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Active NPI 1740695899 Individual Practitioner Male Practitioner

Jonathan L. Kilstrom , PA-C

Physician Assistant • Council Bluffs, IA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jonathan Kilstrom, PA-C is a certified Physician Assistant practicing in Council Bluffs, IA. With approximately 12 years of clinical experience since completing medical education in 2014, Jonathan Kilstrom delivers high-quality medical care to the local community at 933 E PIERCE ST.

Jonathan Kilstrom is affiliated with Pgfhgs Holdings Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

933 E Pierce St

Council Bluffs, IA 515034626

Telephone 7123966111
Fax 7123967026
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Council Bluffs, IA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs -1.6 yrs vs City Avg
City Avg: 13.6 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
40 Specialists

Practicing in Council Bluffs, IA (1543 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
88.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kilstrom (12 Years) 12 Yrs
Council Bluffs Specialty Average (13.6 Years) 13.6 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
99284 Emergency department visit with moderate level of medical decision making
185 177 $750.00 $93.23
99285 Emergency department visit for life threatening or functioning severity
74 73 $1266.00 $136.05
99283 Emergency department visit with low level of medical decision making
56 54 $490.00 $55.29

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IA 081384

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 TX PA09172

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
1740695899 (IA)
Medicaid State Provider ID
420680355-12 (NE)

Hospital & Practice Group Affiliations

Pgfhgs Holdings Llc

7 Elliott St, Council Bluffs, IA 515030239

Phone: 5318674466

Pgfhgs Holdings Llc

3506 S 201st Cir, Omaha, NE 681305094

Phone: 4026814030

Secondary Practice Locations

5950 University Ave Ste 105

West Des Moines, IA 502667756

Phone: 5158759070

Practice Associates & Co-Workers

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

8 Associated Practitioners
Dr. Paul Mileris , MD

Emergency Medicine

NPI 1083723134

Doctor of Medicine (M.D.)

Lisa Pape , ARNP

Nurse Practitioner

NPI 1578072351

Advanced Registered Nurse Practitioner

Dr. Scott Smith , MD

Emergency Medicine

NPI 1669582656

Doctor of Medicine (M.D.)

Dr. Thomas Cheatle , MD

Emergency Medicine

NPI 1750331369

Doctor of Medicine (M.D.)

Tina Recker-Cutshall , PA-C

Physician Assistant

NPI 1891805115

Physician Assistant (Certified)

Dr. Patrick Costello , MD

Emergency Medicine

NPI 1952415150

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 07, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 07, 2016

Registered at 933 E PIERCE ST, COUNCIL BLUFFS, IA 515034626 (Tel: 7123966111)

📍
Updated Business Mailing Address November 07, 2016

Registered at PO BOX 2797, OMAHA, NE 681032797 (Tel: 4023544230)

👤
Provider Name / Credentials Updated November 07, 2016

Recorded as JONATHAN KILSTROM, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2016

Physician Assistant (License #PA09172 in TX)

🟢
Initial NPI Registration & Enumeration June 27, 2014

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: 1740695899
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2014
Last Update: October 02, 2019
Sole Proprietor: No

Mailing Address

Po Box 2797

Omaha, NE 681032797

Phone: 4023544230

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.