/or tissue	290	257	$177.00	$88.26
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	119	19	$3.07	$1.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	117	95	$73.00	$37.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	115	115	$183.00	$92.08
11101 Biopsy of each additional growth of skin and/or tissue	67	49	$99.00	$28.05
99202 New patient office or other outpatient visit, typically 20 minutes	62	62	$125.00	$63.72
J1040 Injection, methylprednisolone acetate, 80 mg	20	11	$14.00	$11.09
J1030 Injection, methylprednisolone acetate, 40 mg	14	12	$8.73	$5.77

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License ID PA-617

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

Advanced Dermatology Of Wyoming Inc

47 Doc Perkes, Afton, WY 831107703

Phone: 3077345864

Advanced Dermatology Of Wyoming Inc

62 S Redmond St, Jackson, WY 83002

Phone: 3077345864

Advanced Dermatology Of Wyoming Inc

250 Veronica Ln, Jackson, WY 830018331

Phone: 3077345864

Advanced Dermatology Of Wyoming Inc

5647 Us Hwy 26, Dubois, WY 825139607

Phone: 3077345864

Practice Associates & Co-Workers

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

3 Associated Practitioners

Anna Gunderson , PA-C

Physician Assistant - Medical

NPI 1174872345

Physician Assistant (Certified)

Dr. Chad Horrocks , MD

Family Medicine

NPI 1407925639

Doctor of Medicine (M.D.)

Deborah Barros , ACNP

Nurse Practitioner - Family

NPI 1861658239

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 09, 2007

Registered at 283 N 1ST E, DRIGGS, ID 834225109 (Tel: 2083542302)

📍

Updated Business Mailing Address July 09, 2007

Registered at 283 N 1ST E, DRIGGS, ID 834225109 (Tel: 2083542302)

👤

Provider Name / Credentials Updated July 09, 2007

Recorded as KENT SHIPPEN, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Physician Assistant (License #PA-617 in ID)

🟢

Initial NPI Registration & Enumeration November 06, 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: 1942379003

Entity Type:

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

Enumeration Date: November 06, 2006

Last Update: July 09, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

283 N 1st E

Driggs, ID 834225109

Phone: 2083542302

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.