Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649899600 Individual Practitioner Female Practitioner

Kacie Wallace Gonzales

Physician Assistant • Bryan, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kacie Gonzales is a certified Physician Assistant practicing in Bryan, TX. With approximately 6 years of clinical experience since completing medical education in 2020, Kacie Gonzales delivers high-quality medical care to the local community at 2215 E VILLA MARIA RD STE 110.

Kacie Gonzales is affiliated with Central Texas Sinus And Allergy, Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include test for allergy using allergenic extract, injection, dexamethasone sodium phosphate, 1 mg, injection, methylprednisolone acetate, 1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2215 E Villa Maria Rd Ste 110

Bryan, TX 778022585

Telephone 9797762000
Fax 8667332572
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Bryan, TX

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -2.2 yrs vs City Avg
City Avg: 8.2 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
36 Specialists

Practicing in Bryan, TX (11140 Statewide)

Telehealth Adoption Rate
5.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
78.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gonzales (6 Years) 6 Yrs
Bryan Specialty Average (8.2 Years) 8.2 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
95004 Test for allergy using allergenic extract
1,433 19 $10.00 $2.78
J1100 Injection, dexamethasone sodium phosphate, 1 mg
1,162 63 $3.00 $0.11
J1010 Injection, methylprednisolone acetate, 1 mg
800 15 $0.32 $0.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
308 195 $191.00 $103.76
99213 Established patient office or other outpatient visit, typically 15 minutes
135 107 $127.00 $73.35
69210 Removal of impacted ear wax
100 73 $115.00 $37.24
95117 Professional service for multiple injections of allergen
95 22 $27.00 $8.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
95 95 $200.00 $90.23
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
78 56 $47.00 $11.54
31231 Diagnostic examination of nasal passages using an endoscope
76 57 $310.00 $147.16
95115 Injection of incremental dosages of allergen
49 11 $22.00 $8.16
31575 Diagnostic exam of voice box using a flexible endoscope
36 31 $235.00 $101.93
69801 Incision of fluid canals of inner ear with infusion of drugs, transcanal approach
30 12 $500.00 $186.32
31237 Biopsy or removal of nasal polyp or tissue using an endoscope
28 22 $550.00 $310.87
J0696 Injection, ceftriaxone sodium, per 250 mg
25 11 $20.00 $0.47
92504 Exam of ear using a microscope
22 20 $85.00 $23.16
70486 CT scan of face
17 17 $2844.12 $32.80
95992 Repositioning maneuvers for treatment of vertigo, per day
14 13 $100.00 $34.55

Medical Specialties & State Licenses

CMS Verified: 2026-01-29
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX 14298

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

NUCC Taxonomy Code: 363A00000X

State License OK 3181

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.

Hospital & Practice Group Affiliations

Central Texas Sinus And Allergy, Pllc

2805 Earl Rudder Fwy S, College Station, TX 778456080

Phone: 9797643090

Central Texas Sinus And Allergy, Pllc

3101 Hwy 71 E 207, Bastrop, TX 786025157

Phone: 9797643090

Central Texas Sinus And Allergy, Pllc

514 S Bonham St D, Mexia, TX 766673664

Phone: 9797643090

Central Texas Sinus And Allergy, Pllc

109 Shult Dr, Columbus, TX 789343015

Phone: 9797643090

Secondary Practice Locations

2435 Harvey Mitchell Parkway South

College Station, TX 77845

Phone: 9797762000

Practice Associates & Co-Workers

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

8 Associated Practitioners
Julie Nugent , ACNPC-AG

Nurse Practitioner - Acute Care

NPI 1013323278

ACNPCAG

Dr. Terry Jenkins , MD

Internal Medicine - Hematology & Oncology

NPI 1063467298

Doctor of Medicine (M.D.)

Dr. Mark Floyd , MD

Internal Medicine - Hematology & Oncology

NPI 1144595539

Doctor of Medicine (M.D.)

Ellain Joy Stoutenburg , APRN, FNP-C

Nurse Practitioner - Family

NPI 1235772351

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. Erin Fleener , MD

Internal Medicine - Hematology & Oncology

NPI 1295775005

Doctor of Medicine (M.D.)

Dr. Charis Durham , MD

Internal Medicine - Hematology & Oncology

NPI 1538547401

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location December 12, 2025

Registered at 2215 E VILLA MARIA RD STE 110, BRYAN, TX 778022585 (Tel: 9797762000)

📍
Updated Business Mailing Address December 12, 2025

Registered at 2215 E VILLA MARIA RD STE 110, BRYAN, TX 778022585 (Tel: 9797762000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2025

Physician Assistant (License #3181 in OK)

👤
Provider Name / Credentials Updated November 19, 2024

Recorded as KACIE GONZALES

📍
Updated Practice Location September 23, 2022

Registered at 2805 EARL RUDDER FWY S, COLLEGE STATION, TX 778456080 (Tel: 9797643090)

📍
Updated Business Mailing Address September 23, 2022

Registered at 6270 DILLY SHAW TAP RD, BRYAN, TX 778088624 (Tel: 9794505422)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2022

Physician Assistant (License #14298 in TX)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2020

Physician Assistant (License #3181 in OK)

NPI Profile Active April 10, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location April 10, 2020

Registered at 800 NE 10TH ST, OKLAHOMA CITY, OK 731045418 (Tel: 4052714022)

📍
Updated Business Mailing Address April 10, 2020

Registered at 800 N OKLAHOMA AVE APT 2207, OKLAHOMA CITY, OK 731044421 (Tel: 9794505422)

👤
Provider Name / Credentials Updated April 10, 2020

Recorded as KACIE WALLACE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 10, 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: 1649899600
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 10, 2020
Last Update: January 29, 2026
Sole Proprietor: No

Mailing Address

2215 E Villa Maria Rd Ste 110

Bryan, TX 778022585

Phone: 9797762000

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.