Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750905972 Individual Practitioner Male Practitioner

Kyle Michael Wiedemer , PA-C

Physician Assistant • Winchester, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kyle Wiedemer, PA-C is a certified Physician Assistant practicing in Winchester, KY. With approximately 5 years of clinical experience since completing medical education in 2021, Kyle Wiedemer delivers high-quality medical care to the local community at 225 HOSPITAL DR STE 110.

Kyle Wiedemer is affiliated with Clark Regional Physician Practices Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected, detection test by immunoassay technique for streptococcus, group a (strep), detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

225 Hospital Dr Ste 110

Winchester, KY 403917624

Telephone 8597376572

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Winchester, KY

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -5.4 yrs vs City Avg
City Avg: 10.4 Yrs
State Avg: 12.7 Yrs
Regional Practice Density
11 Specialists

Practicing in Winchester, KY (1973 Statewide)

Telehealth Adoption Rate
9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
52.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wiedemer (5 Years) 5 Yrs
Winchester 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
0241U Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected
42 42 $285.26 $139.78
87430 Detection test by immunoassay technique for streptococcus, group a (strep)
19 18 $34.00 $16.47
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza
15 15 $146.98 $68.88
81002 Urinalysis, manual test
14 14 $14.00 $3.41

Medical Specialties & State Licenses

CMS Verified: 2021-08-18
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License KY TC115

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.

Hospital & Practice Group Affiliations

Clark Regional Physician Practices Llc

225 Hospital Dr, Winchester, KY 403917604

Clark Regional Physician Practices Llc

225 Hospital Dr, Winchester, KY 403917676

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Maneesh Gaddam , MD

Internal Medicine - Pulmonary Disease

NPI 1144604505

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location November 02, 2021

Registered at 225 HOSPITAL DR STE 110, WINCHESTER, KY 403917624 (Tel: 8597376572)

📍
Updated Business Mailing Address November 02, 2021

Registered at 225 HOSPITAL DR STE 110, WINCHESTER, KY 403917624 (Tel: 8597376572)

👤
Provider Name / Credentials Updated November 02, 2021

Recorded as KYLE WIEDEMER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2021

Physician Assistant (License #TC115 in KY)

📍
Updated Practice Location July 19, 2021

Registered at 6178 COLLEGE STATION DR, WILLIAMSBURG, KY 407691372 (Tel: 8003431609)

📍
Updated Business Mailing Address July 19, 2021

Registered at 6178 COLLEGE STATION DR, WILLIAMSBURG, KY 407691372 (Tel: 8003431609)

NPI Profile Active June 03, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 03, 2020

Registered at 121 N 9TH ST, WILLIAMSBURG, KY 407691704 (Tel: 5026939878)

📍
Updated Business Mailing Address June 03, 2020

Registered at 121 N 9TH ST, WILLIAMSBURG, KY 407691704 (Tel: 5026939878)

👤
Provider Name / Credentials Updated June 03, 2020

Recorded as KYLE WIEDEMER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 03, 2020

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 Kyle Wiedemer. Be the first to share your experience!

Sign in to leave a review for Kyle Wiedemer

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

NPI Administrative Meta

NPI Number: 1750905972
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2020
Last Update: November 02, 2021
Sole Proprietor: Yes

Mailing Address

225 Hospital Dr Ste 110

Winchester, KY 403917624

Phone: 8597376572

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.