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KELLY KACZOR PA
NPI 1104355973
Physician Assistant in Amherst, NY

Active since June 06, 2017PECOS EnrolledAccepts Medicare Assignment
4955 N BAILEY AVE STE 202, AMHERST, NY 14226(716) 832-8500 Get Directions Write a Review

NPPES record last updated: June 6, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Kaczor Pa NPPES

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

KELLY KACZOR PA (NPI 1104355973) is an individual physician assistant in Amherst, New York and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1104355973
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY KACZORCredential: PA
Location Address4955 N BAILEY AVE STE 202Amherst, NY 14226-1206
Mailing Address4955 N Bailey Ave Ste 202Amherst, NY 14226-1206 · (716) 832-8500
Phone(716) 832-8500
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJune 6, 2017
✔ NPI 1104355973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
4955 N BAILEY AVE STE 202, Amherst, NY 14226
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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

Kelly Kaczor Pa 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 ID3779856109
PECOS Enrollment IDI20170907001138
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 4

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 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.
120 services79 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
82 services55 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
28 services28 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
26 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14226 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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

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

SARAH MARIE ADAMS PA - C
Physician Assistant
4955 N BAILEY AVE STE 202
AMHERST, NY 14226
Erie County (716) 832-8500

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 Kaczor's NPI number?

The NPI number for Kelly Kaczor is 1104355973. It was assigned to this individual provider in the NPPES registry on June 6, 2017.

Where is Kelly Kaczor located?

Kelly Kaczor practices at 4955 N Bailey Ave Ste 202, Amherst, NY 14226. The listed phone number is (716) 832-8500.

What is Kelly Kaczor's specialty?

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

Is Kelly Kaczor enrolled in Medicare?

Yes. Kelly Kaczor 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.

When was this NPI record last updated?

The NPPES record for Kelly Kaczor was last updated on June 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.