Active NPI 1689645848 Individual Practitioner Female Practitioner

Heather S Cain , PA-C

Physician Assistant • Round Rock, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Heather Cain, PA-C is a certified Physician Assistant practicing in Round Rock, TX. With approximately 24 years of clinical experience since completing medical education in 2002, Heather Cain delivers high-quality medical care to the local community at 1855 GATTIS SCHOOL RD.

Heather Cain is affiliated with St Davids Carenow Urgent Care Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, detection test by immunoassay technique for severe acute respiratory syndrome coronavirus. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1855 Gattis School Rd

Round Rock, TX 786647428

Telephone 5122386268

Associated Practice Facility / Clinic

🏢 Cvs Pharmacy Inc Facility NPI 1932203759

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Round Rock, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +14.3 yrs vs City Avg

City Avg: 9.7 Yrs

State Avg: 13.9 Yrs

Regional Practice Density

155 Specialists

Practicing in Round Rock, TX (11140 Statewide)

Telehealth Adoption Rate

28.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cain (24 Years) 24 Yrs

Round Rock Specialty Average (9.7 Years) 9.7 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	39	$334.00	$103.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$502.00	$137.49
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	11	11	$154.00	$34.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$502.00	$137.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	22	$334.00	$105.48
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	17	17	$204.00	$52.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$330.00	$93.34
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$230.00	$74.77
81002 Urinalysis, manual test	13	13	$11.00	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87804 Detection test by immunoassay with direct visual observation for influenza virus	38	19	$49.00	$16.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	31	$334.00	$106.47
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	30	30	$154.00	$41.72
99213 Established patient office or other outpatient visit, typically 15 minutes	25	24	$230.00	$76.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$502.00	$137.91
81002 Urinalysis, manual test	16	16	$11.00	$3.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$330.00	$92.75
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	13	13	$49.00	$16.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	31	31	$154.00	$45.23
99213 Established patient office or other outpatient visit, typically 15 minutes	29	27	$230.00	$76.20
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	27	26	$154.00	$51.31
87804 Detection test by immunoassay with direct visual observation for influenza virus	27	14	$49.00	$16.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$502.00	$137.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$334.00	$108.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$330.00	$93.76
71046 X-ray of chest, 2 views	11	11	$94.00	$28.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	39	39	$39.00	$20.09
G0008 Administration of influenza virus vaccine	28	28	$26.00	$16.40
90662 Influenza vaccine split virus, preservative free	27	27	$44.00	$44.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$217.47	$90.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$213.08	$82.62

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	21	21	$226.63	$91.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$344.35	$138.69

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	29	28	$196.89	$89.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$314.25	$136.18
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	15	14	$44.87	$16.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$283.79	$134.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	35	$187.00	$89.64
81003 Automated urinalysis test	12	11	$7.00	$3.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$189.00	$90.39

Medical Specialties & State Licenses

CMS Verified: 2020-05-19

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA10872

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

41963000 (WI)

Hospital & Practice Group Affiliations

St Davids Carenow Urgent Care Pllc

5033 W Hwy 290, Austin, TX 787356751

Phone: 5122658980

St Davids Carenow Urgent Care Pllc

11521 N Ranch Rd, Austin, TX 787261112

Phone: 5124026830

St Davids Carenow Urgent Care Pllc

3705 N Main St, Taylor, TX 765744982

Phone: 5123526862

St Davids Carenow Urgent Care Pllc

10001 Research Blvd, Austin, TX 787595800

Phone: 5129933270

St Davids Carenow Urgent Care Pllc

4810 Gattis School Rd, Hutto, TX 786342037

Phone: 5123127230

St Davids Carenow Urgent Care Pllc

12415 N, Austin, TX 787531326

Phone: 7372051270

Practice Associates & Co-Workers

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

7 Associated Practitioners

Teresa Martin , PA-C

Physician Assistant

NPI 1104890672

Physician Assistant (Certified)

Dr. Robert Hawkins , PharmD

Pharmacist

NPI 1437764149

Doctor of Pharmacy (Pharm.D.)

Alex Shadid , APRN

Nurse Practitioner - Family

NPI 1477922557

Advanced Practice Registered Nurse

Kathy Agiri

Nurse Practitioner - Family

NPI 1619328531

Stephen Young , PA-C

Physician Assistant

NPI 1699839621

Physician Assistant (Certified)

Natalya Fironova , APRN

Nurse Practitioner - Family

NPI 1770181919

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location May 19, 2020

Registered at 1855 GATTIS SCHOOL RD, ROUND ROCK, TX 786647428 (Tel: 5122386268)

📍

Updated Business Mailing Address May 19, 2020

Registered at 21100 ISLE OF GLASS ST, PFLUGERVILLE, TX 786604081 (Tel: 2623443481)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2020

Physician Assistant (License #PA10872 in TX)

✅

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 09, 2007

Registered at 9200 WEST WISCONSIN AVENUE, MILWAUKEE, WI 53226 (Tel: 4148053666)

📍

Updated Business Mailing Address July 09, 2007

Registered at 10000 INNOVATION DRIVE, MILWAUKEE, WI 53226 (Tel: 4144565006)

👤

Provider Name / Credentials Updated July 09, 2007

Recorded as HEATHER CAIN, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Physician Assistant (License #1483023 in WI)

🟢

Initial NPI Registration & Enumeration January 27, 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: 1689645848

Entity Type:

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

Enumeration Date: January 27, 2006

Last Update: May 19, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

21100 Isle Of Glass St

Pflugerville, TX 786604081

Phone: 2623443481

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.