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Active NPI 1316488463 Individual Practitioner Male Practitioner

John Vincent Keller , PA

Physician Assistant • Hildebran, NC

Professional Overview & Biography Verified Profile Summary

John Keller, PA is a registered healthcare professional specializing in Physician Assistant in Hildebran, NC. Practice services are available at 107 S CENTER ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen, new 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

107 S Center St

Hildebran, NC 286378304

Telephone 8283973522
Associated Practice Facility / Clinic
🏢 Hildebran Medical Clinic, Llc Facility NPI 1598765935

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Hildebran, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.0 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
3 Specialists

Practicing in Hildebran, NC (9374 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
69.3% 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 (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
177 172 $215.00 $74.41
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
54 54 $163.00 $50.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
34 34 $298.00 $92.71
81003 Automated urinalysis test
31 29 $11.00 $2.21
87502 Detection test by nucleic acid for multiple types influenza virus
13 13 $336.00 $94.25

Medical Specialties & State Licenses

CMS Verified: 2023-04-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NC 0010-07051

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.

Secondary Practice Locations

10210 Couloak Dr, Ste E

Charlotte, NC 282167679

Phone: 7048012000

7810 Providence Rd, Ste 102

Charlotte, NC 282262954

Phone: 7045436636

5727 Prosperity Crossing Dr, Ste 1100

Charlotte, NC 282692206

Phone: 7048639930

5717 Albemarle Rd

Charlotte, NC 282121634

Phone: 7045632150

1802 E Main St

Lincolnton, NC 280923915

Phone: 9802122610

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dr. Aaron Swisher , MD

Family Medicine

NPI 1255331609

Doctor of Medicine (M.D.)

Dr. Gary Martin , MD

Family Medicine

NPI 1750329918

Doctor of Medicine (M.D.)

Mark Hollo , PA

Physician Assistant

NPI 1770514291

Physician Assistant

Jennifer Lambert , PA-C

Physician Assistant

NPI 1821031733

Physician Assistant (Certified)

Career & Practice History Timeline

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

20 Historical Events
📍
Updated Practice Location April 11, 2023

Registered at 107 S CENTER ST, HILDEBRAN, NC 286378304 (Tel: 8283973522)

📍
Updated Practice Location August 25, 2022

Registered at 1802 E MAIN ST, LINCOLNTON, NC 280923915 (Tel: 9802122610)

📍
Updated Practice Location April 20, 2020

Registered at 2211 E FRANKLIN BLVD, STE 100, GASTONIA, NC 280544985 (Tel: 7048529561)

📍
Updated Practice Location December 20, 2019

Registered at 603 COX RD, GASTONIA, NC 280543432 (Tel: 7048529561)

📍
Updated Business Mailing Address May 29, 2019

Registered at PO BOX 19305, CHARLOTTE, NC 282199305

👤
Provider Name / Credentials Updated May 29, 2019

Recorded as JOHN KELLER, PA

📍
Updated Business Mailing Address May 07, 2019

Registered at 6030 W HIGHWAY 74, SUITE A, INDIAN TRAIL, NC 280793468

📍
Updated Business Mailing Address March 18, 2019

Registered at 6030 W. HIGHWAY 74, SUITE A, INDIAN TRAIL, NC 28079

📍
Updated Business Mailing Address February 26, 2019

Registered at 6030 W HIGHWAY 74, SUITE A, INDIAN TRAIL, NC 280793468

📍
Updated Business Mailing Address January 04, 2019

Registered at 6030 W HIGHWAY 74, INDIAN TRAIL, NC 280793468

📍
Updated Business Mailing Address November 08, 2018

Registered at 6030 W. HIGHWAY 74, INDIAN TRAIL, NC 28079

📍
Updated Practice Location September 21, 2018

Registered at 6030 W HIGHWAY 74, SUITE A, INDIAN TRAIL, NC 280793468 (Tel: 7042462777)

📍
Updated Business Mailing Address September 21, 2018

Registered at 6030 W HIGHWAY 74, INDIAN TRAIL, NC 280793468

👤
Provider Name / Credentials Updated September 21, 2018

Recorded as JOHN KELLER

NPI Profile Active March 08, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 08, 2017

Registered at 1000 BLYTHE BLVD, CHARLOTTE, NC 282035812 (Tel: 7044460988)

📍
Updated Business Mailing Address March 08, 2017

Registered at 117 OWENS ST, KINGS MOUNTAIN, NC 280863632 (Tel: 7042842004)

👤
Provider Name / Credentials Updated March 08, 2017

Recorded as JOHN KELLER, P.A.-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2017

Physician Assistant (License #0010-07051 in NC)

🟢
Initial NPI Registration & Enumeration March 08, 2017

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: 1316488463
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 08, 2017
Last Update: April 11, 2023
Sole Proprietor: No

Mailing Address

Po Box 19305

Charlotte, NC 282199305

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.