KRYSTAL M BROUGHTON MPAS, PA-C
NPI 1144664327
Physician Assistant in San Antonio, TX

Active since April 18, 2013PECOS EnrolledAccepts Medicare Assignment
71.17/100
CMS Quality Rating
19016 STONE OAK PKWY STE 180, SAN ANTONIO, TX 78258(866) 552-4866 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Krystal M Broughton Mpas, Pa-c NPPES

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

KRYSTAL M BROUGHTON MPAS, PA-C (NPI 1144664327) is an individual physician assistant in San Antonio, Texas, licensed in Texas (PA08312) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1144664327
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKRYSTAL M BROUGHTONCredential: MPAS, PA-C
Location Address19016 STONE OAK PKWY STE 180San Antonio, TX 78258-3281
Mailing Address8135 Forest Ln # 515057Dallas, TX 75230-2472
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 18, 2013
Last NPPES UpdateApril 25, 2024
NPPES CertifiedApril 25, 2024
NPI 1144664327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TX · PA08312
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.
19016 STONE OAK PKWY STE 180, San Antonio, TX 78258

Other Names 1

Former Name (1)Krystal M Purkhiser

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

Krystal M Broughton Mpas, 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 ID7113167164
PECOS Enrollment IDI20130716000011
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 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.
317 services199 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.
75 services75 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
63 services63 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
45 services45 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78258 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

71.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.94
Promoting Interoperability90
Improvement Activities40
Cost48.29

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Pneumatic compressor, segmental home model without calibrated gradient pressure E0651
DME-Other DME · category DE000N
1 supplier16 claims16 services$887.65 avg. paid by Medicare
Segmental pneumatic appliance for use with pneumatic compressor, full leg E0667
DME-Other DME · category DE000N
1 supplier16 claims30 services$312.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Surgery
19016 STONE OAK PKWY STE 180
SAN ANTONIO, TX 78258
Radiology (Vascular & Interventional Radiology)
19016 STONE OAK PKWY STE 180
SAN ANTONIO, TX 78258
Surgery (Vascular Surgery)
19016 STONE OAK PKWY STE 180
SAN ANTONIO, TX 78258
Surgery
19016 STONE OAK PKWY STE 180
SAN ANTONIO, TX 78258
Phlebology
19016 STONE OAK PKWY STE 180
SAN ANTONIO, TX 78258

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 Krystal Broughton's NPI number?

The NPI number for Krystal Broughton is 1144664327. It was assigned to this individual provider in the NPPES registry on April 18, 2013. The provider is also known as Krystal M Purkhiser.

Where is Krystal Broughton located?

Krystal Broughton practices at 19016 Stone Oak Pkwy Ste 180, San Antonio, TX 78258. The listed phone number is (866) 552-4866.

What is Krystal Broughton's specialty?

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

Is Krystal Broughton enrolled in Medicare?

Yes. Krystal Broughton 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 Krystal Broughton accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 7 other insurers list Krystal Broughton 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 Krystal Broughton was last updated on April 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.