Active NPI 1528415767 Individual Practitioner Male Practitioner

Justin Michael Kennedy , PA-C

Physician Assistant • Grapevine, TX

Professional Overview & Biography Verified Profile Summary

Justin Kennedy, PA-C is a registered healthcare professional specializing in Physician Assistant in Grapevine, TX. Practice services are available at 2020 W ST HWY 114 under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making, emergency department visit with straightforward medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2020 W St Hwy 114
Suite 120

Grapevine, TX 760518649

Telephone 8179128300

Fax 8179128310

Associated Practice Facility / Clinic

🏢 Baylor Regional Medical Center At Grapevine Facility NPI 1598006801

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Grapevine, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 11.0 Yrs

State Avg: 13.9 Yrs

Regional Practice Density

62 Specialists

Practicing in Grapevine, TX (11140 Statewide)

Telehealth Adoption Rate

29.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99284 Emergency department visit with moderate level of medical decision making	50	49	$446.00	$100.00
99283 Emergency department visit with low level of medical decision making	14	14	$304.00	$58.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	48	46	$428.00	$101.18
99283 Emergency department visit with low level of medical decision making	14	14	$291.00	$60.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	65	63	$375.00	$102.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	69	68	$375.00	$103.94
99282 Emergency department visit with straightforward medical decision making	14	14	$150.00	$36.23

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	235	161	$170.00	$92.31
36415 Insertion of needle into vein for collection of blood sample	148	120	$17.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	44	39	$105.00	$63.57
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	42	42	$160.00	$99.13
99284 Emergency department visit with moderate level of medical decision making	33	32	$504.18	$103.68
87804 Detection test by immunoassay with direct visual observation for influenza virus	28	14	$60.00	$16.22
81002 Urinalysis, manual test	12	12	$9.00	$3.43

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	484	207	$170.00	$92.26
36415 Insertion of needle into vein for collection of blood sample	273	149	$17.00	$2.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	97	97	$160.00	$98.19
99213 Established patient office or other outpatient visit, typically 15 minutes	78	62	$105.00	$62.74
87804 Detection test by immunoassay with direct visual observation for influenza virus	31	15	$60.00	$16.22
90662 Influenza vaccine split virus, preservative free	24	23	$57.83	$53.09
G0008 Administration of influenza virus vaccine	24	23	$26.50	$16.41
81002 Urinalysis, manual test	24	18	$9.00	$3.41
93000 Routine ekg using at least 12 leads including interpretation and report	15	15	$50.00	$14.44
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	13	13	$65.00	$14.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$195.00	$91.91

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	463	219	$170.00	$90.01
36415 Insertion of needle into vein for collection of blood sample	257	153	$17.00	$2.93
99213 Established patient office or other outpatient visit, typically 15 minutes	104	84	$105.00	$60.66
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	89	89	$156.21	$98.10
81002 Urinalysis, manual test	36	30	$9.00	$3.41
87804 Detection test by immunoassay with direct visual observation for influenza virus	24	12	$60.00	$16.22
99496 Transitional care management services for problem of high complexity	12	11	$583.00	$195.54

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	277	162	$170.00	$89.41
36415 Insertion of needle into vein for collection of blood sample	167	108	$17.00	$2.93
99213 Established patient office or other outpatient visit, typically 15 minutes	90	63	$105.00	$60.89
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	72	72	$117.83	$97.16
81002 Urinalysis, manual test	43	32	$9.00	$3.43
G0008 Administration of influenza virus vaccine	24	23	$26.50	$25.11
90662 Influenza vaccine split virus, preservative free	23	22	$45.50	$44.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$195.00	$90.56
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$50.00	$14.28

Medical Specialties & State Licenses

CMS Verified: 2025-12-04

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX P9256

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 - Medical

NUCC Taxonomy Code: 363AM0700X

Definition to come...

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Shana John , PT, DPT

Physical Therapist

NPI 1558285098

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 21, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 21, 2016

Registered at 2020 W ST HWY 114, SUITE 120, GRAPEVINE, TX 760518649 (Tel: 8179128300)

📍

Updated Business Mailing Address August 21, 2016

Registered at 5845 PINEBROOK DR, THE COLONY, TX 750563859 (Tel: 8178455114)

👤

Provider Name / Credentials Updated August 21, 2016

Recorded as JUSTIN KENNEDY, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2016

Physician Assistant

🟢

Initial NPI Registration & Enumeration May 18, 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: 1528415767

Entity Type:

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

Enumeration Date: May 18, 2016

Last Update: December 04, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5845 Pinebrook Dr

The Colony, TX 750563859

Phone: 8178455114

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.