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KELLY JAMES SPONHALTZ P.A.
NPI 1508181488
Physician Assistant in San Antonio, TX

Active since April 02, 2010PECOS EnrolledAccepts Medicare Assignment
89.92/100
CMS Quality Rating
311 CAMDEN ST STE 409, SAN ANTONIO, TX 78215(210) 228-9605(210) 228-9632 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 3, 2026, Jun 5, 2019 (2 updates tracked since 2019).

About Kelly James Sponhaltz P.a. NPPES

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

KELLY JAMES SPONHALTZ P.A. (NPI 1508181488) is an individual physician assistant in San Antonio, Texas, licensed in Texas (PA06539) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with Peterson Regional Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1508181488
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY JAMES SPONHALTZCredential: P.A.
Location Address311 CAMDEN ST STE 409San Antonio, TX 78215-2014
Mailing AddressPo Box 5730Belfast, ME 04915-5700
Phone(210) 228-9605
Fax(210) 228-9632
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateApril 2, 2010
Last NPPES UpdateMarch 3, 20262 updates tracked since enumeration
NPPES CertifiedMarch 3, 2026
✔ NPI 1508181488 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 TX · PA06539
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.
311 CAMDEN ST STE 409, San Antonio, TX 78215
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Other Identifiers 2

Medicaid214265502TX
Other214265503TX · Cshcn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare 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

Kelly James Sponhaltz P.a. 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 ID6608906318
PECOS Enrollment IDI20100607000489
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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
74 services73 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
74 services74 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
19 services19 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Peterson Regional Medical Center

Acute Care Hospitals · Kerrville, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450007
Location551 Hill Country DriveKerrville, TX 78028 · Kerr County
Emergency services Birthing friendly

University Health System

Acute Care Hospitals · San Antonio, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450213
Location4502 Medical DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78215 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

89.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.39
Promoting Interoperability100
Improvement Activities40
Cost62.89

Other Providers at the Same Location NPPES 4

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

DR. AGUSTIN CORNEJO ESQUERRA M.D.
Surgery (Plastic and Reconstructive Surgery)
311 CAMDEN ST STE 409
SAN ANTONIO, TX 78215
Bexar County (210) 228-9605
FRANCISCO ALBERTO OBREGON COLOMBANI MD
Surgery
311 CAMDEN ST STE 409
SAN ANTONIO, TX 78215
Bexar County (210) 228-9605
SALVADOR SORDO M.D.
Surgery
311 CAMDEN ST STE 409
SAN ANTONIO, TX 78215
Bexar County (210) 228-9605
JUAN MANUEL FEBRES VALECILLOS M.D.
Surgery
311 CAMDEN ST STE 409
SAN ANTONIO, TX 78215
Bexar County (210) 228-9605

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 Kelly Sponhaltz's NPI number?

The NPI number for Kelly Sponhaltz is 1508181488. It was assigned to this individual provider in the NPPES registry on April 2, 2010.

Where is Kelly Sponhaltz located?

Kelly Sponhaltz practices at 311 Camden St Ste 409, San Antonio, TX 78215. The listed phone number is (210) 228-9605.

What is Kelly Sponhaltz's specialty?

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

Is Kelly Sponhaltz enrolled in Medicare?

Yes. Kelly Sponhaltz 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 Kelly Sponhaltz accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare and Oscar Insurance Company list Kelly Sponhaltz 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.

Is Kelly Sponhaltz affiliated with any hospitals?

According to CMS data, Kelly Sponhaltz is affiliated with Peterson Regional Medical Center and University Health System.

When was this NPI record last updated?

The NPPES record for Kelly Sponhaltz was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.