Active NPI 1083156459 Individual Practitioner Female Practitioner

Kirsten M Upton , PA-C

Physician Assistant • Centerville, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kirsten Upton, PA-C is a certified Physician Assistant practicing in Centerville, OH. With approximately 10 years of clinical experience since completing medical education in 2016, Kirsten Upton delivers high-quality medical care to the local community at 1975 MIAMISBURG CENTERVILLE RD.

Kirsten Upton maintains professional affiliations with Kettering Independent Medical Group Inc, Dayton Center For Neurological Disorders Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, first, electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1975 Miamisburg Centerville Rd

Centerville, OH 454593811

Telephone 9374396186

Fax 9377232638

Associated Practice Facility / Clinic

🏢 Dayton Center For Neurological Disorders Inc Facility NPI 1699728972

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Centerville, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs -0.1 yrs vs City Avg

City Avg: 10.1 Yrs

State Avg: 9.7 Yrs

Regional Practice Density

41 Specialists

Practicing in Centerville, OH (5376 Statewide)

Telehealth Adoption Rate

4.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Upton (10 Years) 10 Yrs

Centerville Specialty Average (10.1 Years) 10.1 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	285	203	$178.00	$101.82
99213 Established patient office or other outpatient visit, typically 15 minutes	260	218	$125.00	$72.45
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	59	51	$239.00	$146.21
95983 Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, first 15 minutes with qualified health professional	47	31	$102.00	$40.61
95984 Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, each additional 15 minutes with qualified health professional	47	31	$89.00	$35.44
96132 Evaluation of neuropsychological test, first hour	29	28	$266.00	$105.13

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	342	247	$179.77	$102.86
99213 Established patient office or other outpatient visit, typically 15 minutes	262	235	$134.62	$70.30
95983 Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, first 15 minutes with qualified health professional	71	31	$102.00	$41.95
95984 Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, each additional 15 minutes with qualified health professional	70	30	$89.00	$36.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	42	40	$239.00	$147.78
96132 Evaluation of neuropsychological test, first hour	35	34	$266.00	$108.00
96138 Administration of psychological or neuropsychological test by technician, first 30 minutes	15	14	$71.00	$26.64

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	306	233	$179.26	$103.32
99213 Established patient office or other outpatient visit, typically 15 minutes	237	201	$126.16	$73.09
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	71	63	$241.54	$142.91
95983 Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, first 15 minutes with qualified health professional	54	26	$102.00	$42.82
95984 Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, each additional 15 minutes with qualified health professional	51	25	$89.00	$37.42
96132 Evaluation of neuropsychological test, first hour	34	33	$266.00	$106.84

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	342	269	$178.63	$105.06
99213 Established patient office or other outpatient visit, typically 15 minutes	259	228	$125.90	$74.89
95983 Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, first 15 minutes with qualified health professional	61	29	$102.00	$43.44
95984 Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, each additional 15 minutes with qualified health professional	59	28	$89.00	$37.93
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	43	42	$239.00	$141.71
99213 Established patient office or other outpatient visit, typically 15 minutes	39	29	$179.00	$57.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	264	246	$145.58	$60.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	207	176	$183.86	$86.82
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	28	$243.07	$113.37
99213 Established patient office or other outpatient visit, typically 15 minutes	20	20	$178.75	$44.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$95.00	$37.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	271	253	$146.84	$59.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	190	182	$179.74	$87.82
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	33	$233.67	$116.31
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$496.00	$170.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$394.00	$135.00

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	299	249	$168.20	$85.56
99213 Established patient office or other outpatient visit, typically 15 minutes	127	120	$119.37	$59.27
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	73	70	$222.00	$119.22
99483 Assessment of and care planning for patient with impaired thought processing, typically 50 minutes	24	24	$456.00	$194.92

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	180	161	$165.00	$86.13
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	71	67	$222.00	$110.78
99213 Established patient office or other outpatient visit, typically 15 minutes	43	40	$110.00	$56.99

Medical Specialties & State Licenses

CMS Verified: 2024-10-30

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OH 50.004881RX

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

Commercial Insurance / Payer ID License

50.004881RX (OH)

Hospital & Practice Group Affiliations

Dayton Center For Neurological Disorders Inc

1975 Miamisburg Centerville Rd, Dayton, OH 454593811

Dayton Center For Neurological Disorders Inc

1975 Miamisburg Centerville Rd, Centerville, OH 454593811

Phone: 9374396186

Kettering Independent Medical Group Inc

4441 Far Hills Ave, Kettering, OH 454292405

Phone: 9372987751

Kettering Independent Medical Group Inc

4403 Far Hills Ave, Kettering, OH 454292405

Phone: 9374335309

Dayton Center For Neurological Disorders Inc

2510 Commons Blvd, Beavercreek, OH 454313820

Phone: 9374396186

Secondary Practice Locations

3533 Southern Blvd Ste 5200

Kettering, OH 454291275

Phone: 9373958002

Practice Associates & Co-Workers

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

32 Associated Practitioners

Dr. Timothy Schoonover , DO

Psychiatry & Neurology - Neurology

NPI 1033111802

Doctor of Osteopathic Medicine (D.O.)

Rachel Hurtubise , PA-C

Physician Assistant

NPI 1033990833

Physician Assistant (Certified)

Camille Hughes , PA-C

Physician Assistant - Medical

NPI 1073240941

Physician Assistant (Certified)

Martha Baumann

Nurse Practitioner

NPI 1083171300

Megan Miller , FNP-C

Nurse Practitioner - Family

NPI 1104364884

Family Nurse Practitioner (Certified)

Angela Wright , NP

Nurse Practitioner - Family

NPI 1124634787

Nurse Practitioner

Career & Practice History Timeline

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

12 Historical Events

👤

Provider Name / Credentials Updated October 30, 2024

Recorded as KIRSTEN UPTON, PA-C

✅

NPI Profile Active May 24, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location May 24, 2017

Registered at 1975 MIAMISBURG CENTERVILLE RD, CENTERVILLE, OH 454593811 (Tel: 9374396186)

📍

Updated Business Mailing Address May 24, 2017

Registered at 1975 MIAMISBURG CENTERVILLE RD, CENTERVILLE, OH 454593811 (Tel: (937) 439-6186)

👤

Provider Name / Credentials Updated May 24, 2017

Recorded as KIRSTEN ULRICH, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2017

Physician Assistant (License #50.004881RX in OH)

✅

NPI Profile Active November 16, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 16, 2016

Registered at 1975 MIAMISBURG CENTERVILLE RD, CENTERVILLE, OH 454593811 (Tel: 9374396186)

📍

Updated Business Mailing Address November 16, 2016

Registered at 1975 MIAMISBURG CENTERVILLE RD, CENTERVILLE, OH 454593811 (Tel: 9374396186)

👤

Provider Name / Credentials Updated November 16, 2016

Recorded as KIRSTEN ULRICH

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2016

Physician Assistant (License #50.004881RX in OH)

🟢

Initial NPI Registration & Enumeration November 16, 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: 1083156459

Entity Type:

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

Enumeration Date: November 16, 2016

Last Update: October 30, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1975 Miamisburg Centerville Rd

Centerville, OH 454593811

Phone: 9374396186

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.