KELLY G COUGHLIN PA
NPI 1679923601
Physician Assistant in Gainesville, FL

Active since June 21, 2016PECOS EnrolledAccepts Medicare Assignment
78.18/100
CMS Quality Rating
6716 NW 11TH PLACE, STE 200, GAINESVILLE, FL 32605(352) 331-9729 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2024, Nov 8, 2022, Apr 21, 2017 and 1 more (4 updates tracked since 2016).

About Kelly G Coughlin Pa NPPES

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

KELLY G COUGHLIN PA (NPI 1679923601) is an individual physician assistant in Gainesville, Florida, licensed in Florida (PA9109645) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Hca Florida Lake City Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1679923601
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY G COUGHLINCredential: PA
Location Address6716 NW 11TH PLACE, STE 200Gainesville, FL 32605-4215
Mailing Address6716 Nw 11th Pl Ste 200Gainesville, FL 32605-4201 · (352) 313-6825 · Fax (352) 331-0137
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 21, 2016
Last NPPES UpdateJuly 2, 20244 updates tracked since enumeration
NPPES CertifiedJuly 2, 2024
NPI 1679923601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in FL · PA9109645
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA9109645 (FL)
6716 NW 11TH PLACE, Gainesville, FL 32605

Other Identifiers 4

OtherP01721294FL · Railroad Medicare
OtherP01721293FL · Railroad Medicare
Medicaid0206416-00FL
Other5DKRVFL · Bcbs

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 and accepts Medicare assignment

Kelly G Coughlin Pa 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 ID6901193465
PECOS Enrollment IDI20160927001294
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 13

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
349 services93 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.
139 services124 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.
131 services119 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
126 services114 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
95 services91 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
88 services84 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Florida Lake City Hospital

Acute Care Hospitals · Lake City, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100156
Location340 NW Commerce DrLake City, FL 32055 · Columbia County
Emergency services

Hca Florida North Florida Hospital

Acute Care Hospitals · Gainesville, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100204
Location6500 W Newberry RdGainesville, FL 32605 · Alachua County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32605 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.

78.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.54
Promoting Interoperability100
Improvement Activities40
Cost54.74

Reported Quality Measures

Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections
Percentage of patients, regardless of age, who undergo central venous catheter (CVC) insertion for whom CVC was inserted with all elements of maximal sterile barrier technique, hand hygiene, skin preparation and, if ultrasound is used, sterile ultrasound…
100%105 patients
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 18

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

Radiology (Diagnostic Radiology)
6716 NW 11TH PLACE, STE 200
GAINESVILLE, FL 32605
Physician Assistant (Medical)
6716 NW 11TH PLACE, STE 200
GAINESVILLE, FL 32605
Radiology (Diagnostic Radiology)
6716 NW 11TH PLACE, STE 200
GAINESVILLE, FL 32605
Radiology (Vascular & Interventional Radiology)
6716 NW 11TH PLACE, STE 200
GAINESVILLE, FL 32605
Radiology (Neuroradiology)
6716 NW 11TH PLACE, STE 200
GAINESVILLE, FL 32605
Radiology (Diagnostic Radiology)
6716 NW 11TH PLACE, STE 200
GAINESVILLE, FL 32605
Radiology (Diagnostic Radiology)
6716 NW 11TH PLACE, STE 200
GAINESVILLE, FL 32605
Radiology (Diagnostic Radiology)
6716 NW 11TH PLACE, STE 200
GAINESVILLE, FL 32605

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 Coughlin's NPI number?

The NPI number for Kelly Coughlin is 1679923601. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Where is Kelly Coughlin located?

Kelly Coughlin practices at 6716 NW 11th Place Ste 200, Gainesville, FL 32605. The listed phone number is (352) 331-9729.

What is Kelly Coughlin's specialty?

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

Is Kelly Coughlin enrolled in Medicare?

Yes. Kelly Coughlin 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 Coughlin accept?

Health plans from Oscar Health Maintenance Organization of Florida list Kelly Coughlin 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 Coughlin affiliated with any hospitals?

According to CMS data, Kelly Coughlin is affiliated with Hca Florida Lake City Hospital and Hca Florida North Florida Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Coughlin was last updated on July 2, 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.