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Active NPI 1497345086 Individual Practitioner Female Practitioner

Alyson Kirkham , PA-C

Physician Assistant • Fort Wayne, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Alyson Kirkham, PA-C is a certified Physician Assistant practicing in Fort Wayne, IN. With approximately 6 years of clinical experience since completing medical education in 2020, Alyson Kirkham delivers high-quality medical care to the local community at 7601 W JEFFERSON BLVD.

Alyson Kirkham maintains professional affiliations with Orthopaedics-Indianapolis Inc, Fort Wayne Orthopaedics, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include 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, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7601 W Jefferson Blvd

Fort Wayne, IN 468044133

Telephone 2604368686
Fax 2604368585
Associated Practice Facility / Clinic
🏢 Fort Wayne Orthopaedics Llc Facility NPI 1497758429

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fort Wayne, IN

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -4.4 yrs vs City Avg
City Avg: 10.4 Yrs
State Avg: 9.4 Yrs
Regional Practice Density
315 Specialists

Practicing in Fort Wayne, IN (2429 Statewide)

Telehealth Adoption Rate
7.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
72.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kirkham (6 Years) 6 Yrs
Fort Wayne Specialty Average (10.4 Years) 10.4 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
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
70 69 $82.71 $13.07
99213 Established patient office or other outpatient visit, typically 15 minutes
61 58 $171.97 $70.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
56 55 $258.14 $101.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
42 41 $407.10 $131.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
40 40 $266.05 $87.77
73564 X-ray of knee, 4 or more views
33 33 $181.09 $39.97
72100 X-ray of lower and sacral spine, 2-3 views
29 29 $148.17 $30.26
73630 X-ray of foot, minimum of 3 views
25 24 $116.48 $27.65
73030 X-ray of shoulder, minimum of 2 views
21 20 $132.00 $27.35
72040 X-ray of upper spine, 2-3 views
13 11 $140.92 $30.76
73502 X-ray of hip, 2-3 views
12 12 $154.33 $36.96
73130 X-ray of hand, minimum of 3 views
12 12 $141.83 $31.22
73600 X-ray of ankle, 2 views
11 11 $107.00 $25.05
73110 X-ray of wrist, minimum of 3 views
11 11 $141.36 $32.01

Medical Specialties & State Licenses

CMS Verified: 2023-03-28
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IN 10003233A

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

NUCC Taxonomy Code: 363A00000X

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
300052762 (IN)

Hospital & Practice Group Affiliations

Fort Wayne Orthopaedics, Llc

701 Orthopaedic Dr, Warsaw, IN 465823905

Phone: 2604368686

Orthopaedics-Indianapolis Inc

8450 Northwest Blvd, Indianapolis, IN 462781381

Phone: 3178022000

Orthopaedics-Indianapolis Inc

701 Orthopaedic Dr, Warsaw, IN 465823904

Phone: 8005665659

Fort Wayne Orthopaedics, Llc

7601 W Jefferson Blvd, Fort Wayne, IN 468044133

Phone: 2604368686

Fort Wayne Orthopaedics, Llc

7631 W Jefferson Blvd, Fort Wayne, IN 468044133

Phone: 2604367770

Fort Wayne Orthopaedics, Llc

7619 W Jefferson Blvd, Fort Wayne, IN 468044133

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Gage Caudell , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1013188291

Doctor of Podiatric Medicine

Jamie Matz , NP

Nurse Practitioner - Family

NPI 1013456755

Nurse Practitioner

Dr. Dominick Detommaso , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1013910041

Doctor of Podiatric Medicine

Peter Paonessa , PT

Physical Therapist

NPI 1013910934

Physical Therapist

Hope Royce , NP

Nurse Practitioner - Family

NPI 1023418183

Nurse Practitioner

Dr. Jonathan Detommaso , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1033476304

Doctor of Podiatric Medicine

Career & Practice History Timeline

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

9 Historical Events
👤
Provider Name / Credentials Updated March 28, 2023

Recorded as ALYSON KIRKHAM, PA-C

📍
Updated Practice Location November 24, 2021

Registered at 7601 W JEFFERSON BLVD, FORT WAYNE, IN 468044133 (Tel: 2604368686)

📍
Updated Business Mailing Address November 24, 2021

Registered at PO BOX 2526, FORT WAYNE, IN 468012526 (Tel: 8664139534)

NPI Profile Active January 19, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location January 19, 2021

Registered at 9326 S 450 W, SOUTH WHITLEY, IN 467879758 (Tel: 2606105426)

📍
Updated Business Mailing Address January 19, 2021

Registered at 9326 S 450 W, SOUTH WHITLEY, IN 467879758 (Tel: 2606105426)

👤
Provider Name / Credentials Updated January 19, 2021

Recorded as ALYSON NICODEMUS, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2021

Physician Assistant

🟢
Initial NPI Registration & Enumeration January 19, 2021

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: 1497345086
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 19, 2021
Last Update: March 28, 2023
Sole Proprietor: No

Mailing Address

Po Box 2526

Fort Wayne, IN 468012526

Phone: 8664139534

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.