Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457948804 Individual Practitioner Male Practitioner

Kyle Kelly , PA

Physician Assistant • Westlake, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kyle Kelly, PA is a certified Physician Assistant practicing in Westlake, OH. With approximately 4 years of clinical experience since completing medical education in 2022, Kyle Kelly delivers high-quality medical care to the local community at 4350 CROCKER ROAD.

Kyle Kelly is affiliated with Apex Dermatology And Skin Surgery Center, Llc and accepts Medicare assignment.

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

4350 Crocker Road
Ste 300

Westlake, OH 441456329

Telephone 4405588005
Fax 4408354790

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Westlake, OH

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -7.2 yrs vs City Avg
City Avg: 11.2 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
28 Specialists

Practicing in Westlake, OH (5376 Statewide)

Telehealth Adoption Rate
3.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kelly (4 Years) 4 Yrs
Westlake Specialty Average (11.2 Years) 11.2 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
17003 Destruction of precancer skin growth, 2-14 growths
358 50 $12.33 $5.16
99213 Established patient office or other outpatient visit, typically 15 minutes
187 130 $173.41 $72.50
17000 Destruction of skin growth
91 65 $127.50 $36.95
17110 Destruction of up to 14 skin growths
68 47 $212.13 $85.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
61 61 $213.04 $88.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
31 26 $245.24 $102.78
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs
31 27 $186.98 $55.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
27 26 $107.61 $44.27
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm
25 21 $227.07 $87.59
17004 Destruction of precancer skin growth, 15 or more growths
17 14 $314.11 $131.74
11102 Tangential biopsy of single skin lesion
14 13 $186.98 $69.88

Medical Specialties & State Licenses

CMS Verified: 2025-10-28
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OH 50.00763RX

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0018527 (OH)

Hospital & Practice Group Affiliations

Apex Dermatology And Skin Surgery Center, Llc

4350 Crocker Rd, Westlake, OH 441456329

Phone: 4406461600

Apex Dermatology And Skin Surgery Center, Llc

7580 Auburn Rd, Painesville, OH 440779618

Phone: 4403527546

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1134575269

Doctor of Medicine (M.D.)

Debra Sorg , APRN

Nurse Practitioner - Family

NPI 1215606959

Advanced Practice Registered Nurse

Jenna Boyne , PA-C

Physician Assistant

NPI 1558910422

Physician Assistant (Certified)

Dr. Patrick Killian , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1982663324

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location October 28, 2025

Registered at 4350 CROCKER ROAD, STE 300, WESTLAKE, OH 441456329 (Tel: 4405588005)

📍
Updated Business Mailing Address October 28, 2025

Registered at 2000 AUBURN DR., STE. 350, BEACHWOOD, OH 441224327 (Tel: 4406461600)

👤
Provider Name / Credentials Updated October 28, 2025

Recorded as KYLE KELLY, P.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2025

Physician Assistant (License #50.00763RX in OH)

📍
Updated Practice Location June 05, 2023

Registered at 5800 LANDERBROOK DR STE 250, MAYFIELD HEIGHTS, OH 441244047 (Tel: 4406461600)

NPI Profile Active December 30, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location December 30, 2020

Registered at 275 EASTLAND RD, BEREA, OH 440172005 (Tel: 4408268012)

📍
Updated Business Mailing Address December 30, 2020

Registered at 275 EASTLAND RD, BEREA, OH 440172005

👤
Provider Name / Credentials Updated December 30, 2020

Recorded as KYLE KELLY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration December 30, 2020

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: 1457948804
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 30, 2020
Last Update: October 28, 2025
Sole Proprietor: No

Mailing Address

2000 Auburn Dr., Ste. 350

Beachwood, OH 441224327

Phone: 4406461600

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.