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Active NPI 1386344471 Individual Practitioner Female Practitioner

Keelie Johnston , PA-C

Physician Assistant • Tyler, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Keelie Johnston, PA-C is a certified Physician Assistant practicing in Tyler, TX. With approximately 5 years of clinical experience since completing medical education in 2021, Keelie Johnston delivers high-quality medical care to the local community at 1038 S FLEISHEL AVE.

Keelie Johnston is affiliated with Epiphany Dermatology Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, tangential biopsy of single skin lesion. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1038 S Fleishel Ave

Tyler, TX 757012044

Telephone 9035939474
Fax 9035939477
Associated Practice Facility / Clinic
🏢 Summit Dermatology, Pllc Facility NPI 1912418963

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Tyler, TX

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -12.1 yrs vs City Avg
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
72.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnston (5 Years) 5 Yrs
Tyler Specialty Average (17.1 Years) 17.1 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
17003 Destruction of precancer skin growth, 2-14 growths
662 109 $19.03 $5.23
99213 Established patient office or other outpatient visit, typically 15 minutes
220 159 $263.82 $73.25
11102 Tangential biopsy of single skin lesion
187 162 $287.53 $76.29
17000 Destruction of skin growth
175 133 $195.26 $40.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
103 103 $323.82 $90.06
11103 Biopsy of related skin growth, each additional growth
99 57 $143.87 $40.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
31 28 $373.12 $102.09
17110 Destruction of up to 14 skin growths
31 29 $326.93 $87.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
27 27 $163.52 $44.44
17004 Destruction of precancer skin growth, 15 or more growths
27 24 $482.10 $134.57
99202 New patient office or other outpatient visit, typically 20 minutes
16 16 $208.29 $58.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
16 16 $486.75 $135.84

Medical Specialties & State Licenses

CMS Verified: 2023-10-26
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA16494

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

Epiphany Dermatology Pa

7106 New Sanger Rd, Waco, TX 767123928

Phone: 2545371265

Epiphany Dermatology Pa

1038 S Fleishel Ave, Tyler, TX 757012044

Phone: 9035939474

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Jason Blaser , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1265477681

Doctor of Medicine (M.D.)

NPI 1407875248

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
👤
Provider Name / Credentials Updated October 26, 2023

Recorded as KEELIE JOHNSTON, PA-C

NPI Profile Active March 07, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 07, 2023

Registered at 1038 S FLEISHEL AVE, TYLER, TX 757012044 (Tel: 9035939474)

📍
Updated Business Mailing Address March 07, 2023

Registered at 7300 RANCH ROAD 2222 STE 200, AUSTIN, TX 787303204 (Tel: 5126280465)

👤
Provider Name / Credentials Updated March 07, 2023

Recorded as KEELIE NELSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2023

Physician Assistant (License #PA16494 in TX)

🟢
Initial NPI Registration & Enumeration March 07, 2023

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: 1386344471
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2023
Last Update: October 26, 2023
Sole Proprietor: No

Mailing Address

7300 Ranch Road 2222 Ste 200

Austin, TX 787303204

Phone: 5126280465

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.