Active NPI 1760833388 Individual Practitioner Female Practitioner

Kandace Suzette Mcclellan , PA-C

Physician Assistant • Roswell, NM

Professional Overview & Biography Verified Profile Summary

Kandace Mcclellan, PA-C is a registered healthcare professional specializing in Physician Assistant in Roswell, NM. Practice services are available at 400 N PENNSYLVANIA AVE STE 920 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

400 N Pennsylvania Ave Ste 920

Roswell, NM 882014779

Telephone 5752082509

Associated Practice Facility / Clinic

🏢 Roswell Skin Center, Llc Facility NPI 1447852488

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Roswell, NM

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 16.5 Yrs

State Avg: 13.1 Yrs

Regional Practice Density

8 Specialists

Practicing in Roswell, NM (865 Statewide)

Telehealth Adoption Rate

12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.9% 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 (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	615	104	$17.76	$5.32
99213 Established patient office or other outpatient visit, typically 15 minutes	219	167	$246.72	$73.60
17000 Destruction of skin growth	160	134	$177.57	$40.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	111	111	$302.73	$91.92
17110 Destruction of up to 14 skin growths	101	87	$302.25	$89.93
11102 Tangential biopsy of single skin lesion	94	92	$277.53	$72.64
17004 Destruction of precancer skin growth, 15 or more growths	38	31	$438.57	$137.15
11103 Biopsy of related skin growth, each additional growth	23	19	$140.04	$40.69
11104 Punch biopsy, first skin growth	11	11	$344.28	$101.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	220	47	$18.18	$5.39
36415 Insertion of needle into vein for collection of blood sample	114	88	$12.00	$2.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	86	$273.94	$104.45
99213 Established patient office or other outpatient visit, typically 15 minutes	82	70	$210.01	$74.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$302.73	$90.74
17000 Destruction of skin growth	57	54	$180.58	$41.82
99443 Telephone medical discussion with physician, 21-30 minutes	39	32	$137.00	$106.40
11102 Tangential biopsy of single skin lesion	37	36	$277.53	$76.01
G0442 Annual alcohol misuse screening, 5 to 15 minutes	33	33	$45.00	$14.89
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	32	32	$283.00	$109.30
17110 Destruction of up to 14 skin growths	25	23	$299.83	$89.54
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	21	12	$62.00	$11.71
G0444 Annual depression screening, 5 to 15 minutes	20	20	$45.00	$15.09
81002 Urinalysis, manual test	13	11	$21.00	$3.47
11103 Biopsy of related skin growth, each additional growth	13	11	$140.04	$41.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,260	12	$48.00	$20.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	429	147	$271.00	$106.40
36415 Insertion of needle into vein for collection of blood sample	344	133	$12.00	$2.98
99213 Established patient office or other outpatient visit, typically 15 minutes	234	108	$184.00	$75.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	127	127	$283.00	$108.55
G0444 Annual depression screening, 5 to 15 minutes	85	85	$45.00	$14.84
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	82	32	$62.00	$11.61
G0442 Annual alcohol misuse screening, 5 to 15 minutes	71	71	$45.00	$15.20
99443 Telephone medical discussion with physician, 21-30 minutes	66	48	$137.00	$103.80
81002 Urinalysis, manual test	46	30	$21.00	$3.48
G0008 Administration of influenza virus vaccine	33	33	$38.00	$16.04
90662 Influenza vaccine split virus, preservative free	29	29	$103.00	$65.11
J0696 Injection, ceftriaxone sodium, per 250 mg	27	11	$34.00	$0.55
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	22	$363.00	$151.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	900	12	$48.00	$19.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	470	163	$271.00	$89.29
36415 Insertion of needle into vein for collection of blood sample	308	134	$12.00	$2.97
99213 Established patient office or other outpatient visit, typically 15 minutes	225	104	$184.00	$61.80
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	118	118	$283.00	$96.75
G0444 Annual depression screening, 5 to 15 minutes	68	68	$45.00	$15.03
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	60	29	$62.00	$11.78
G0008 Administration of influenza virus vaccine	37	37	$38.00	$16.17
81002 Urinalysis, manual test	34	22	$21.00	$3.44
90662 Influenza vaccine split virus, preservative free	31	31	$103.00	$60.39
87804 Detection test by immunoassay with direct visual observation for influenza virus	28	14	$44.00	$16.22
99496 Transitional care management services for problem of high complexity	17	14	$580.00	$199.53
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	11	$363.00	$120.65
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	11	11	$85.00	$16.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	498	188	$271.00	$89.05
36415 Insertion of needle into vein for collection of blood sample	388	162	$12.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	162	96	$184.00	$60.84
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	119	119	$283.00	$95.23
J0696 Injection, ceftriaxone sodium, per 250 mg	80	16	$34.00	$0.58
81002 Urinalysis, manual test	77	45	$21.00	$3.41
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	66	41	$62.00	$13.38
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	52	13	$48.00	$1.60
87804 Detection test by immunoassay with direct visual observation for influenza virus	46	21	$44.00	$16.22
G0008 Administration of influenza virus vaccine	36	35	$38.00	$15.44
90662 Influenza vaccine split virus, preservative free	34	33	$103.00	$53.20
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	21	19	$85.00	$16.20
G0009 Administration of pneumococcal vaccine	17	17	$40.00	$15.88
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$427.00	$120.99
99496 Transitional care management services for problem of high complexity	13	12	$580.00	$190.24
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$210.00	$108.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	795	237	$271.00	$88.79
36415 Insertion of needle into vein for collection of blood sample	512	206	$12.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	157	98	$184.00	$60.18
J0696 Injection, ceftriaxone sodium, per 250 mg	120	14	$34.00	$0.62
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	103	103	$283.00	$95.94
81002 Urinalysis, manual test	93	57	$21.00	$3.41
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	69	36	$62.00	$16.59
G0008 Administration of influenza virus vaccine	56	55	$38.00	$19.43
90662 Influenza vaccine split virus, preservative free	54	53	$103.00	$52.22
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	52	12	$48.00	$1.75
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	35	35	$427.00	$141.83
87804 Detection test by immunoassay with direct visual observation for influenza virus	28	14	$44.00	$16.22
G0009 Administration of pneumococcal vaccine	23	23	$40.00	$19.43
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	17	17	$210.00	$105.59
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$363.00	$120.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	460	247	$271.00	$87.29
99213 Established patient office or other outpatient visit, typically 15 minutes	233	160	$184.00	$59.20
36415 Insertion of needle into vein for collection of blood sample	230	149	$12.00	$2.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	102	102	$419.00	$135.18
G0442 Annual alcohol misuse screening, 5 to 15 minutes	95	95	$45.00	$14.39
81002 Urinalysis, manual test	87	61	$21.00	$3.43
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	84	84	$427.00	$138.53
G0008 Administration of influenza virus vaccine	65	65	$38.00	$23.87
G0009 Administration of pneumococcal vaccine	47	47	$40.00	$23.36
J0696 Injection, ceftriaxone sodium, per 250 mg	45	11	$34.00	$0.63
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	41	41	$35.00	$17.48
90670 Pneumococcal vaccine for injection into muscle	40	40	$452.00	$183.50
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	31	26	$62.00	$20.40
90662 Influenza vaccine split virus, preservative free	23	23	$103.00	$48.05
87804 Detection test by immunoassay with direct visual observation for influenza virus	19	13	$44.00	$16.11

Medical Specialties & State Licenses

CMS Verified: 2022-03-07

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NM PA2016-0067

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

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

10601309 (NM)

Secondary Practice Locations

350 W Country Club Rd, Suite #101

Roswell, NM 882015205

Phone: 5756245622

300 W Country Club Rd Ste 230

Roswell, NM 882015240

Phone: 5756221411

350 W Country Club Rd, Suite #101

Roswell, NM 882015205

Phone: 5756245622

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Brandon Cometti , MD

Family Medicine

NPI 1265792022

Doctor of Medicine (M.D.)

Dawn Korf , PA-C

Physician Assistant - Medical

NPI 1427025170

Physician Assistant (Certified)

Career & Practice History Timeline

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

16 Historical Events

📍

Updated Practice Location March 07, 2022

Registered at 400 N PENNSYLVANIA AVE STE 920, ROSWELL, NM 882014779 (Tel: 5752082509)

📍

Updated Business Mailing Address March 07, 2022

Registered at 400 N PENNSYLVANIA AVE STE 920, ROSWELL, NM 882014779 (Tel: 5752082509)

📍

Updated Practice Location April 04, 2018

Registered at 300 W COUNTRY CLUB RD STE 230, ROSWELL, NM 882015240 (Tel: 5756221411)

📍

Updated Business Mailing Address April 04, 2018

Registered at 300 W COUNTRY CLUB RD STE 230, ROSWELL, NM 882015240 (Tel: 5756221411)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2018

Physician Assistant

✅

NPI Profile Active September 14, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location September 14, 2017

Registered at 350 W COUNTRY CLUB RD, SUITE #101, ROSWELL, NM 882015205 (Tel: 5756245622)

📍

Updated Business Mailing Address September 14, 2017

Registered at 350 W COUNTRY CLUB RD, SUITE #101, ROSWELL, NM 882015205 (Tel: 5756245622)

👤

Provider Name / Credentials Updated September 14, 2017

Recorded as KANDACE MCCLELLAN, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2017

Physician Assistant

✅

NPI Profile Active November 22, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 22, 2016

Registered at 350 W COUNTRY CLUB RD, SUITE #101, ROSWELL, NM 882015205 (Tel: 5756245622)

📍

Updated Business Mailing Address November 22, 2016

Registered at 350 W COUNTRY CLUB RD, SUITE #101, ROSWELL, NM 882015205 (Tel: 5756245622)

👤

Provider Name / Credentials Updated November 22, 2016

Recorded as KANDACE MEDLIN, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 22, 2016

Physician Assistant (License #PA2016-0067 in NM)

🟢

Initial NPI Registration & Enumeration June 24, 2016

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: 1760833388

Entity Type:

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

Enumeration Date: June 24, 2016

Last Update: March 07, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

400 N Pennsylvania Ave Ste 920

Roswell, NM 882014779

Phone: 5752082509

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.