MRS. KYLE LEIGH SIPOLA DESANTIS PA-C
NPI 1285936419
Physician Assistant in Tampa, FL

Active since November 19, 2010PECOS EnrolledAccepts Medicare Assignment
89.43/100
CMS Quality Rating
12902 USF MAGNOLIA DR, TAMPA, FL 33612(813) 745-4673 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 13, 2026, Feb 3, 2017, Nov 15, 2016 (3 updates tracked since 2016).

About Mrs. Kyle Leigh Sipola Desantis Pa-c NPPES

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

MRS. KYLE LEIGH SIPOLA DESANTIS PA-C (NPI 1285936419) is an individual physician assistant in Tampa, Florida, licensed in Florida (PA9105754) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1285936419
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. KYLE LEIGH SIPOLA DESANTISCredential: PA-C
Location Address12902 USF MAGNOLIA DRTampa, FL 33612-9416
Mailing AddressPo Box 198441Atlanta, GA 30384-8441 · (813) 745-4673
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateNovember 19, 2010
Last NPPES UpdateMay 13, 20263 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
NPI 1285936419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in FL · PA9105754
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 · SurgicalTaxonomy 363AS0400X · License 9105754 (FL)
12902 USF MAGNOLIA DR, Tampa, FL 33612

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

Mrs. Kyle Leigh Sipola Desantis 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 ID3173706496
PECOS Enrollment IDI20110324000342
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 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
40 services37 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33612 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.

89.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.84
Promoting Interoperability100
Improvement Activities40

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.

Pharmacist (Oncology)
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Pharmacist (Oncology)
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Physician Assistant
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Anesthesiology (Pain Medicine)
12902 USF MAGNOLIA DR, WCB, 2ND FLOOR/ANESTHESIA
TAMPA, FL 33612
Anesthesiology
12902 USF MAGNOLIA DR, MCB-ANES
TAMPA, FL 33612
Nurse Anesthetist, Certified Registered
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Nurse Anesthetist, Certified Registered
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Anesthesiology
12902 USF MAGNOLIA DR, MDC 44
TAMPA, FL 33612

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285936419, enumerated as an "individual" on November 19, 2010.

The provider is located at 12902 USF MAGNOLIA DR TAMPA, FL 33612 and the phone number is (813) 745-4673.

Physician Assistant with taxonomy code 363A00000X.