KELBY LYNN WITHROW PA-C
NPI 1770048308
Physician Assistant in Ballwin, MO

Active since February 07, 2019PECOS EnrolledAccepts Medicare Assignment
54.72/100
CMS Quality Rating
13861 MANCHESTER RD, BALLWIN, MO 63011(636) 556-0114 Get Directions Write a Review

NPPES record last updated: April 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelby Lynn Withrow Pa-c NPPES

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

KELBY LYNN WITHROW PA-C (NPI 1770048308) is an individual physician assistant in Ballwin, Missouri, licensed in Missouri (2022009903) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1770048308
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELBY LYNN WITHROWCredential: PA-C
Location Address13861 MANCHESTER RDBallwin, MO 63011-4503
Mailing Address4603 Mattis RdSaint Louis, MO 63128-3015 · (618) 316-8321
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 7, 2019
Last NPPES UpdateApril 18, 2023
NPPES CertifiedApril 18, 2023
NPI 1770048308 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 MO · 2022009903
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 ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
13861 MANCHESTER RD, Ballwin, MO 63011

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

Kelby Lynn Withrow 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 ID9537555099
PECOS Enrollment IDI20220408001793
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 31

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
1,380 services14 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
192 services37 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.
92 services92 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.
90 services89 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
69 services69 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
58 services58 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63011 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

54.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality47.43
Promoting Interoperability0
Improvement Activities40
Cost84.97

Other Providers at the Same Location NPPES 14

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

Nurse Practitioner (Family)
13861 MANCHESTER RD
BALLWIN, MO 63011
Nurse Practitioner (Family)
13861 MANCHESTER RD
BALLWIN, MO 63011
Emergency Medicine
13861 MANCHESTER RD
BALLWIN, MO 63011
Physician Assistant
13861 MANCHESTER RD
BALLWIN, MO 63011
Physician Assistant
13861 MANCHESTER RD
BALLWIN, MO 63011
Clinic/Center (Urgent Care)
13861 MANCHESTER RD
BALLWIN, MO 63011
Nurse Practitioner (Family)
13861 MANCHESTER RD
MANCHESTER, MO 63011
Physician Assistant
13861 MANCHESTER RD
MANCHESTER, MO 63011

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 Kelby Withrow's NPI number?

The NPI number for Kelby Withrow is 1770048308. It was assigned to this individual provider in the NPPES registry on February 7, 2019.

Where is Kelby Withrow located?

Kelby Withrow practices at 13861 Manchester Rd, Ballwin, MO 63011. The listed phone number is (636) 556-0114.

What is Kelby Withrow's specialty?

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

Is Kelby Withrow enrolled in Medicare?

Yes. Kelby Withrow 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 Kelby Withrow accept?

Health plans from Anthem Blue Cross and Blue Shield list Kelby Withrow 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 Kelby Withrow was last updated on April 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.