Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003068263 Individual Practitioner Female Practitioner

Joyce Angela Struna , PA-C

Physician Assistant • Sylva, NC

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Joyce Struna, PA-C is a certified Physician Assistant practicing in Sylva, NC. With approximately 38 years of clinical experience since completing medical education in 1988, Joyce Struna delivers high-quality medical care to the local community at 111 CENTRAL ST.

Joyce Struna is affiliated with Lamond Family Medicine Pllc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, established patient outpatient office visit, complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

111 Central St

Sylva, NC 287795412

Telephone 8285867705
Fax 8553082340
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Sylva, NC

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
38 Yrs +19.2 yrs vs City Avg
City Avg: 18.8 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
21 Specialists

Practicing in Sylva, NC (9374 Statewide)

Telehealth Adoption Rate
4.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
46.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Struna (38 Years) 38 Yrs
Sylva Specialty Average (18.8 Years) 18.8 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
36415 Insertion of needle into vein for collection of blood sample
312 151 $10.69 $8.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
275 134 $235.16 $107.08
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
241 139 $27.15 $7.61
80053 Blood test, comprehensive group of blood chemicals
226 132 $26.82 $10.35
84481 Thyroid hormone, t3 measurement, free
222 131 $31.74 $16.53
86376 Microsomal antibodies (autoantibody) measurement
222 131 $31.74 $14.20
84443 Blood test, thyroid stimulating hormone (TSH)
216 130 $31.76 $16.46
84439 Thyroxine (thyroid chemical), free
211 127 $31.82 $8.80
83525 Insulin measurement, total
209 130 $24.16 $11.15
80061 Blood test, lipids (cholesterol and triglycerides)
205 127 $36.60 $13.08
83036 Hemoglobin A1C level
164 97 $23.48 $9.47
99213 Established patient office or other outpatient visit, typically 15 minutes
131 77 $170.00 $76.33
82728 Ferritin (blood protein) level
126 76 $24.89 $13.27
83540 Iron level
119 73 $24.82 $6.29
G0442 Annual alcohol misuse screening, 5 to 15 minutes
91 91 $21.00 $16.11
82306 Vitamin d-3 level
90 63 $48.76 $28.73
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
85 85 $150.00 $111.52
G0444 Annual depression screening, 5 to 15 minutes
82 82 $21.00 $16.11
84403 Testosterone (hormone) level, total
54 30 $49.28 $25.29
82670 Measurement of total estradiol (hormone)
53 29 $47.00 $27.38
84402 Testosterone (hormone) level, free
53 29 $48.89 $24.96
82627 Dehydroepiandrosterone (DHEA-S) hormone level
43 24 $44.79 $21.79
84270 Sex hormone binding globulin (protein) level
43 24 $44.79 $21.30
83001 Gonadotropin, follicle stimulating (reproductive hormone) level
36 17 $44.11 $18.21
84144 Progesterone (reproductive hormone) level
29 14 $43.66 $20.44
84153 Psa (prostate specific antigen) measurement, total
27 21 $33.11 $18.02
90661 Influenza vaccine, trivalent derived from cell cultures
24 24 $40.00 $36.11
G0008 Administration of influenza virus vaccine
24 24 $33.13 $30.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
18 18 $235.00 $140.10

Medical Specialties & State Licenses

CMS Verified: 2025-04-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NC 0010-06642

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1003068263 (NC)
Commercial Insurance / Payer ID Caresource
CS24404500518 (NC)
Commercial Insurance / Payer ID Bcbs Nc
19L94 (NC)
Commercial Insurance / Payer ID Uhc
003530270 (NC)
Commercial Insurance / Payer ID Medicare
NCU581A (NC)
Commercial Insurance / Payer ID Railroad Medicare
Q00394826 (NC)

Hospital & Practice Group Affiliations

Lamond Family Medicine Pllc

120 S Grove St, Hendersonville, NC 287924007

Phone: 8285855489

Lamond Family Medicine Pllc

317 N King St, Hendersonville, NC 287924349

Phone: 8286939199

Lamond Family Medicine Pllc

317 N King St A, Hendersonville, NC 287924349

Phone: 8286933344

Lamond Family Medicine Pllc

111 Central St, Sylva, NC 287795412

Phone: 8285867705

Practice Associates & Co-Workers

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

40 Associated Practitioners
Candace Thomas , PA-C

Physician Assistant

NPI 1023534401

Physician Assistant (Certified)

Leslie Boucherle , PA-C

Physician Assistant

NPI 1043793789

Physician Assistant (Certified)

Tera Mahone , NP

Nurse Practitioner

NPI 1093387342

Nurse Practitioner

Misty Munger , FNP

Nurse Practitioner

NPI 1104356393

Family Nurse Practitioner

Samantha Yavorek , PA

Physician Assistant

NPI 1124614326

Physician Assistant

John Mckeever , PA

Physician Assistant

NPI 1154895423

Physician Assistant

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location December 08, 2022

Registered at 111 CENTRAL ST, SYLVA, NC 287795412 (Tel: 2858677058)

📍
Updated Business Mailing Address December 08, 2022

Registered at PO BOX 360, SYLVA, NC 287790360 (Tel: 8883396065)

NPI Profile Active August 10, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 10, 2016

Registered at 45 PLATEAU ST, SUITE 250, BRYSON CITY, NC 287134200 (Tel: 8284884205)

📍
Updated Business Mailing Address August 10, 2016

Registered at 45 PLATEAU ST, SUITE 250, BRYSON CITY, NC 287134200 (Tel: 8284884205)

👤
Provider Name / Credentials Updated August 10, 2016

Recorded as JOYCE STRUNA, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2016

Physician Assistant (License #0010-06642 in NC)

🟢
Initial NPI Registration & Enumeration October 21, 2008

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: 1003068263
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 21, 2008
Last Update: April 11, 2025
Sole Proprietor: No

Mailing Address

Po Box 360

Sylva, NC 287790360

Phone: 8883396065

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.