DAVID ANDREW KELLENBERGER PA, RD
NPI 1073632410
Physician Assistant in Port Charlotte, FL

Q: What is David Kellenberger's NPI number?

The NPI number for David Kellenberger is 1073632410. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Q: What is David Kellenberger's specialty?

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

Active since March 28, 2007PECOS EnrolledAccepts Medicare Assignment

2343 AARON ST, PORT CHARLOTTE, FL 33952(855) 979-5700(855) 979-5701 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2026, Nov 19, 2024, Feb 27, 2023 and 4 more (7 updates tracked since 2019).

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About David Andrew Kellenberger Pa, Rd NPPES

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

DAVID ANDREW KELLENBERGER PA, RD (NPI 1073632410) is an individual physician assistant in Port Charlotte, Florida, licensed in Florida (PA9120088) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Sarasota Memorial Hospital, and maintains a secondary practice location in Corsicana.

NPPES Registry Identity

NPI1073632410

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameDAVID ANDREW KELLENBERGERCredential: PA, RD

Location Address2343 AARON STPort Charlotte, FL 33952-5305

Mailing AddressPo Box 11126Belfast, ME 04915-4002 · (877) 856-3774 · Fax (239) 599-2612

Phone(855) 979-5700

Fax(855) 979-5701

Sole ProprietorNo

Medical School CMSUniversity Of Florida College Of MedicineGraduated 2005

Enumeration DateMarch 28, 2007

Last NPPES UpdateMay 6, 20267 updates tracked since enumeration

NPPES CertifiedMay 6, 2026

✔ NPI 1073632410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in FL · PA9120088✔ Licensed in TX · PA04525

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 ListedDietitian, RegisteredTaxonomy 133V00000X · License DT81736 (TX)

Also ListedHospitalistTaxonomy 208M00000X · License PA9120088 (FL)

2343 AARON ST, Port Charlotte, FL 33952

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Secondary Practice Location 1

Location 1618 N Main StCorsicana, TX 75110-3028 · Phone (903) 874-6731 · Fax (903) 872-0126

Other Identifiers 2

Other1G0179TX · Medicare

Medicaid355695308TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Insurance Company and more.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

David Andrew Kellenberger Pa, Rd 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 ID7810097359

PECOS Enrollment IDI20070712000286, I20250805000924

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 5

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.

76 services50 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.

42 services33 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

34 services34 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

24 services21 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

16 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sarasota Memorial Hospital

Acute Care Hospitals · Sarasota, FL

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100087

Location1700 S Tamiami TrlSarasota, FL 34239 · Sarasota County

Emergency services Birthing friendly

Navarro Regional Hospital

Acute Care Hospitals · Corsicana, TX

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450447

Location3201 West Highway 22Corsicana, TX 75110 · Navarro County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33952 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%41 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

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