Kevin P Scully , PA-C
Physician Assistant • Tyler, TX
Professional Overview & Biography Verified Profile Summary
Kevin Scully, PA-C is a certified Physician Assistant practicing in Tyler, TX. With approximately 20 years of clinical experience since completing medical education in 2006, Kevin Scully delivers high-quality medical care to the local community at 2210 THREE LAKES PKWY STE 100.
Kevin Scully is affiliated with Etmc Physician Group, Inc. and accepts Medicare assignment.
Frequently performed procedures and clinical services include injection, dexamethasone sodium phosphate, 1 mg, established patient outpatient office visit, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.
Practice Location & Contact Primary Location
2210 Three Lakes Pkwy Ste 100
Tyler, TX 757030642
Medicare Profile & Education
Other
2006
✓ Accepts Assignment
In-Person Only
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant in Tyler, TX
Practicing in Tyler, TX (11140 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
J1100
Injection, dexamethasone sodium phosphate, 1 mg
|
88 | 11 | $12.00 | $0.12 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
59 | 55 | $160.00 | $59.94 |
|
96372
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
|
17 | 13 | $25.00 | $16.74 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
11 | 11 | $239.00 | $88.67 |
|
J1040
Injection, methylprednisolone acetate, 80 mg
|
11 | 11 | $55.00 | $12.93 |
Medical Specialties & State Licenses
CMS Verified: 2026-02-05NUCC 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.
Hospital & Practice Group Affiliations
Etmc Physician Group, Inc.
2210 Three Lakes Pkwy, Tyler, TX 757030642
Phone: 9037474050
Etmc Physician Group, Inc.
18118 Fm 344, Flint, TX 757626010
Phone: 9038253292
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Internal Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner
Nurse Practitioner
Audiologist
Doctor of Audiology
Otolaryngology - Otolaryngology/Facial Plastic Surgery
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 2210 THREE LAKES PKWY STE 100, TYLER, TX 757030642 (Tel: 9037474050)
Registered at 2210 THREE LAKES PKWY STE 100, TYLER, TX 757030642 (Tel: 9037474050)
Registered at 6210 S BROADWAY AVE, TYLER, TX 757034413 (Tel: 9035792718)
Physician Assistant (License #PA03374 in TX)
NPI status registered as active in NPPES database
Registered at 837 S FLEISHEL AVE, TYLER, TX 757012017 (Tel: 9035260450)
Registered at PO BOX 99371, FORT WORTH, TX 761990371 (Tel: 6828851855)
Recorded as KEVIN SCULLY, PAC
Physician Assistant (License #PA03374 in TX)
NPI status registered as active in NPPES database
Registered at 1500 COOPER ST, FORT WORTH, TX 761042710 (Tel: 6828857080)
Registered at PO BOX 99371, FORT WORTH, TX 761990371 (Tel: 6828851855)
Recorded as KEVIN SCULLY, PAC
Physician Assistant (License #PA03374 in TX)
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
Mailing Address
2210 Three Lakes Pkwy Ste 100
Tyler, TX 757030642
Phone: 9037474050
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.