Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720365331 Individual Practitioner Female Practitioner

Cassandra Christine Porter , PA-C

Physician Assistant • Kokomo, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Cassandra Porter, PA-C is a certified Physician Assistant practicing in Kokomo, IN. With approximately 15 years of clinical experience since completing medical education in 2011, Cassandra Porter delivers high-quality medical care to the local community at 3512 S LAFOUNTAIN ST.

Cassandra Porter is affiliated with Iu Health Medical Group 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, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3512 S Lafountain St

Kokomo, IN 469023803

Telephone 6577631007
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Kokomo, IN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
15 Yrs +6.7 yrs vs City Avg
City Avg: 8.3 Yrs
State Avg: 9.4 Yrs
Regional Practice Density
17 Specialists

Practicing in Kokomo, IN (2429 Statewide)

Telehealth Adoption Rate
5.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
69.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Porter (15 Years) 15 Yrs
Kokomo 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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
180 20 $5.07 $0.94
99213 Established patient office or other outpatient visit, typically 15 minutes
67 64 $231.81 $70.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
31 30 $98.39 $44.20
20610 Aspiration and/or injection of fluid from large joint
30 28 $184.07 $56.17
73030 X-ray of shoulder, minimum of 2 views
20 17 $68.00 $26.94
73564 X-ray of knee, 4 or more views
18 13 $110.00 $36.49
73560 X-ray of knee, 1-2 views
16 16 $69.00 $26.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
11 11 $396.82 $87.62

Medical Specialties & State Licenses

CMS Verified: 2025-05-27
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IN 10001355A

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

State License NC 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
300097298 (IN)
Medicaid State Provider ID
14730081 (CO)
Commercial Insurance / Payer ID P A License
PA.0004348 (CO)

Hospital & Practice Group Affiliations

Iu Health Medical Group Llc

1701 N Senate Blvd, Indianapolis, IN 462021239

Phone: 8884843258

Secondary Practice Locations

1801 N Senate Blvd

Indianapolis, IN 462021228

Phone: 3179626467

449 N Wendover Rd Ste A

Charlotte, NC 282111064

Phone: 7043166005

1801 N Senate Blvd

Indianapolis, IN 462021228

Phone: 3179631950

Practice Associates & Co-Workers

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

8 Associated Practitioners
Dr. Joel Kary , MD

Family Medicine - Sports Medicine

NPI 1174554869

Doctor of Medicine (M.D.)

Dr. Mohammad Nekoomaram , MD

Orthopaedic Surgery

NPI 1255379673

Doctor of Medicine (M.D.)

Nathan Namanny

Podiatrist

NPI 1326654971
Dr. Courtney Holland , MD

Orthopaedic Surgery

NPI 1598819278

Doctor of Medicine (M.D.)

Dr. Clifford Evans , DO

Orthopaedic Surgery

NPI 1669521522

Doctor of Osteopathic Medicine (D.O.)

Ashley Adams

Nurse Practitioner

NPI 1750857033

Career & Practice History Timeline

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

22 Historical Events
📍
Updated Business Mailing Address May 01, 2025

Registered at 2254 SEASONS SOUTH DR UNIT 1115, CARMEL, IN 462801664

👤
Provider Name / Credentials Updated May 01, 2025

Recorded as CASSANDRA PORTER, PA-C

📍
Updated Practice Location October 29, 2024

Registered at 3512 S LAFOUNTAIN ST, KOKOMO, IN 469023803 (Tel: 6577631007)

📍
Updated Business Mailing Address October 29, 2024

Registered at 6626 E 75TH ST STE 500, INDIANAPOLIS, IN 462502890

📍
Updated Practice Location August 06, 2024

Registered at 1610 DRY CREEK DR STE 200, LONGMONT, CO 805036405 (Tel: 3037721600)

📍
Updated Business Mailing Address August 06, 2024

Registered at 120 EDGEVIEW DR APT 6401, BROOMFIELD, CO 800218099

📍
Updated Practice Location October 19, 2023

Registered at 7930 N SHADELAND AVE STE 100, INDIANAPOLIS, IN 462502943 (Tel: 3176216725)

📍
Updated Business Mailing Address October 19, 2023

Registered at 6626 E 75TH ST STE 500, INDIANAPOLIS, IN 462502890 (Tel: 3176217547)

📍
Updated Practice Location November 16, 2020

Registered at 449 N WENDOVER RD STE A, CHARLOTTE, NC 282111064 (Tel: 7043166005)

📍
Updated Business Mailing Address November 16, 2020

Registered at PO BOX 60447, CHARLOTTE, NC 282600447

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2020

Physician Assistant (License #363A00000X in NC)

NPI Profile Active December 06, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 06, 2017

Registered at 1610 DRY CREEK DR STE 200, LONGMONT, CO 805036405 (Tel: 3037721600)

📍
Updated Business Mailing Address December 06, 2017

Registered at 1610 DRY CREEK DR STE 200, LONGMONT, CO 805036405 (Tel: 3037721600)

👤
Provider Name / Credentials Updated December 06, 2017

Recorded as CASSANDRA PORTER, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2017

Physician Assistant (License #10001355A in IN)

NPI Profile Active November 02, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 02, 2016

Registered at 1551 PROFESSIONAL LN, SUITE 200, LONGMONT, CO 805016972 (Tel: 3037721600)

📍
Updated Business Mailing Address November 02, 2016

Registered at 1551 PROFESSIONAL LN, SUITE 200, LONGMONT, CO 805016972 (Tel: 3037721600)

👤
Provider Name / Credentials Updated November 02, 2016

Recorded as CASSANDRA PORTER, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2016

Physician Assistant (License #PA0004348 in CO)

🟢
Initial NPI Registration & Enumeration November 10, 2011

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: 1720365331
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 10, 2011
Last Update: May 27, 2025
Sole Proprietor: No

Mailing Address

2254 Seasons South Dr Unit 1115

Carmel, IN 462801664

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.