KEVIN P SCULLY PAC
NPI 1730199563
Physician Assistant in Tyler, TX
About Kevin P Scully Pac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEVIN P SCULLY PAC (NPI 1730199563) is an individual physician assistant in Tyler, Texas, licensed in Texas (PA03374) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
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.
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
Kevin P Scully Pac 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TYLER, TX 75703
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 Kevin Scully's NPI number?
The NPI number for Kevin Scully is 1730199563. It was assigned to this individual provider in the NPPES registry on August 8, 2006.
Where is Kevin Scully located?
Kevin Scully practices at 2210 Three Lakes Pkwy Ste 100, Tyler, TX 75703. The listed phone number is (903) 747-4050.
What is Kevin Scully's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Kevin Scully enrolled in Medicare?
Yes. Kevin Scully 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 Kevin Scully accept?
Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Kevin Scully 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 Kevin Scully was last updated on February 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.
