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KAILYN R TOVEY PA-C
NPI 1609489145
Physician Assistant in La Jolla, CA

Active since August 25, 2020PECOS EnrolledAccepts Medicare Assignment
60.05/100
CMS Quality Rating
3855 HEALTH SCIENCES DR, LA JOLLA, CA 92093(800) 926-8273 Get Directions Write a Review

NPPES record last updated: May 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 3, 2024, Nov 9, 2021, Oct 8, 2021 and 1 more (4 updates tracked since 2020).

About Kailyn R Tovey Pa-c NPPES

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

KAILYN R TOVEY PA-C (NPI 1609489145) is an individual physician assistant in La Jolla, California, licensed in California (PA62089) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1609489145
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAILYN R TOVEYCredential: PA-C
Location Address3855 HEALTH SCIENCES DRLa Jolla, CA 92093-4405
Mailing AddressFile 57326Los Angeles, CA 90074-0001
Phone(800) 926-8273
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 25, 2020
Last NPPES UpdateMay 3, 20244 updates tracked since enumeration
NPPES CertifiedMay 3, 2024
✔ NPI 1609489145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in CA · PA62089✔ Licensed in WA · PA61228675
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.
3855 HEALTH SCIENCES DR, La Jolla, CA 92093
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1825 Eastlake Ave ESeattle, WA 98109-4405 · Phone (855) 557-0555
Location 2200 W Arbor DrSan Diego, CA 92103-9000 · Phone (800) 926-8273

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

Kailyn R Tovey 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 ID6002205846
PECOS Enrollment IDI20240515004298
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 5

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
70 services65 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
30 services13 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
23 services18 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.
19 services18 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92093 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

60.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality36.91
Promoting Interoperability100
Improvement Activities20
Cost54.92

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.

THEODORE HOBART WELLING MD
Surgery
3855 HEALTH SCIENCES DR
LA JOLLA, CA 92093
San Diego County (800) 926-8273
TANIA MARIE MAREK NP
Nurse Practitioner (Family)
3855 HEALTH SCIENCES DR
LA JOLLA, CA 92093
San Diego County (800) 926-8273
ARCHANA AJMERA RN, MSN, APRN-BC
Nurse Practitioner
3855 HEALTH SCIENCES DR
LA JOLLA, CA 92093
San Diego County (858) 822-6185
PAULA MICHELLE MESARWI MD
Internal Medicine (Hospice and Palliative Medicine)
3855 HEALTH SCIENCES DR
LA JOLLA, CA 92093
San Diego County (858) 534-7079
DR. EVA HO PHARM.D.
Pharmacist
3855 HEALTH SCIENCES DR, RM1036 (MAIL CODE 0845)
LA JOLLA, CA 92093
San Diego County (858) 822-6088
DANIELA BRANCO
Student in an Organized Health Care Education/Training Program
3855 HEALTH SCIENCES DR
LA JOLLA, CA 92093
San Diego County (920) 737-9398
JEREMY RICH M.D.
Psychiatry & Neurology (Neurology)
3855 HEALTH SCIENCES DR
LA JOLLA, CA 92093
San Diego County (858) 822-6100
DR. ILA MAEWAL SAUNDERS PHARMD
Pharmacist (Oncology)
3855 HEALTH SCIENCES DR
LA JOLLA, CA 92093
San Diego County (858) 657-7000

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 Kailyn Tovey's NPI number?

The NPI number for Kailyn Tovey is 1609489145. It was assigned to this individual provider in the NPPES registry on August 25, 2020.

Where is Kailyn Tovey located?

Kailyn Tovey practices at 3855 Health Sciences Dr, La Jolla, CA 92093. The listed phone number is (800) 926-8273.

What is Kailyn Tovey's specialty?

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

Is Kailyn Tovey enrolled in Medicare?

Yes. Kailyn Tovey 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.

When was this NPI record last updated?

The NPPES record for Kailyn Tovey was last updated on May 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.