BRIAN K KEPHART PHYSICIAN ASSISTANT
NPI 1093709099
Physician Assistant in Allentown, PA

Active since September 06, 2005PECOS EnrolledAccepts Medicare Assignment
84.72/100
CMS Quality Rating
250 CETRONIA ROAD, SUITE 303, ALLENTOWN, PA 18104(610) 973-6200(610) 973-6546 Get Directions Write a Review

NPPES record last updated: July 31, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brian K Kephart Physician Assistant NPPES

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

BRIAN K KEPHART PHYSICIAN ASSISTANT (NPI 1093709099) is an individual physician assistant in Allentown, Pennsylvania, licensed in Pennsylvania (MA051154) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1093709099
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRIAN K KEPHARTCredential: PHYSICIAN ASSISTANT
Location Address250 CETRONIA ROAD, SUITE 303Allentown, PA 18104-9168
Mailing AddressPo Box 848269Boston, MA 02284-8269 · (610) 973-1700 · Fax (610) 973-1778
Fax(610) 973-6546
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateSeptember 6, 2005
Last NPPES UpdateJuly 31, 2009
NPI 1093709099 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
License Licensed in PA · MA051154
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 MA051154 (PA)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License MA051154 (PA)
250 CETRONIA ROAD, Allentown, PA 18104

Other Identifiers 4

Other50035046PA · Blue Cross
Medicare ID-Type Unspecified066094PA
Other970030742PA · Railroad Medicare
Medicare UPINP78468PA

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

Brian K Kephart Physician Assistant 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 ID42214645
PECOS Enrollment IDI20060913000501
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 3

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.

Removal of extensive shoulder joint tissue using an endoscope 29823
This procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.
21 services20 patients
Shaving of part of shoulder bone and repair of ligament using an endoscope 29826
This procedure involves using a tiny camera, called an endoscope, to view and repair a damaged shoulder ligament. Simultaneously, a small portion of the shoulder bone is shaved to alleviate discomfort and improve movement. It's a minimally invasive technique that aids in a quicker recovery.
20 services19 patients
Repair of shoulder rotator cuff using an endoscope 29827
This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.
18 services17 patients

Hospital Affiliations CMS Care Compare

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

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18104 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.

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.

84.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.98
Promoting Interoperability100
Improvement Activities40
Cost66.08

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
54%159 patients3/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
91%33 patients4/55-star benchmark: 100%
e-Prescribing
100%254 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
55%31 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
14%29 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 100% · 42 patients
98%42 patients
Provide Patients Electronic Access to Their Health Information
100%38 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.

Physical Therapist
250 CETRONIA ROAD, SUITE 303
ALLENTOWN, PA 18104
Physical Therapist
250 CETRONIA ROAD, SUITE 303
ALLENTOWN, PA 18104
Physician Assistant
250 CETRONIA ROAD, SUITE 303
ALLENTOWN, PA 18104
Physician Assistant
250 CETRONIA ROAD, SUITE 303
ALLENTOWN, PA 18104
Orthopaedic Surgery (Sports Medicine)
250 CETRONIA ROAD, SUITE 303
ALLENTOWN, PA 18104
Anesthesiology (Pain Medicine)
250 CETRONIA ROAD
ALLENTOWN, PA 18104
Occupational Therapist (Hand)
250 CETRONIA ROAD, SUITE 303
ALLENTOWN, PA 18104
Occupational Therapist (Hand)
250 CETRONIA ROAD, SUITE 303
ALLENTOWN, PA 18104

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 Brian Kephart's NPI number?

The NPI number for Brian Kephart is 1093709099. It was assigned to this individual provider in the NPPES registry on September 6, 2005.

Where is Brian Kephart located?

Brian Kephart practices at 250 Cetronia Road Suite 303, Allentown, PA 18104. The listed phone number is (610) 973-6200.

What is Brian Kephart's specialty?

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

Is Brian Kephart enrolled in Medicare?

Yes. Brian Kephart 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.

Is Brian Kephart affiliated with any hospitals?

According to CMS data, Brian Kephart is affiliated with St Luke's Hospital Bethlehem.

When was this NPI record last updated?

The NPPES record for Brian Kephart was last updated on July 31, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.