Active NPI 1881923530 Individual Practitioner Female Practitioner

Kimberly Diane Pullen , PA

Physician Assistant • Fort Worth, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kimberly Pullen, PA is a certified Physician Assistant practicing in Fort Worth, TX. With approximately 17 years of clinical experience since completing medical education in 2009, Kimberly Pullen delivers high-quality medical care to the local community at 4701 BOAT CLUB RD., SUITE 200.

Kimberly Pullen is affiliated with Texas Health Physicians Group 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, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4701 Boat Club Rd., Suite 200

Fort Worth, TX 761355285

Telephone 8172370515

Associated Practice Facility / Clinic

🏢 Tarrant Family Practice P.a Facility NPI 1205806106

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fort Worth, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs +6.9 yrs vs City Avg

City Avg: 10.1 Yrs

State Avg: 13.9 Yrs

Regional Practice Density

604 Specialists

Practicing in Fort Worth, TX (11140 Statewide)

Telehealth Adoption Rate

13.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pullen (17 Years) 17 Yrs

Fort Worth 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
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	125	94	$18.00	$13.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	74	$323.00	$107.17
99213 Established patient office or other outpatient visit, typically 15 minutes	73	54	$218.00	$76.10
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	37	37	$339.00	$108.12
G0008 Administration of influenza virus vaccine	12	12	$60.00	$31.92

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	146	109	$323.00	$105.39
99213 Established patient office or other outpatient visit, typically 15 minutes	83	70	$218.00	$74.19
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	28	21	$73.00	$11.45
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	23	23	$339.00	$107.95
J1040 Injection, methylprednisolone acetate, 80 mg	13	12	$19.91	$11.33

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	230	135	$323.00	$107.09
99213 Established patient office or other outpatient visit, typically 15 minutes	120	82	$218.00	$76.29
J1100 Injection, dexamethasone sodium phosphate, 1 mg	104	19	$0.35	$0.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	46	27	$73.00	$12.03
G0008 Administration of influenza virus vaccine	25	24	$60.00	$29.36
90662 Influenza vaccine split virus, preservative free	24	23	$90.00	$68.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	23	23	$339.00	$110.01
J1040 Injection, methylprednisolone acetate, 80 mg	19	15	$19.54	$10.51
81003 Automated urinalysis test	13	12	$10.00	$2.21

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	207	124	$323.00	$107.45
99213 Established patient office or other outpatient visit, typically 15 minutes	122	85	$218.00	$76.55
J1100 Injection, dexamethasone sodium phosphate, 1 mg	84	19	$0.35	$0.14
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	33	25	$73.00	$11.88
G0008 Administration of influenza virus vaccine	30	30	$60.00	$16.98
90662 Influenza vaccine split virus, preservative free	23	23	$90.00	$65.07
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	20	$339.00	$112.46
G0009 Administration of pneumococcal vaccine	19	19	$60.00	$16.97
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	18	$204.00	$125.25
J1040 Injection, methylprednisolone acetate, 80 mg	16	15	$19.69	$10.66
81003 Automated urinalysis test	15	11	$10.00	$2.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	168	111	$217.29	$62.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	146	95	$323.00	$92.54
G0008 Administration of influenza virus vaccine	39	37	$60.00	$16.70
G0009 Administration of pneumococcal vaccine	36	36	$60.00	$16.62
81003 Automated urinalysis test	32	24	$10.00	$2.16
90662 Influenza vaccine split virus, preservative free	28	27	$90.00	$59.89
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	23	19	$73.00	$12.09
90670 Pneumococcal vaccine for injection into muscle	18	18	$429.00	$221.67
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	18	$204.00	$118.14
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	17	17	$339.00	$98.53
J1040 Injection, methylprednisolone acetate, 80 mg	14	14	$18.75	$11.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	341	201	$218.00	$62.14
J1100 Injection, dexamethasone sodium phosphate, 1 mg	152	33	$0.35	$0.11
J0696 Injection, ceftriaxone sodium, per 250 mg	86	15	$2.73	$0.59
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	76	54	$73.00	$13.82
J1040 Injection, methylprednisolone acetate, 80 mg	39	34	$22.22	$11.80
G0008 Administration of influenza virus vaccine	32	32	$60.00	$16.41
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	25	25	$339.00	$98.99
90662 Influenza vaccine split virus, preservative free	23	23	$90.00	$54.89
81003 Automated urinalysis test	22	21	$10.00	$2.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	17	$323.00	$92.46
93000 Routine ekg using at least 12 leads including interpretation and report	15	15	$65.00	$14.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	112	27	$0.35	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	98	78	$218.00	$60.39
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	45	38	$73.00	$17.34
G0008 Administration of influenza virus vaccine	29	29	$60.00	$20.22
J1040 Injection, methylprednisolone acetate, 80 mg	25	25	$28.00	$13.08
90662 Influenza vaccine split virus, preservative free	21	21	$90.00	$51.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	467	237	$192.52	$61.45
J1100 Injection, dexamethasone sodium phosphate, 1 mg	264	60	$2.18	$0.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	114	80	$63.74	$21.49
J1040 Injection, methylprednisolone acetate, 80 mg	58	50	$24.45	$11.00
J0696 Injection, ceftriaxone sodium, per 250 mg	42	19	$30.43	$0.66
81002 Urinalysis, manual test	31	25	$13.03	$3.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$278.79	$90.49
93000 Routine ekg using at least 12 leads including interpretation and report	18	18	$62.78	$14.30
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	16	16	$301.88	$97.16
G0008 Administration of influenza virus vaccine	14	14	$60.36	$25.11
71020 X-ray of chest, 2 views, front and side	14	14	$98.86	$23.57

Medical Specialties & State Licenses

CMS Verified: 2022-02-15

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA06489

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

Texas Health Physicians Group

1600 W Northwest Hwy, Grapevine, TX 760518131

Phone: 8179120442

Practice Associates & Co-Workers

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

17 Associated Practitioners

Taylor Bevan , FNP

Nurse Practitioner - Family

NPI 1033588504

Family Nurse Practitioner

Michael Johnson , PA-C

Physician Assistant - Medical

NPI 1073533725

Physician Assistant (Certified)

Dennis Copenhaver , PA

Physician Assistant

NPI 1114035375

Physician Assistant

Elisa Gerdes , PA

Physician Assistant

NPI 1144450339

Physician Assistant

Allison Lee

Nurse Practitioner - Family

NPI 1225609712

Derek Wrzesinski , PA

Physician Assistant

NPI 1285282731

Physician Assistant

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location February 04, 2021

Registered at 4701 BOAT CLUB RD., SUITE 200, FORT WORTH, TX 761355285 (Tel: 8172370515)

📍

Updated Business Mailing Address February 04, 2021

Registered at 4701 BOAT CLUB RD., SUITE 200, FORT WORTH, TX 761355285 (Tel: 8172370515)

✅

NPI Profile Active March 18, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location March 18, 2014

Registered at 4504 BOAT CLUB RD, #800, FORT WORTH, TX 761357003 (Tel: 8172370515)

📍

Updated Business Mailing Address March 18, 2014

Registered at 4504 BOAT CLUB RD, #800, FORT WORTH, TX 761357003 (Tel: 8172370515)

👤

Provider Name / Credentials Updated March 18, 2014

Recorded as KIMBERLY PULLEN, P.A.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2014

Physician Assistant (License #PA06489 in TX)

🟢

Initial NPI Registration & Enumeration December 09, 2009

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: 1881923530

Entity Type:

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

Enumeration Date: December 09, 2009

Last Update: February 25, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4701 Boat Club Rd., Suite 200

Fort Worth, TX 761355285

Phone: 8172370515

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.