Active NPI 1912390238 Individual Practitioner Female Practitioner

Kelly Kushnerick , PA-C

Physician Assistant • Tulsa, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kelly Kushnerick, PA-C is a certified Physician Assistant practicing in Tulsa, OK. With approximately 12 years of clinical experience since completing medical education in 2014, Kelly Kushnerick delivers high-quality medical care to the local community at 5801 E 41ST ST STE 900.

Kelly Kushnerick maintains professional affiliations with Tulsa X-Ray Laboratory Inc, Tulsa X-Ray Laboratory Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first, fluoroscopic guidance for insertion, replacement or removal of central venous access device, aspiration of fluid from chest cavity using imaging guidance. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5801 E 41st St Ste 900

Tulsa, OK 741355631

Telephone 9189348347

Fax 9187438552

Associated Practice Facility / Clinic

🏢 Radiology Consultants Of Tulsa Inc Facility NPI 1487641890

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Tulsa, OK

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs +2.1 yrs vs City Avg

City Avg: 9.9 Yrs

State Avg: 14.2 Yrs

Regional Practice Density

400 Specialists

Practicing in Tulsa, OK (1911 Statewide)

Telehealth Adoption Rate

13.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kushnerick (12 Years) 12 Yrs

Tulsa Specialty Average (9.9 Years) 9.9 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
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	85	80	$45.00	$9.52
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	63	60	$52.00	$14.18
32555 Aspiration of fluid from chest cavity using imaging guidance	56	49	$372.00	$84.83
76937 Ultrasonic guidance for blood vessel access	49	46	$38.00	$10.99
38222 Biopsy and aspiration of bone marrow sample for diagnosis	33	33	$200.00	$57.37
77012 Review by radiologist of ct guidance for needle placement	32	32	$156.00	$55.15
49083 Drainage of fluid from abdominal cavity using imaging guidance	25	17	$367.00	$81.21
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	22	22	$1043.00	$201.37
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	22	20	$1462.00	$249.81
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	17	$213.00	$60.18
36589 Removal of central venous catheter for infusion	16	16	$404.00	$106.04
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$327.00	$114.16
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	11	11	$225.00	$93.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	74	71	$45.00	$10.01
32555 Aspiration of fluid from chest cavity using imaging guidance	63	52	$372.00	$86.82
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	56	55	$52.00	$14.44
76937 Ultrasonic guidance for blood vessel access	47	46	$38.00	$11.42
49083 Drainage of fluid from abdominal cavity using imaging guidance	28	21	$367.00	$81.37
77012 Review by radiologist of ct guidance for needle placement	27	25	$156.00	$56.87
38222 Biopsy and aspiration of bone marrow sample for diagnosis	27	25	$200.00	$57.30
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	23	23	$1462.00	$262.85
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	17	$213.00	$61.28
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	19	19	$1043.00	$205.42
36590 Removal of peripheral venous catheter for infusion	12	12	$550.00	$149.87
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$388.00	$104.72
36589 Removal of central venous catheter for infusion	11	11	$404.00	$108.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	90	85	$45.00	$10.22
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	70	66	$52.00	$15.03
32555 Aspiration of fluid from chest cavity using imaging guidance	69	54	$372.00	$89.60
76937 Ultrasonic guidance for blood vessel access	55	54	$38.00	$11.23
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	39	39	$1462.00	$268.82
49083 Drainage of fluid from abdominal cavity using imaging guidance	37	23	$367.00	$86.00
77012 Review by radiologist of ct guidance for needle placement	33	33	$156.00	$57.22
38222 Biopsy and aspiration of bone marrow sample for diagnosis	32	32	$200.00	$60.92
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	17	$109.00	$31.11
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	15	15	$1043.00	$208.29
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	13	$213.00	$57.03
36590 Removal of peripheral venous catheter for infusion	11	11	$550.00	$138.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	48	44	$230.62	$73.54
20610 Aspiration and/or injection of fluid from large joint	19	15	$245.19	$56.96
77077 X-ray of joints, multiple	17	17	$121.00	$36.87
27447 Replacement of knee joint, both sides of knee	17	17	$916.31	$167.49
73560 X-ray of knee, 1-2 views	15	15	$98.81	$26.64
73030 X-ray of shoulder, minimum of 2 views	15	11	$93.56	$26.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$358.16	$104.61
29827 Repair of shoulder rotator cuff using an endoscope	11	11	$703.64	$139.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	144	29	$6.58	$1.44
99213 Established patient office or other outpatient visit, typically 15 minutes	143	108	$230.62	$59.22
20610 Aspiration and/or injection of fluid from large joint	48	30	$240.53	$54.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	27	$358.16	$87.80
27447 Replacement of knee joint, both sides of knee	30	29	$876.14	$176.40
73562 X-ray of knee, 3 views	22	20	$114.63	$30.32
73030 X-ray of shoulder, minimum of 2 views	20	15	$93.56	$25.77
29827 Repair of shoulder rotator cuff using an endoscope	18	18	$676.00	$134.85
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	18	18	$122.21	$22.59
73560 X-ray of knee, 1-2 views	16	16	$98.81	$25.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	130	101	$230.62	$58.57
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	125	27	$6.58	$1.57
20610 Aspiration and/or injection of fluid from large joint	39	32	$228.52	$52.55
27447 Replacement of knee joint, both sides of knee	37	33	$1003.42	$175.54
29827 Repair of shoulder rotator cuff using an endoscope	37	36	$720.00	$139.50
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	33	33	$140.77	$23.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	28	$358.16	$87.41
73560 X-ray of knee, 1-2 views	27	24	$98.81	$25.05
73562 X-ray of knee, 3 views	24	20	$114.63	$25.77
73030 X-ray of shoulder, minimum of 2 views	16	15	$93.56	$23.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
27447 Replacement of knee joint, both sides of knee	70	69	$972.52	$179.54
99213 Established patient office or other outpatient visit, typically 15 minutes	67	60	$230.62	$58.59
29827 Repair of shoulder rotator cuff using an endoscope	31	29	$886.09	$138.29
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	26	25	$147.53	$23.60
20610 Aspiration and/or injection of fluid from large joint	19	15	$213.21	$50.25
29823 Removal of extensive shoulder joint tissue using an endoscope	18	18	$400.17	$22.58
73560 X-ray of knee, 1-2 views	14	14	$98.81	$24.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	88	17	$10.00	$1.76
99213 Established patient office or other outpatient visit, typically 15 minutes	81	60	$129.00	$58.12
20610 Aspiration and/or injection of fluid from large joint	33	23	$161.91	$52.87
27447 Replacement of knee joint, both sides of knee	30	30	$623.58	$177.68
29827 Repair of shoulder rotator cuff using an endoscope	24	23	$423.34	$133.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	18	$191.00	$85.78
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	19	18	$117.85	$22.61
73562 X-ray of knee, 3 views	16	14	$90.00	$27.39
73560 X-ray of knee, 1-2 views	12	11	$66.00	$23.62

Medical Specialties & State Licenses

CMS Verified: 2025-05-07

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OK 2536

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.

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License OK 2536

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

200601130A (OK)

Hospital & Practice Group Affiliations

Tulsa X-Ray Laboratory Inc

1120 S Utica Ave, Tulsa, OK 741044012

Phone: 9185791000

Tulsa X-Ray Laboratory Pllc

5801 E, Tulsa, OK 741355631

Tulsa X-Ray Laboratory Pllc

5801 E 41st St, Tulsa, OK 741355631

Phone: 9189348347

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Jonathan Cross , MD

Radiology - Diagnostic Radiology

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Doctor of Medicine (M.D.)

Dr. Kim Hauger , MD

Radiology - Diagnostic Radiology

NPI 1003803602

Doctor of Medicine (M.D.)

Dr. Erik Paulson , DO

Radiology - Body Imaging

NPI 1033422951

Doctor of Osteopathic Medicine (D.O.)

Dr. Phillip Flinn , MD

Radiology - Diagnostic Radiology

NPI 1033554589

Doctor of Medicine (M.D.)

Dr. Colby Degiacomo , DO

Radiology - Diagnostic Radiology

NPI 1033645361

Doctor of Osteopathic Medicine (D.O.)

Dr. Gale Joslin , MD

Radiology - Diagnostic Radiology

NPI 1063478113

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Practice Location May 07, 2025

Registered at 5801 E 41ST ST STE 900, TULSA, OK 741355631 (Tel: 9189348347)

📍

Updated Business Mailing Address May 07, 2025

Registered at 5801 E 41ST ST STE 900, TULSA, OK 741355631 (Tel: 9189348347)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2025

Physician Assistant (License #2536 in OK)

📍

Updated Practice Location February 07, 2021

Registered at 2488 E 81ST ST STE 290, TULSA, OK 741374265 (Tel: 9184942665)

📍

Updated Business Mailing Address June 04, 2020

Registered at 2488 E 81ST ST STE 290, TULSA, OK 741374265 (Tel: 9184949341)

📍

Updated Business Mailing Address November 01, 2018

Registered at 6585 S YALE AVE STE 200, TULSA, OK 741368315 (Tel: 9184817658)

✅

NPI Profile Active July 27, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location July 27, 2015

Registered at 6585 S YALE AVE STE 200, TULSA, OK 741368315 (Tel: 9184812767)

📍

Updated Business Mailing Address July 27, 2015

Registered at 5525 E 108TH ST, TULSA, OK 741377093 (Tel: 9185277257)

👤

Provider Name / Credentials Updated July 27, 2015

Recorded as KELLY KUSHNERICK, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2015

Physician Assistant (License #2536 in OK)

🟢

Initial NPI Registration & Enumeration March 11, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1912390238

Entity Type:

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

Enumeration Date: March 11, 2015

Last Update: May 07, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5801 E 41st St Ste 900

Tulsa, OK 741355631

Phone: 9189348347

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

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