KELLEY L. PASTOR PA-C
NPI 1245411495
Physician Assistant in Mentor, OH

Q: What is Kelley Pastor's NPI number?

The NPI number for Kelley Pastor is 1245411495. It was assigned to this individual provider in the NPPES registry on November 15, 2007.

Q: What is Kelley Pastor's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelley Pastor was last updated on September 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since November 15, 2007PECOS EnrolledAccepts Medicare Assignment

9220 MENTOR AVE, MENTOR, OH 44060(440) 354-9924(877) 242-9583 Get Directions Write a Review

NPPES record last updated: September 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelley L. Pastor Pa-c NPPES

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

KELLEY L. PASTOR PA-C (NPI 1245411495) is an individual physician assistant in Mentor, Ohio, licensed in Ohio (50.002708) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mentor, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1245411495

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKELLEY L. PASTORCredential: PA-C

Location Address9220 MENTOR AVEMentor, OH 44060-6412

Mailing Address9485 Mentor Avenue, Suite 210Mentor, OH 44060-8713 · (440) 205-5848 · Fax (440) 255-5548

Phone(440) 354-9924

Fax(877) 242-9583

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateNovember 15, 2007

Last NPPES UpdateSeptember 1, 2021

NPPES CertifiedSeptember 1, 2021

✔ NPI 1245411495 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 OH · 50.002708

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.

9220 MENTOR AVE, Mentor, OH 44060

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Secondary Practice Location 1

Location 19485 Mentor Avenue, Suite 210Mentor, OH 44060 · Phone (440) 205-5848 · Fax (440) 255-5548

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Kelley L. Pastor 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 ID6608956164

PECOS Enrollment IDI20080109000607

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.

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.

43 services43 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 services39 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.

15 services15 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.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44060 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 20

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

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