Deactivated NPI 1093923005 Deactivated / Inactive NPI Male Practitioner

Kenneth W. Mcelroy , PA-C

Physician Assistant • Elma, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kenneth Mcelroy has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 21, 2007

NPI Deactivation Date October 21, 2023

Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Kenneth Mcelroy, PA-C was a registered Physician Assistant practicing in Elma, WA. Throughout an active medical career spanning 16 years, Kenneth Mcelroy provided care at the practice location at 11 SCHOUWEILER RD until profile deactivation on 2023-10-21.

Historical Medicare Part B clinical services included established patient outpatient office visit, insertion of needle into vein for collection of blood sample, vaccine for influenza for injection into muscle. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

11 Schouweiler Rd

Elma, WA 985419306

Telephone 3604825300

Fax 3604825900

Associated Practice Facility / Clinic

🏢 Elma Health Care Clinic, Llc Facility NPI 1881803922

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Elma, WA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 12.5 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

4 Specialists

Practicing in Elma, WA (3774 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

32.6% 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 (2023)

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	122	94	$175.00	$108.91
36415 Insertion of needle into vein for collection of blood sample	80	76	$10.00	$8.40
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	28	$215.00	$152.86
99213 Established patient office or other outpatient visit, typically 15 minutes	24	20	$115.00	$76.91

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	487	195	$175.00	$109.12
36415 Insertion of needle into vein for collection of blood sample	326	210	$10.00	$2.95
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	122	118	$215.00	$153.88
99213 Established patient office or other outpatient visit, typically 15 minutes	90	68	$115.00	$77.25
90756 Vaccine for influenza for injection into muscle	46	46	$55.00	$29.97
G0008 Administration of influenza virus vaccine	46	46	$65.00	$25.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	28	$105.00	$48.46
93000 Routine ekg using at least 12 leads including interpretation and report	23	23	$62.00	$12.18
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$290.00	$187.82
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg	15	14	$8.00	$0.03
69210 Removal of impacted ear wax	15	13	$95.00	$40.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$240.00	$141.41

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	508	182	$175.00	$110.99
36415 Insertion of needle into vein for collection of blood sample	334	202	$10.00	$2.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	118	114	$215.00	$154.34
99213 Established patient office or other outpatient visit, typically 15 minutes	82	62	$115.00	$78.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	65	58	$105.00	$48.33
90756 Vaccine for influenza for injection into muscle	61	60	$55.00	$27.90
G0008 Administration of influenza virus vaccine	61	60	$65.00	$14.35
69210 Removal of impacted ear wax	35	26	$95.00	$39.66
17000 Destruction of skin growth	13	12	$130.00	$57.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$240.00	$143.54
93000 Routine ekg using at least 12 leads including interpretation and report	12	12	$62.00	$12.70
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$290.00	$189.44

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	461	169	$175.00	$93.40
36415 Insertion of needle into vein for collection of blood sample	311	182	$10.00	$2.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	107	98	$215.00	$125.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	95	28	$105.00	$38.90
99213 Established patient office or other outpatient visit, typically 15 minutes	83	63	$115.00	$64.39
90756 Vaccine for influenza for injection into muscle	58	58	$55.00	$27.70
G0008 Administration of influenza virus vaccine	58	58	$65.00	$17.02
69210 Removal of impacted ear wax	20	15	$95.00	$37.19
93000 Routine ekg using at least 12 leads including interpretation and report	19	19	$62.00	$14.66
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg	17	16	$8.00	$0.02
20610 Aspiration and/or injection of fluid from large joint	12	11	$140.00	$53.82
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg	12	11	$8.00	$4.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$240.00	$141.36

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	499	173	$175.00	$89.82
36415 Insertion of needle into vein for collection of blood sample	321	184	$10.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	83	57	$115.00	$61.83
G0008 Administration of influenza virus vaccine	80	78	$65.00	$16.68
90756 Vaccine for influenza for injection into muscle	80	78	$60.00	$26.04
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	73	71	$215.00	$122.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	20	$105.00	$37.29
93000 Routine ekg using at least 12 leads including interpretation and report	17	17	$62.00	$14.41

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	490	167	$175.00	$90.19
36415 Insertion of needle into vein for collection of blood sample	294	167	$10.00	$2.94
G0008 Administration of influenza virus vaccine	68	67	$65.00	$20.58
99213 Established patient office or other outpatient visit, typically 15 minutes	63	49	$115.00	$61.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	60	58	$215.00	$121.92
90756 Vaccine for influenza for injection into muscle	52	51	$65.00	$32.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	12	$105.00	$36.80
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	29	29	$60.00	$17.88
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg	14	11	$8.00	$4.54
93000 Routine ekg using at least 12 leads including interpretation and report	13	13	$62.00	$14.25

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	523	174	$175.00	$89.09
36415 Insertion of needle into vein for collection of blood sample	184	120	$10.00	$2.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	78	74	$214.49	$120.32
G0008 Administration of influenza virus vaccine	77	76	$64.94	$25.46
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	74	74	$60.00	$17.34
99213 Established patient office or other outpatient visit, typically 15 minutes	65	52	$115.00	$60.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	62	16	$105.16	$36.11
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg	24	19	$8.00	$4.16
20610 Aspiration and/or injection of fluid from large joint	23	18	$140.00	$52.09

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA OA10000077

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners

Ashley Taylor , ARNP

Nurse Practitioner - Family

NPI 1598358277

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events

⚠️

NPI Profile Deactivated October 21, 2023

Record deactivated on October 21, 2023

✅

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 09, 2007

Registered at 11 SCHOUWEILER RD, ELMA, WA 985419306 (Tel: 3604825300)

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Updated Business Mailing Address July 09, 2007

Registered at PO BOX O, 11 SCHOUWEILER RD, ELMA, WA 985410529 (Tel: 3604825300)

👤

Provider Name / Credentials Updated July 09, 2007

Recorded as KENNETH MCELROY, P.A.-C

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

Physician Assistant (License #OA10000077 in WA)

🟢

Initial NPI Registration & Enumeration May 21, 2007

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: 1093923005

Entity Type:

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

Enumeration Date: May 21, 2007

Last Update: July 09, 2007

Deactivation Date: October 21, 2023

Update or Correct Profile

Mailing Address

Po Box O, 11 Schouweiler Rd

Elma, WA 985410529

Phone: 3604825300

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.