KELLY A CLINTON PAC
NPI 1669428876
Physician Assistant in Plano, TX

Active since May 26, 2006PECOS Enrolled
4001 W 15TH ST, SUITE 225, PLANO, TX 75093(972) 599-2559(972) 599-1226 Get Directions Write a Review

NPPES record last updated: September 11, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kelly A Clinton Pac NPPES

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

KELLY A CLINTON PAC (NPI 1669428876) is an individual physician assistant in Plano, Texas, licensed in Texas (PA04635) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669428876
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY A CLINTONCredential: PAC
Location Address4001 W 15TH ST, SUITE 225Plano, TX 75093-5841
Mailing Address5445 Caruth Haven Ln, Apt 924Dallas, TX 75225-8143 · (214) 797-7947
Fax(972) 599-1226
Sole ProprietorNo
Enumeration DateMay 26, 2006
Last NPPES UpdateSeptember 11, 2012
NPI 1669428876 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 · PA04635
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.
4001 W 15TH ST, Plano, TX 75093

Other Identifiers 6

Medicaid280826301TX
Medicaid280826303TX
Medicaid280826302TX
Other1067023TX · Nccpa
Other8Y0105TX · Bcbs
OtherP01057828TX · Railroad Medicare

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 (PECOS)

Kelly A Clinton Pac 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 75093 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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
64%143 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Physical Therapist
4001 W 15TH ST
PLANO, TX 75093
Nurse Practitioner (Acute Care)
4001 W 15TH ST, SUITE 180
PLANO, TX 75093
Specialist
4001 W 15TH ST, SUITE 290
PLANO, TX 75093
Specialist
4001 W 15TH ST, SUITE 260
PLANO, TX 75093
Surgery
4001 W 15TH ST, STE 335
PLANO, TX 75093
Internal Medicine
4001 W 15TH ST, SUITE 245
PLANO, TX 75093
Obstetrics & Gynecology
4001 W 15TH ST, SUITE 375
PLANO, TX 75093
Clinical Nurse Specialist (Adult Health)
4001 W 15TH ST, SUITE 100
PLANO, TX 75093

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 Clinton's NPI number?

The NPI number for Kelly Clinton is 1669428876. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Kelly Clinton located?

Kelly Clinton practices at 4001 W 15th St Suite 225, Plano, TX 75093. The listed phone number is (972) 599-2559.

What is Kelly Clinton's specialty?

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

Is Kelly Clinton enrolled in Medicare?

Yes. Kelly Clinton is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Clinton accept?

Health plans from Blue Cross and Blue Shield of Texas list Kelly Clinton 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 Kelly Clinton was last updated on September 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.