KANDICE MCALPINE PA-C
NPI 1437812500
Physician Assistant in Mason, OH

Active since October 15, 2021PECOS EnrolledAccepts Medicare Assignment
87.66/100
CMS Quality Rating

NPPES record last updated: February 16, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 16, 2022, Oct 15, 2021 (2 updates tracked since 2021).

About Kandice Mcalpine Pa-c NPPES

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

KANDICE MCALPINE PA-C (NPI 1437812500) is an individual physician assistant in Mason, Ohio, licensed in Ohio (50.006953RX) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1437812500
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKANDICE MCALPINECredential: PA-C
Location Address4201 AERO DRMason, OH 45040-8818
Mailing Address3992 Crestview DrLoveland, OH 45140-1019 · (513) 939-5353
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 15, 2021
Last NPPES UpdateFebruary 16, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2022
NPI 1437812500 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 OH · 50.006953RX
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 ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X · License 4749 (TN)
4201 AERO DR, Mason, OH 45040

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

Kandice Mcalpine 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 ID9638564784
PECOS Enrollment IDI20220328001268
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.
121 services121 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.
36 services36 patients
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.
36 services35 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.
29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45040 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.

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.

87.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.9
Improvement Activities40
Cost89.67

Other Providers at the Same Location NPPES 3

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

Family Medicine
4201 AERO DR
MASON, OH 45040
Family Medicine
4201 AERO DR, DOCTORS URGENT CARE
MASON, OH 45040
Nurse Practitioner (Family)
4201 AERO DR
MASON, OH 45040

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 Kandice Mcalpine's NPI number?

The NPI number for Kandice Mcalpine is 1437812500. It was assigned to this individual provider in the NPPES registry on October 15, 2021.

Where is Kandice Mcalpine located?

Kandice Mcalpine practices at 4201 Aero Dr, Mason, OH 45040. The listed phone number is (513) 770-4122.

What is Kandice Mcalpine's specialty?

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

Is Kandice Mcalpine enrolled in Medicare?

Yes. Kandice Mcalpine 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 Kandice Mcalpine accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Kandice Mcalpine 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 Kandice Mcalpine was last updated on February 16, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.