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Active NPI 1669428876 Individual Practitioner Female Practitioner

Kelly A Clinton , PA-C

Physician Assistant • Plano, TX

Professional Overview & Biography Verified Profile Summary

Kelly Clinton, PA-C is a registered healthcare professional specializing in Physician Assistant in Plano, TX. Practice services are available at 4001 W 15TH ST under active NPI credentials.

Frequently performed procedures and clinical services include transitional care management services for problem of high complexity, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, subsequent nursing facility care with high level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4001 W 15th St
Suite 225

Plano, TX 750935841

Telephone 9725992559
Fax 9725991226
Associated Practice Facility / Clinic
🏢 Plano Pediatrics Pa Facility NPI 1538239496

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Plano, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.4 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
228 Specialists

Practicing in Plano, TX (11140 Statewide)

Telehealth Adoption Rate
15.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
59.7% 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 (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99496 Transitional care management services for problem of high complexity
12 12 $403.00 $162.55

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA04635

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
280826302 (TX)
Medicaid State Provider ID
280826303 (TX)
Medicaid State Provider ID
280826301 (TX)
Commercial Insurance / Payer ID Bcbs
8Y0105 (TX)
Commercial Insurance / Payer ID Nccpa
1067023 (TX)
Commercial Insurance / Payer ID Railroad Medicare
P01057828 (TX)

Practice Associates & Co-Workers

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

37 Associated Practitioners
Dr. Shara Cummings , DPT

Physical Therapist

NPI 1003330077

Doctor of Physical Therapy

Margie Crews , ACNP

Nurse Practitioner - Acute Care

NPI 1013048073
NPI 1053311993

Doctor of Medicine (M.D.)

Dr. John Wittenberg , MD

Internal Medicine

NPI 1063453736

Doctor of Medicine (M.D.)

Ginger Howerton , RN-CNS

Clinical Nurse Specialist - Adult Health

NPI 1073557062

RNCNS

NPI 1104826031

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 11, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 11, 2012

Registered at 4001 W 15TH ST, SUITE 225, PLANO, TX 750935841 (Tel: 9725992559)

📍
Updated Business Mailing Address September 11, 2012

Registered at 5445 CARUTH HAVEN LN, APT 924, DALLAS, TX 752258143 (Tel: 2147977947)

👤
Provider Name / Credentials Updated September 11, 2012

Recorded as KELLY CLINTON, PAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2012

Physician Assistant (License #PA04635 in TX)

🟢
Initial NPI Registration & Enumeration May 26, 2006

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: 1669428876
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 26, 2006
Last Update: September 11, 2012
Sole Proprietor: No

Mailing Address

5445 Caruth Haven Ln, Apt 924

Dallas, TX 752258143

Phone: 2147977947

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.