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Active NPI 1689031338 Individual Practitioner Male Practitioner

Kevin D Shields , PA-C

Physician Assistant • Fredericktown, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kevin Shields, PA-C is a certified Physician Assistant practicing in Fredericktown, OH. With approximately 11 years of clinical experience since completing medical education in 2015, Kevin Shields delivers high-quality medical care to the local community at 122 COLUMBUS RD.

Kevin Shields is affiliated with American Health Network Of Ohio, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, established patient outpatient office visit, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

122 Columbus Rd

Fredericktown, OH 430191266

Telephone 7406941261
Fax 7406947145
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fredericktown, OH

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs Matches City Avg
City Avg: 11.0 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Fredericktown, OH (5376 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
52.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shields (11 Years) 11 Yrs
Fredericktown Specialty Average (11.0 Years) 11.0 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
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
464 257 $32.00 $13.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
312 211 $193.00 $102.37
36415 Insertion of needle into vein for collection of blood sample
247 173 $17.00 $8.62
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
210 13 $4.65 $0.98
99213 Established patient office or other outpatient visit, typically 15 minutes
203 134 $136.00 $72.62
85610 Blood test, clotting time
80 15 $20.94 $4.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
34 32 $271.00 $145.09
G0008 Administration of influenza virus vaccine
30 30 $50.00 $30.41
90653 Vaccine for influenza for injection into muscle
26 26 $167.00 $81.82
81003 Automated urinalysis test
23 17 $5.00 $2.20
99496 Transitional care management services for problem of high complexity
15 14 $526.00 $222.40
93000 Routine ekg using at least 12 leads including interpretation and report
13 12 $52.15 $11.26

Medical Specialties & State Licenses

CMS Verified: 2023-02-28
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OH 50.004569RX

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
01588381 (OH)

Hospital & Practice Group Affiliations

American Health Network Of Ohio, Llc

122 Columbus Rd, Fredericktown, OH 430191266

Phone: 7406941261

Practice Associates & Co-Workers

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

8 Associated Practitioners
David Lamport , PA-C

Physician Assistant - Medical

NPI 1245267350

Physician Assistant (Certified)

Dr. Laura Segraves , DNP, CNP

Nurse Practitioner - Family

NPI 1326083924

Doctor of Nursing Practice, Certified Nurse Practitioner

Deborah Samples , CNP

Nurse Practitioner - Family

NPI 1346519543

Certified Nurse Practitioner

Erin Reeves , RRT

Respiratory Therapist, Registered

NPI 1356965818

Registered Respiratory Therapist

Dr. William Elder , MD

Family Medicine

NPI 1710914833

Doctor of Medicine (M.D.)

NPI 1740636000

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

14 Historical Events
👤
Provider Name / Credentials Updated February 28, 2023

Recorded as KEVIN SHIELDS, PA-C

📍
Updated Practice Location February 08, 2023

Registered at 122 COLUMBUS RD, FREDERICKTOWN, OH 430191266 (Tel: 7406941261)

📍
Updated Business Mailing Address February 08, 2023

Registered at 122 COLUMBUS RD, FREDERICKTOWN, OH 430191266 (Tel: 7406941261)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2023

Physician Assistant (License #50.004569RX in OH)

📍
Updated Practice Location February 24, 2021

Registered at 1330 COSHOCTON AVE, MOUNT VERNON, OH 43050 (Tel: 7039326284)

📍
Updated Business Mailing Address February 24, 2021

Registered at 1330 COSHOCTON AVE, MOUNT VERNON, OH 43050 (Tel: 7039326284)

👤
Provider Name / Credentials Updated February 24, 2021

Recorded as KEVIN SHIELDS, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2021

Physician Assistant (License #50004569RX in OH)

NPI Profile Active January 26, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 26, 2016

Registered at 1330 COSHOCTON AVE, MOUNT VERNON, OH 430501440 (Tel: 7403939000)

📍
Updated Business Mailing Address January 26, 2016

Registered at 1330 COSHOCTON AVE, MOUNT VERNON, OH 430501440 (Tel: 7403939000)

👤
Provider Name / Credentials Updated January 26, 2016

Recorded as KEVIN SHIELDS, MPAS, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2016

Physician Assistant (License #50.004569RX in OH)

🟢
Initial NPI Registration & Enumeration January 26, 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: 1689031338
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 26, 2016
Last Update: February 28, 2023
Sole Proprietor: No

Mailing Address

122 Columbus Rd

Fredericktown, OH 430191266

Phone: 7406941261

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.