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KHORI-JON ALLEN PA-C
NPI 1376165118
Physician Assistant in Waldorf, MD

Active since May 14, 2020PECOS Enrolled
3510 OLD WASHINGTON RD STE 100, WALDORF, MD 20602(301) 932-5890 Get Directions Write a Review

NPPES record last updated: November 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 23, 2020, May 14, 2020 (2 updates tracked since 2020).

About Khori-jon Allen Pa-c NPPES

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

KHORI-JON ALLEN PA-C (NPI 1376165118) is an individual physician assistant in Waldorf, Maryland and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376165118
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKHORI-JON ALLENCredential: PA-C
Location Address3510 OLD WASHINGTON RD STE 100Waldorf, MD 20602-3234
Mailing Address3510 Old Washington Rd Ste 100Waldorf, MD 20602-3234 · (301) 932-5890
Phone(301) 932-5890
Sole ProprietorNo
Enumeration DateMay 14, 2020
Last NPPES UpdateNovember 23, 20202 updates tracked since enumeration
NPPES CertifiedNovember 21, 2020
✔ NPI 1376165118 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.
3510 OLD WASHINGTON RD STE 100, Waldorf, MD 20602
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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 (PECOS)

Khori-jon Allen Pa-c 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 20602 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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.

PRECISION ORTHOPEDICS AND SPORTS MEDICINE
Orthopaedic Surgery (Sports Medicine)
3510 OLD WASHINGTON RD STE 100
WALDORF, MD 20602
Charles County (301) 498-0333

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 Khori-jon Allen's NPI number?

The NPI number for Khori-jon Allen is 1376165118. It was assigned to this individual provider in the NPPES registry on May 14, 2020.

Where is Khori-jon Allen located?

Khori-jon Allen practices at 3510 Old Washington Rd Ste 100, Waldorf, MD 20602. The listed phone number is (301) 932-5890.

What is Khori-jon Allen's specialty?

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

Is Khori-jon Allen enrolled in Medicare?

Yes. Khori-jon Allen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Khori-jon Allen was last updated on November 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.