Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174646400 Individual Practitioner Male Practitioner

Cecil J Fackrell , PA-C

Physician Assistant • Shawnee, KS

Professional Overview & Biography Verified Profile Summary

Cecil Fackrell, PA-C is a registered healthcare professional specializing in Physician Assistant in Shawnee, KS. Practice services are available at 6333 LONG AVE under active NPI credentials.

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

6333 Long Ave
Suite 360

Shawnee, KS 662162500

Telephone 9136316330
Fax 9136316222
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Shawnee, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.2 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
17 Specialists

Practicing in Shawnee, KS (1349 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths
732 119 $40.00 $4.47
99213 Established patient office or other outpatient visit, typically 15 minutes
253 209 $125.00 $60.27
17003 Destruction of precancer skin growth, 2-14 growths
206 31 $40.00 $1.97
17000 Destruction of skin growth
155 141 $165.00 $44.88
11102 Tangential biopsy of single skin lesion
81 78 $187.00 $75.13
99213 Established patient office or other outpatient visit, typically 15 minutes
51 41 $125.00 $42.13
17004 Destruction of precancer skin growth, 15 or more growths
50 45 $415.00 $122.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
45 45 $200.00 $87.62
17000 Destruction of skin growth
38 33 $165.00 $43.59
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm
30 24 $575.00 $244.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
27 21 $100.00 $36.35
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
26 11 $27.69 $1.56
17110 Destruction of up to 14 skin growths
24 19 $200.00 $88.33
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm
21 18 $500.00 $99.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
18 18 $200.00 $62.52
11102 Tangential biopsy of single skin lesion
14 14 $187.00 $23.40
11103 Biopsy of related skin growth, each additional growth
14 11 $101.00 $42.66

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License KS 15-01306

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.

Practice Associates & Co-Workers

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

5 Associated Practitioners
Sydnee Eck , PA-C

Physician Assistant

NPI 1033731674

Physician Assistant (Certified)

NPI 1053680520

Doctor of Osteopathic Medicine (D.O.)

Walter Dean , PA-C

Physician Assistant - Medical

NPI 1154499010

Physician Assistant (Certified)

Teresa Corrigan , DCNP, FNP-BC

Nurse Practitioner - Family

NPI 1386841765

DCNP, Family Nurse Practitioner (Board Certified)

Dr. Jeanette Pitts , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1871578344

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events
NPI Profile Active March 15, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 15, 2017

Registered at 6333 LONG AVE, SUITE 360, SHAWNEE, KS 662162500 (Tel: 9136316330)

📍
Updated Business Mailing Address March 15, 2017

Registered at 6333 LONG AVE, SUITE 360, SHAWNEE, KS 662162500 (Tel: 9136316330)

👤
Provider Name / Credentials Updated March 15, 2017

Recorded as CECIL FACKRELL, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2017

Physician Assistant (License #15-01306 in KS)

📍
Updated Practice Location January 18, 2017

Registered at 6333 LONG AVE, SUITE 360, SHAWNEE, KS 662162500 (Tel: 9136316330)

📍
Updated Business Mailing Address January 18, 2017

Registered at 6333 LONG AVE, SUITE 360, SHAWNEE, KS 662162500 (Tel: 9136316330)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1010 CARONDELET DR, SUITE 125, KANSAS CITY, MO 641144859 (Tel: 8169421150)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1010 CARONDELET DR, SUITE 125, KANSAS CITY, MO 641144859 (Tel: 8169421150)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CECIL FACKRELL, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #2001030217 in MO)

🟢
Initial NPI Registration & Enumeration April 10, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Cecil Fackrell. Be the first to share your experience!

Sign in to leave a review for Cecil Fackrell

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1174646400
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 10, 2007
Last Update: March 15, 2017
Sole Proprietor: No

Mailing Address

6333 Long Ave, Suite 360

Shawnee, KS 662162500

Phone: 9136316330

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.