Active NPI 1548635014 Individual Practitioner Male Practitioner

Kelly Eli Daugherty , PA-C

Physician Assistant • Owatonna, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kelly Daugherty, PA-C is a certified Physician Assistant practicing in Owatonna, MN. With approximately 11 years of clinical experience since completing medical education in 2015, Kelly Daugherty delivers high-quality medical care to the local community at 2200 NW 26TH ST.

Kelly Daugherty maintains professional affiliations with Fairview Express Care, University Of Minnesota Health Clinics And Surgery Center Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, x-ray of shoulder, minimum of 2 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2200 Nw 26th St

Owatonna, MN 550605503

Telephone 5074511120

Associated Practice Facility / Clinic

🏢 Mayo Clinic Hospital-Rochester Facility NPI 1104893080

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Owatonna, MN

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs +0.2 yrs vs City Avg

City Avg: 10.8 Yrs

State Avg: 10.9 Yrs

Regional Practice Density

20 Specialists

Practicing in Owatonna, MN (4026 Statewide)

Telehealth Adoption Rate

15.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Daugherty (11 Years) 11 Yrs

Owatonna Specialty Average (10.8 Years) 10.8 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$430.54	$95.57
99213 Established patient office or other outpatient visit, typically 15 minutes	32	27	$352.84	$78.74
73030 X-ray of shoulder, minimum of 2 views	13	12	$89.00	$27.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	26	23	$235.04	$44.32
99213 Established patient office or other outpatient visit, typically 15 minutes	24	24	$118.00	$55.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	17	$81.00	$30.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	140	112	$82.00	$30.32
20610 Aspiration and/or injection of fluid from large joint	122	86	$230.38	$45.87
99213 Established patient office or other outpatient visit, typically 15 minutes	88	82	$121.00	$56.28
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	38	35	$45.40	$19.35
99202 New patient office or other outpatient visit, typically 20 minutes	32	32	$133.00	$40.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	13	$252.00	$60.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	109	78	$258.85	$45.28
99213 Established patient office or other outpatient visit, typically 15 minutes	86	73	$111.86	$42.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	40	$75.00	$21.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	31	$169.39	$65.12
20610 Aspiration and/or injection of fluid from large joint	26	24	$243.88	$41.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$171.09	$66.37
99213 Established patient office or other outpatient visit, typically 15 minutes	19	18	$114.89	$43.01
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$130.00	$42.80
99231 Follow-up hospital inpatient care per day, typically 15 minutes	12	11	$208.00	$33.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	128	106	$239.48	$44.44
99213 Established patient office or other outpatient visit, typically 15 minutes	111	96	$99.59	$42.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	51	$75.00	$21.31
99202 New patient office or other outpatient visit, typically 20 minutes	32	32	$129.59	$42.34
27447 Replacement of knee joint, both sides of knee	18	18	$12777.00	$179.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$161.00	$66.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	117	109	$163.00	$61.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	24	$258.00	$87.86
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$202.00	$62.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	147	141	$144.29	$57.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	31	$101.16	$67.77

Medical Specialties & State Licenses

CMS Verified: 2024-02-09

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MN 12173

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

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License ND PAC0622

Definition to come...

Hospital & Practice Group Affiliations

Fairview Express Care

14101 Fairview Dr, Burnsville, MN 553372537

Phone: 9524604900

University Of Minnesota Health Clinics And Surgery Center Inc

909 Fulton St Se, Minneapolis, MN 554554800

Phone: 6126727422

Fairview Express Care

2450 Riverside Ave, Minneapolis, MN 554541450

Fairview Express Care

500 Harvard St Se, Minneapolis, MN 554550363

Phone: 6126727422

Fairview Express Care

717 Delaware St Se, Minneapolis, MN 554142959

Phone: 6126727422

Secondary Practice Locations

700 1st Ave S

Fargo, ND 581031802

Phone: 7012344023

200 1st St Sw

Rochester, MN 559050001

Phone: 5072842511

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Eleanor Vita , MD

Family Medicine

NPI 1003855651

Doctor of Medicine (M.D.)

Kayla Cook , PA-C

Physician Assistant

NPI 1023573193

Physician Assistant (Certified)

Anastasha Molina , PA

Physician Assistant

NPI 1043842859

Physician Assistant

Dr. Charles Sandhofer , MD

Internal Medicine

NPI 1053372268

Doctor of Medicine (M.D.)

Jodie Smith , ARNP, FNP-BC

Nurse Practitioner - Family

NPI 1063797413

Advanced Registered Nurse Practitioner, Family Nurse Practitioner (Board Certified)

Dr. Tyler Studer , MD

Radiology - Diagnostic Radiology

NPI 1063919314

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2024

Physician Assistant

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2021

Physician Assistant (License #12173 in MN)

📍

Updated Business Mailing Address June 25, 2019

Registered at 2200 NW 26TH ST, OWATONNA, MN 550605503 (Tel: 5074511120)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2019

Physician Assistant

📍

Updated Practice Location January 09, 2019

Registered at 2200 NW 26TH ST, OWATONNA, MN 550605503 (Tel: 5074511120)

👤

Provider Name / Credentials Updated January 09, 2019

Recorded as KELLY DAUGHERTY, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2019

Physician Assistant (License #PAC0622 in ND)

✅

NPI Profile Active December 28, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 28, 2016

Registered at 700 1ST AVE S, FARGO, ND 581031802 (Tel: 7012344023)

📍

Updated Business Mailing Address December 28, 2016

Registered at PO BOX 2168, FARGO, ND 581072168 (Tel: 7012342119)

👤

Provider Name / Credentials Updated December 28, 2016

Recorded as KELLY JOHNSON, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2016

Physician Assistant

🟢

Initial NPI Registration & Enumeration December 09, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1548635014

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 09, 2015

Last Update: February 09, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2200 Nw 26th St

Owatonna, MN 550605503

Phone: 5074511120

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.