KYLE MITCHELL KOELKER PA-C
NPI 1619535366
Physician Assistant in Sunnyvale, TX

Q: What is Kyle Koelker's NPI number?

The NPI number for Kyle Koelker is 1619535366. It was assigned to this individual provider in the NPPES registry on May 29, 2019.

Q: What is Kyle Koelker's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kyle Koelker was last updated on June 25, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 29, 2019PECOS Enrolled

7.77/100

CMS Quality Rating

222 S COLLINS RD STE 101, SUNNYVALE, TX 75182(512) 519-1254 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 27, 2025, May 29, 2019 (2 updates tracked since 2019).

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About Kyle Mitchell Koelker Pa-c NPPES

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

KYLE MITCHELL KOELKER PA-C (NPI 1619535366) is an individual physician assistant in Sunnyvale, Texas, licensed in Texas (PA12753) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619535366

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameKYLE MITCHELL KOELKERCredential: PA-C

Location Address222 S COLLINS RD STE 101Sunnyvale, TX 75182-4645

Mailing Address1860 Crestland DrLucas, TX 75002-8566 · (972) 835-9582

Phone(512) 519-1254

Sole ProprietorNo

Enumeration DateMay 29, 2019

Last NPPES UpdateJune 25, 20262 updates tracked since enumeration

NPPES CertifiedJune 25, 2026

✔ NPI 1619535366 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 · PA12753

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.

222 S COLLINS RD STE 101, Sunnyvale, TX 75182

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Secondary Practice Locations 2

Location 1206 S Clay StEnnis, TX 75119-4527 · Phone (214) 256-3778 ext. 63778

Location 2874 Ed Hall Dr Ste 104Kaufman, TX 75142-1800 · Phone (214) 256-3778

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 (PECOS)

Kyle Mitchell Koelker 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.

Areas of Expertise CMS Part B claims 2

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.

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

27 services27 patients

Replacement of knee joint on side of knee 27446

A knee joint replacement on one side, also known as unicompartmental knee replacement, is a surgical procedure where damaged parts of the knee joint are replaced with artificial parts. This helps to reduce pain and improve mobility. It's typically done under general anesthesia.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75182 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$71.28 typical visit price

range $18.48 – $141.20

Typical copayment $17.82 (range $4.62 – $35.30)

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.

7.77/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

Improvement Activities

Cost

25.92

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Other Providers at the Same Location NPPES 6

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

EMILEE GRACE PELOQUIN DR.

Physical Therapist