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KENNETH RICHARD PHELPS PA-C
NPI 1669807210
Physician Assistant in Jacksonville, FL

Active since September 13, 2013PECOS EnrolledAccepts Medicare Assignment
88.49/100
CMS Quality Rating
3599 UNIVERSITY BLVD S, BLDG. 300, JACKSONVILLE, FL 32216(904) 399-5550(904) 346-4334 Get Directions Write a Review

NPPES record last updated: February 26, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kenneth Richard Phelps Pa-c NPPES

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

KENNETH RICHARD PHELPS PA-C (NPI 1669807210) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (PA9107403) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital, and is a graduate of At Still University, Arizona School Of Dentistry & Oral Hlth (2013).

NPPES Registry Identity

NPI1669807210
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKENNETH RICHARD PHELPSCredential: PA-C
Location Address3599 UNIVERSITY BLVD S, BLDG. 300Jacksonville, FL 32216-4252
Mailing AddressPo Box 200096Cartersville, GA 30120-9002 · (678) 905-7053 · Fax (678) 905-7053
Phone(904) 399-5550
Fax(904) 346-4334
Sole ProprietorNo
Medical School CMSAt Still University, Arizona School Of Dentistry & Oral HlthGraduated 2013
Enumeration DateSeptember 13, 2013
Last NPPES UpdateFebruary 26, 2021
NPPES CertifiedFebruary 26, 2021
✔ NPI 1669807210 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 FL · PA9107403
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.
3599 UNIVERSITY BLVD S, Jacksonville, FL 32216
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Kenneth Richard Phelps 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 ID7618103193
PECOS Enrollment IDI20170724001546
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 11

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.

Fluoroscopic guidance for insertion or removal of central vein access device 77001
Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.
83 services69 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
65 services59 patients
Aspiration of fluid from chest cavity using imaging guidance 32555
This procedure, known as a thoracentesis, involves removing fluid from the space between the lungs and chest wall, called the pleural space. It's performed under imaging guidance to ensure precision. It can help diagnose conditions or relieve symptoms like shortness of breath.
44 services38 patients
Insertion of tunneled central venous tube for infusion (5 years or older) 36558
The insertion of a tunneled central venous tube is a procedure where a thin, flexible tube is placed into a large vein, usually in the neck or chest. This tube allows healthcare providers to give medications, fluids, or nutrients directly into your bloodstream over a longer period.
42 services41 patients
Drainage of fluid from abdominal cavity using imaging guidance 49083
This procedure involves removing excess fluid from your abdominal cavity, which can relieve discomfort. A specialist uses imaging technology to guide a thin needle into the right spot. The fluid is then drained out safely.
40 services20 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
27 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Piedmont Henry Hospital

Acute Care Hospitals · Stockbridge, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110191
Location1133 Eagle's Landing ParkwayStockbridge, GA 30281 · Henry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32216 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

88.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.21
Improvement Activities40
Cost75.93

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.

MARQUAN CROMARTIE
Physical Therapist
3599 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 345-7600
MRS. SASHA BROOKE THORNTON ARNP
Nurse Practitioner (Family)
3599 UNIVERSITY BLVD S, STE. 504
JACKSONVILLE, FL 32216
Duval County (904) 264-7132
SETH MICHAEL STAFFORD PT, DPT
Physical Therapist
3599 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 345-6812
FRANK WILLIAM SANCHEZ MD
Radiology (Diagnostic Radiology)
3599 UNIVERSITY BLVD S, BUILDING 300
JACKSONVILLE, FL 32216
Duval County (904) 399-5550
DR. BRIAN W COOPER M.D.
Internal Medicine (Infectious Disease)
3599 UNIVERSITY BLVD S, BLDG. 500, STE. 504
JACKSONVILLE, FL 32216
Duval County (904) 398-5614
TOMMY C YU MD
Physical Medicine & Rehabilitation
3599 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 345-7776
MEGAN MARGARETT RAMIREZ
Physical Therapist
3599 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 345-6812
ERIN ELIZABETH TIMLIN M.S., CCC-SLP
Speech-Language Pathologist
3599 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 345-7789

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 Kenneth Phelps's NPI number?

The NPI number for Kenneth Phelps is 1669807210. It was assigned to this individual provider in the NPPES registry on September 13, 2013.

Where is Kenneth Phelps located?

Kenneth Phelps practices at 3599 University Blvd S Bldg. 300, Jacksonville, FL 32216. The listed phone number is (904) 399-5550.

What is Kenneth Phelps's specialty?

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

Is Kenneth Phelps enrolled in Medicare?

Yes. Kenneth Phelps 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 Kenneth Phelps accept?

Health plans from Oscar Insurance Company list Kenneth Phelps 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 Kenneth Phelps affiliated with any hospitals?

According to CMS data, Kenneth Phelps is affiliated with Northside Hospital and Piedmont Henry Hospital.

When was this NPI record last updated?

The NPPES record for Kenneth Phelps was last updated on February 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.