KELLY ANNE AVERILL M.D.
NPI 1306191879
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in San Antonio, TX

Q: What is Kelly Averill's NPI number?

The NPI number for Kelly Averill is 1306191879. It was assigned to this individual provider in the NPPES registry on July 19, 2012.

Q: What is Kelly Averill's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Averill was last updated on September 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 July 19, 2012PECOS Enrolled

4502 MEDICAL DR, SAN ANTONIO, TX 78229(210) 358-5437(210) 358-5483 Get Directions Write a Review

NPPES record last updated: September 8, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelly Anne Averill M.d. NPPES

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

KELLY ANNE AVERILL M.D. (NPI 1306191879) is an individual neurology with special qualifications in child neurology provider in San Antonio, Texas, licensed in Texas (Q4892) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306191879

Entity TypeIndividualFemale

Primary Taxonomy2084N0402X

Provider Legal NameKELLY ANNE AVERILLCredential: M.D.

Location Address4502 MEDICAL DRSan Antonio, TX 78229-4402

Mailing Address7703 Floyd Curl DrSan Antonio, TX 78229-3901 · (210) 358-5437

Phone(210) 358-5437

Fax(210) 358-5483

Sole ProprietorNo

Enumeration DateJuly 19, 2012

Last NPPES UpdateSeptember 8, 2015

✔ NPI 1306191879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0402X

License✔ Licensed in TX · Q4892

Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4502 MEDICAL DR, San Antonio, TX 78229

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Other Identifiers 2

Medicare PIN419525YK00TX

Medicaid347222701TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Anne Averill M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

Most-billed visit code 99214

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.

EDUARDO N. POLLONO MD

Internal Medicine (Cardiovascular Disease)