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Active NPI 1013542372 Individual Practitioner Male Practitioner

Samuel Kelly

Anesthesiologist Assistant • Waco, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Samuel Kelly is a certified Anesthesiologist Assistant practicing in Waco, TX. With approximately 6 years of clinical experience since completing medical education in 2020, Samuel Kelly delivers high-quality medical care to the local community at 100 HILLCREST MEDICAL BLVD.

Samuel Kelly is affiliated with Cleveland Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope, anesthesia for procedure on large bowel using an endoscope, anesthesia for procedure in upper abdomen including use of an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

100 Hillcrest Medical Blvd

Waco, TX 767128897

Telephone 2542022000
Associated Practice Facility / Clinic
🏢 Waco Neonatal Group, P.a. Facility NPI 1265530604

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiologist Assistant in Waco, TX

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -2.3 yrs vs City Avg
City Avg: 8.3 Yrs
State Avg: 7.1 Yrs
Regional Practice Density
21 Specialists

Practicing in Waco, TX (507 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
82.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kelly (6 Years) 6 Yrs
Waco Specialty Average (8.3 Years) 8.3 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
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope
19 19 $387.37 $67.64
00811 Anesthesia for procedure on large bowel using an endoscope
16 16 $359.02 $62.57

Medical Specialties & State Licenses

CMS Verified: 2022-01-27
Anesthesiologist Assistant Primary Specialty

NUCC Taxonomy Code: 367H00000X

State License TX 32697602

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Cleveland Clinic

9500 Euclid Ave, Cleveland, OH 441950001

Phone: 2164445433

Practice Associates & Co-Workers

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

40 Associated Practitioners
Isaac Lill

Internal Medicine

NPI 1003558495
Lori Hutson , RNC NNP

Nurse Practitioner - Neonatal

NPI 1003879651

RNCNNP

Emily Heeringa , FNP

Nurse Practitioner - Family

NPI 1013485945

Family Nurse Practitioner

Dr. David Jansma , MD

Radiology - Diagnostic Radiology

NPI 1013941665

Doctor of Medicine (M.D.)

NPI 1033127758

Doctor of Medicine (M.D.)

Dr. Aman Shah , MD

Family Medicine

NPI 1033132758

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2022

Anesthesiologist Assistant (License #32697602 in TX)

📍
Updated Business Mailing Address July 02, 2020

Registered at PO BOX 844658, DALLAS, TX 752844658 (Tel: 2547242111)

NPI Profile Active March 06, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location March 06, 2020

Registered at 100 HILLCREST MEDICAL BLVD, WACO, TX 767128897 (Tel: 2542022000)

📍
Updated Business Mailing Address March 06, 2020

Registered at 100 HILLCREST MEDICAL BLVD, WACO, TX 767128897

👤
Provider Name / Credentials Updated March 06, 2020

Recorded as SAMUEL KELLY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 06, 2020

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: 1013542372
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 06, 2020
Last Update: January 27, 2022
Sole Proprietor: No

Mailing Address

Po Box 844658

Dallas, TX 752844658

Phone: 2547242111

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.