Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770048308 Individual Practitioner Female Practitioner

Kelby Lynn Withrow , PA-C

Physician Assistant • Ballwin, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kelby Withrow, PA-C is a certified Physician Assistant practicing in Ballwin, MO. With approximately 5 years of clinical experience since completing medical education in 2021, Kelby Withrow delivers high-quality medical care to the local community at 13861 MANCHESTER RD.

Kelby Withrow is affiliated with Total Access Urgent Care Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml, injection, dexamethasone sodium phosphate, 1 mg, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

13861 Manchester Rd

Ballwin, MO 630114503

Telephone 6365560114
Associated Practice Facility / Clinic
🏢 Total Access Urgent Care, Pc Facility NPI 1326482746

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 Ballwin, MO

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -1.1 yrs vs City Avg
City Avg: 6.1 Yrs
State Avg: 10.3 Yrs
Regional Practice Density
8 Specialists

Practicing in Ballwin, MO (1802 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
80.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Withrow (5 Years) 5 Yrs
Ballwin Specialty Average (6.1 Years) 6.1 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
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml
1,380 14 $1.50 $0.13
J1100 Injection, dexamethasone sodium phosphate, 1 mg
192 37 $10.00 $0.11
99213 Established patient office or other outpatient visit, typically 15 minutes
92 92 $182.06 $73.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
90 89 $318.00 $103.95
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
69 69 $167.70 $49.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
58 58 $490.50 $136.83
J2405 Injection, ondansetron hydrochloride, per 1 mg
56 11 $10.00 $0.09
87502 Detection test by nucleic acid for multiple types influenza virus
56 56 $270.00 $92.37
71046 X-ray of chest, 2 views
44 44 $213.18 $26.61
81003 Automated urinalysis test
42 42 $46.80 $2.20
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
37 37 $67.90 $11.63
85018 Blood count, hemoglobin
33 33 $8.45 $2.25
80051 Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)
30 30 $14.30 $6.87
82550 Creatine kinase (cardiac enzyme) level, total
29 29 $13.02 $6.16
J7030 Infusion, normal saline solution , 1000 cc
29 28 $10.00 $2.52
84520 Urea nitrogen level to assess kidney function
27 27 $7.90 $3.87
82565 Blood creatinine level
27 27 $10.24 $5.02
93000 Routine ekg using at least 12 leads including interpretation and report
25 25 $123.00 $11.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
21 21 $320.82 $91.37
87651 Detection test for Strep (Streptococcus, group A)
21 21 $135.00 $34.39
74177 Ct scan of abdomen and pelvis with contrast
16 16 $1815.42 $210.87
82247 Bilirubin level
15 15 $9.71 $4.92
84460 Liver enzyme (sgpt), level
15 15 $10.23 $5.19
84450 Liver enzyme (sgot), level
15 15 $9.39 $5.08
84155 Total protein level, blood
15 15 $6.74 $3.60
84075 Phosphatase (enzyme) level, alkaline
15 15 $10.01 $5.08
82150 Amylase (enzyme) level
15 15 $32.14 $6.35
82040 Albumin (protein) level
15 15 $9.58 $4.85
73030 X-ray of shoulder, minimum of 2 views
12 11 $102.03 $28.17
96360 Infusion into a vein for hydration, 31-60 minutes
11 11 $105.00 $25.91
70450 Ct scan head or brain without contrast
11 11 $573.24 $40.99

Medical Specialties & State Licenses

CMS Verified: 2023-04-18
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MO 2022009903

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.

Specialist/Technologist - Athletic Trainer

NUCC Taxonomy Code: 2255A2300X

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Hospital & Practice Group Affiliations

Total Access Urgent Care Pc

12616 Lamplighter Square Shopping, Saint Louis, MO 631282746

Phone: 3149612255

Total Access Urgent Care Pc

4318 Loughborough Ave, Saint Louis, MO 631162104

Phone: 3149612255

Total Access Urgent Care Pc

915 N Kirkwood Rd, Kirkwood, MO 631222665

Phone: 3149612255

Total Access Urgent Care Pc

10923 Olive Blvd, Creve Coeur, MO 631417740

Phone: 3149612255

Total Access Urgent Care Pc

13861 Manchester Rd, Ballwin, MO 630114503

Phone: 3149612255

Total Access Urgent Care Pc

6900 Chippewa St, Saint Louis, MO 631093038

Phone: 3149612255

Total Access Urgent Care Pc

9556 Manchester Rd, Saint Louis, MO 631191313

Phone: 3149612255

Total Access Urgent Care Pc

7816 Big Bend Blvd, Webster Groves, MO 631192702

Phone: 3149612255

Total Access Urgent Care Pc

3114 S Grand Blvd, Saint Louis, MO 631181012

Phone: 3149612255

Total Access Urgent Care Pc

4400 Telegraph Rd, Saint Louis, MO 631293316

Phone: 3149612255

Total Access Urgent Care Pc

1005 S Big Bend Blvd, Saint Louis, MO 631171605

Phone: 3149612255

Total Access Urgent Care Pc

8213 Delmar Blvd, Saint Louis, MO 631242104

Phone: 3149612255

Total Access Urgent Care Pc

2980 Dougherty Ferry Rd, Saint Louis, MO 631223366

Phone: 3149612255

Total Access Urgent Care Pc

2060 Hampton Ave, Saint Louis, MO 631392903

Phone: 3149612255

Total Access Urgent Care Pc

9538 Gravois Rd, Affton, MO 631234558

Phone: 3149612255

Total Access Urgent Care Pc

408 Brothers Dr, Festus, MO 630282139

Phone: 3149612255

Practice Associates & Co-Workers

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

2 Associated Practitioners
Jennifer O'donnell , FNP-C

Nurse Practitioner - Family

NPI 1538635297

Family Nurse Practitioner (Certified)

Erin Kramer , FNP-C

Nurse Practitioner - Family

NPI 1740872514

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

10 Historical Events
👤
Provider Name / Credentials Updated April 18, 2023

Recorded as KELBY WITHROW, PA-C

📍
Updated Practice Location April 01, 2022

Registered at 13861 MANCHESTER RD, BALLWIN, MO 630114503 (Tel: 6365560114)

📍
Updated Business Mailing Address April 01, 2022

Registered at 4603 MATTIS RD, SAINT LOUIS, MO 631283015 (Tel: 6183168321)

👤
Provider Name / Credentials Updated April 01, 2022

Recorded as KELBY KUJAWA, PA-C

NPI Profile Active February 07, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location February 07, 2019

Registered at 901 S NATIONAL AVE # PROF160, SPRINGFIELD, MO 658970027 (Tel: 4178368553)

📍
Updated Business Mailing Address February 07, 2019

Registered at 12535 E HERITAGE DR, MOUNT VERNON, IL 628642670 (Tel: 6183168321)

👤
Provider Name / Credentials Updated February 07, 2019

Recorded as KELBY KUJAWA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2019

Specialist/Technologist

🟢
Initial NPI Registration & Enumeration February 07, 2019

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: 1770048308
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2019
Last Update: April 18, 2023
Sole Proprietor: No

Mailing Address

4603 Mattis Rd

Saint Louis, MO 631283015

Phone: 6183168321

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.