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Active NPI 1679536148 Individual Practitioner Male Practitioner

Timothy C Stallard , PA

Physician Assistant - Surgical • Lenexa, KS

Telehealth Available

Professional Overview & Biography Verified Profile Summary

Timothy Stallard, PA is a certified Physician Assistant - Surgical practicing in Lenexa, KS. With approximately 32 years of clinical experience since completing medical education in 1994, Timothy Stallard delivers high-quality medical care to the local community at 23401 PRAIRIE STAR PKWY.

Timothy Stallard is affiliated with Kc Bariatric Llc and does not directly accept Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, bypass operation of stomach using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

23401 Prairie Star Pkwy
Suite 300

Lenexa, KS 662277268

Telephone 9136776319
Fax 9136771540
Associated Practice Facility / Clinic
🏢 Md Diversified Services Llc Facility NPI 1871534248

Medicare Profile & Education

Medical School

Other

Graduation Year

1994

Medicare Assignment

Not Specified

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Lenexa, KS

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
32 Yrs +15.0 yrs vs City Avg
City Avg: 17.0 Yrs
State Avg: 17.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Lenexa, KS (114 Statewide)

Telehealth Adoption Rate
50.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
64.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stallard (32 Years) 32 Yrs
Lenexa Specialty Average (17.0 Years) 17.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes
12 12 $200.00 $71.43

Medical Specialties & State Licenses

CMS Verified: 2025-03-24
Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License KS 1500547

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
30004502040004 (KS)

Hospital & Practice Group Affiliations

Kc Bariatric Llc

23351 Prairie Star Pkwy, Lenexa, KS 662277376

Phone: 9136776319

Kc Bariatric Llc

23401 Prairie Star Pkwy, Lenexa, KS 662277246

Kc Bariatric Llc

23401 Prairie Star Pkwy, Lenexa, KS 662277268

Kc Bariatric Llc

23401 Prairie Star Pkwy, Lenexa, KS 662277268

Phone: 9136776319

Practice Associates & Co-Workers

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

18 Associated Practitioners
Annie Epp , RD

Dietitian, Registered

NPI 1013421171

Registered Dietitian

Andrew Williamson

Physician Assistant

NPI 1073104493
NPI 1215138532

Doctor of Medicine (M.D.)

Dr. Darby Harvey , DNP

Nurse Practitioner - Family

NPI 1295344968

Doctor of Nursing Practice

Jeffrey Turek , PA-C

Physician Assistant

NPI 1306256342

Physician Assistant (Certified)

NPI 1306831375

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address March 24, 2025

Registered at 23401 PRAIRIE STAR PKWY STE B300, LENEXA, KS 662277268 (Tel: 9136776319)

NPI Profile Active October 30, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location October 30, 2013

Registered at 23401 PRAIRIE STAR PKWY, SUITE 300, LENEXA, KS 662277268 (Tel: 9136776319)

📍
Updated Business Mailing Address October 30, 2013

Registered at 23401 PRAIRIE STAR PKWY, SUITE 300, LENEXA, KS 662277268 (Tel: 9136776319)

👤
Provider Name / Credentials Updated October 30, 2013

Recorded as TIMOTHY STALLARD, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2013

Physician Assistant (License #1500547 in KS)

🟢
Initial NPI Registration & Enumeration April 07, 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: 1679536148
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 07, 2006
Last Update: March 24, 2025
Sole Proprietor: No

Mailing Address

23401 Prairie Star Pkwy Ste B300

Lenexa, KS 662277268

Phone: 9136776319

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.