MRS. KELLY KATHLEEN LUTHER PA-C
NPI 1003210758
Physician Assistant in State College, PA

Active since October 09, 2014PECOS EnrolledAccepts Medicare Assignment
1630 N ATHERTON ST, STATE COLLEGE, PA 16803(814) 238-1279(814) 238-1929 Get Directions Write a Review

NPPES record last updated: August 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 26, 2020, Mar 4, 2020, Nov 18, 2016 (3 updates tracked since 2016).

About Mrs. Kelly Kathleen Luther Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KELLY KATHLEEN LUTHER PA-C (NPI 1003210758) is an individual physician assistant in State College, Pennsylvania, licensed in Pennsylvania (MA056994) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1003210758
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. KELLY KATHLEEN LUTHERCredential: PA-C
Location Address1630 N ATHERTON STState College, PA 16803-1416
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144 · Fax (570) 271-6578
Fax(814) 238-1929
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 9, 2014
Last NPPES UpdateAugust 26, 20203 updates tracked since enumeration
NPPES CertifiedAugust 26, 2020
NPI 1003210758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in PA · MA056994 Licensed in PA · OA003347
Definition
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License MA056994 (PA)
1630 N ATHERTON ST, State College, PA 16803

Other Names 1

Former Name (1)Miss Kelly Kathleen O'donovan Pa-c

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Kelly Kathleen Luther Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092030262
PECOS Enrollment IDI20150210001073
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
88 services75 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16803 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1630 N ATHERTON ST
STATE COLLEGE, PA 16803
Family Medicine
1630 N ATHERTON ST
STATE COLLEGE, PA 16803
Physician Assistant
1630 N ATHERTON ST
STATE COLLEGE, PA 16803
Nurse Practitioner
1630 N ATHERTON ST
STATE COLLEGE, PA 16803

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Luther's NPI number?

The NPI number for Kelly Luther is 1003210758. It was assigned to this individual provider in the NPPES registry on October 9, 2014. The provider is also known as Miss Kelly Kathleen O'donovan Pa-C.

Where is Kelly Luther located?

Kelly Luther practices at 1630 N Atherton St, State College, PA 16803. The listed phone number is (814) 238-1279.

What is Kelly Luther's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kelly Luther enrolled in Medicare?

Yes. Kelly Luther is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly Luther accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Kelly Luther as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Luther was last updated on August 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.