Active NPI 1164790721 Individual Practitioner Male Practitioner

Kevin Skinner , PA

Physician Assistant • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Kevin Skinner, PA is a registered healthcare professional specializing in Physician Assistant in Tyler, TX. Practice services are available at 800 E DAWSON ST under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

800 E Dawson St

Tyler, TX 757012036

Telephone 9035938441

Associated Practice Facility / Clinic

🏢 Mother Frances Hospital Regional Health Care Center Facility NPI 1679578439

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Tyler, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 17.1 Yrs

State Avg: 13.9 Yrs

Regional Practice Density

99 Specialists

Practicing in Tyler, TX (11140 Statewide)

Telehealth Adoption Rate

6.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

94.1% 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	110	110	$1593.00	$98.25
99285 Emergency department visit for life threatening or functioning severity	12	12	$2350.00	$134.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	32	32	$1517.00	$98.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	20	20	$70.00	$51.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$196.00	$106.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$315.00	$138.47

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	129	123	$196.00	$107.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$315.00	$138.88
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	51	49	$70.00	$51.31
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	41	40	$48.00	$11.73
81003 Automated urinalysis test	28	28	$22.00	$2.25
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	24	24	$90.00	$41.38
J1040 Injection, methylprednisolone acetate, 80 mg	16	16	$20.00	$10.58
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$128.00	$75.69

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	205	170	$196.00	$90.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	100	100	$315.00	$136.16
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	71	70	$78.87	$51.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$206.00	$88.42
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	65	59	$48.00	$11.76
81003 Automated urinalysis test	40	39	$22.00	$2.22
J1040 Injection, methylprednisolone acetate, 80 mg	34	32	$20.00	$11.78
87804 Detection test by immunoassay with direct visual observation for influenza virus	22	11	$48.00	$16.25
71046 X-ray of chest, 2 views	14	14	$77.00	$26.73

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	296	189	$196.00	$89.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	258	258	$315.00	$135.92
J1100 Injection, dexamethasone sodium phosphate, 1 mg	239	31	$4.50	$0.11
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	214	172	$48.00	$13.73
J1040 Injection, methylprednisolone acetate, 80 mg	119	106	$22.86	$12.12
J0696 Injection, ceftriaxone sodium, per 250 mg	100	25	$24.00	$0.53
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	72	12	$7.50	$1.60
81003 Automated urinalysis test	66	58	$22.00	$2.44
87804 Detection test by immunoassay with direct visual observation for influenza virus	56	28	$48.00	$16.22
71046 X-ray of chest, 2 views	46	45	$77.00	$25.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$206.00	$89.36
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	20	18	$11.00	$6.28
93000 Routine ekg using at least 12 leads including interpretation and report	18	18	$74.00	$13.95
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$405.00	$171.33
J1030 Injection, methylprednisolone acetate, 40 mg	12	11	$15.00	$6.35
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$270.00	$120.53

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	170	170	$315.00	$134.59
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	86	75	$48.00	$16.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	38	$196.00	$86.64
99283 Emergency department visit with low level of medical decision making	50	49	$240.00	$50.81
J0696 Injection, ceftriaxone sodium, per 250 mg	44	11	$24.00	$0.58
J1040 Injection, methylprednisolone acetate, 80 mg	43	41	$20.00	$12.85
99284 Emergency department visit with moderate level of medical decision making	36	35	$459.00	$97.69
71046 X-ray of chest, 2 views	31	31	$77.00	$24.62
81003 Automated urinalysis test	29	29	$22.00	$2.71
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$405.00	$169.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	63	63	$459.00	$95.27
99283 Emergency department visit with low level of medical decision making	36	36	$240.00	$50.19
99282 Emergency department visit with straightforward medical decision making	11	11	$158.00	$33.52

Medical Specialties & State Licenses

CMS Verified: 2022-11-14

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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 TX PA07717

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

288707706 (TX)

Medicaid State Provider ID

288707705 (TX)

Medicaid State Provider ID

288707704 (TX)

Medicaid State Provider ID

288707703 (TX)

Medicaid State Provider ID

288707707 (TX)

Commercial Insurance / Payer ID Rail Road

P01200614 (TX)

Commercial Insurance / Payer ID Bcbs

8107ND (TX)

Commercial Insurance / Payer ID Bcbs

8108ND (TX)

Commercial Insurance / Payer ID Tricare

75-0818167-015 (TX)

Commercial Insurance / Payer ID Tricare

75-0818167-044 (TX)

Secondary Practice Locations

8389 S Broadway Ave

Tyler, TX 757035408

Phone: 9036066500

115 Airport Rd

Sulphur Springs, TX 754822105

Phone: 9038857671

18780 Interstate 20

Canton, TX 751033593

Phone: 9035677748

2026 S Jackson St

Jacksonville, TX 757665822

Phone: 9035414500

Practice Associates & Co-Workers

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

40 Associated Practitioners

Kirby Kile , CRNA

Anesthesiology

NPI 1003524869

Certified Registered Nurse Anesthetist

Blake Long , RN

Registered Nurse - Registered Nurse First Assistant

NPI 1003730771

Registered Nurse

Leah Dillman , AGACNP-BC

Nurse Practitioner

NPI 1033847967

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Dr. Jason Anderson , DO

Emergency Medicine

NPI 1043604358

Doctor of Osteopathic Medicine (D.O.)

Lacey Morris , FNP-C

Nurse Practitioner

NPI 1043732266

Family Nurse Practitioner (Certified)

T'juaniequa Wideman , AGACNP-BC

Nurse Practitioner

NPI 1053195982

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address November 14, 2022

Registered at PO BOX 846098, DALLAS, TX 752846098 (Tel: 9036066400)

✅

NPI Profile Active November 15, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 15, 2016

Registered at 800 E DAWSON ST, TYLER, TX 757012036 (Tel: 9035938441)

📍

Updated Business Mailing Address November 15, 2016

Registered at PO BOX 841656, DALLAS, TX 752841656 (Tel: 9035315000)

👤

Provider Name / Credentials Updated November 15, 2016

Recorded as KEVIN SKINNER, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2016

Physician Assistant

🟢

Initial NPI Registration & Enumeration December 09, 2011

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: 1164790721

Entity Type:

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

Enumeration Date: December 09, 2011

Last Update: November 14, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 846098

Dallas, TX 752846098

Phone: 9036066400

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.