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Kiley B Knowlton , PA-C

Physician Assistant โ€ข Worcester, MA

Active NPI 1992353908 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

55 Lake Ave N
Worcester, MA 016550002

Call 7744437552 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

55 Lake Ave N

Worcester, MA 016550002

Telephone 7744437552
Organization at the Same NPPES Address or Phone
Umass Memorial Medical Center Facility NPI 1679574933

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Worcester, MA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Umass Memorial Medical Group Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2019

Medicare patients

51 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $20,515 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $16,345 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

15 standardized 30-day fills in 2021

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$173 in 2021

The total cost of these prescriptions in 2021, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2021.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

7 years (graduated 2019)

CMS Doctors and Clinicians data list 2019 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Kiley Knowlton has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Kiley Knowlton as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Worcester and Massachusetts

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Physician Assistant in Worcester, MA (2024, 226 clinicians with data). Median for this group: 174. Middle half: 98 to 364.

Fewer Medicare Part B services than 60% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,142 clinicians with data). Median for this group: 222. Middle half: 79 to 552.

Medicare-allowed amount

A higher Medicare-allowed amount than 60% of clinicians listed under Physician Assistant in Worcester, MA (2024, 226 clinicians with data). Median for this group: $15,866. Middle half: $8,187 to $28,338.

Close to the middle for clinicians listed under Physician Assistant in Massachusetts (2024, 2,142 clinicians with data). Median for this group: $19,073. Middle half: $6,686 to $39,911.

Paid by Medicare

A higher Medicare payment amount than 60% of clinicians listed under Physician Assistant in Worcester, MA (2024, 226 clinicians with data). Median for this group: $11,961. Middle half: $6,077 to $21,469.

Close to the middle for clinicians listed under Physician Assistant in Massachusetts (2024, 2,142 clinicians with data). Median for this group: $14,188. Middle half: $5,025 to $29,930.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Kiley Knowlton are from 2021.

425 active clinicians are listed under Physician Assistant with a practice address in Worcester, MA (4,715 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Worcester

15.8% of these 425 clinicians have the CMS telehealth indicator.

69.4% of these 425 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2021), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2019โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2020โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99291 Critical care, first 30-74 minutes
86 48 $927.00 $176.71
99292 Critical care, each additional 30 minutes
60 29 $404.00 $88.63

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2021.

CMS Part D ยท Data Year 2021
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 11 425 $173.02 โ€”

Source: CMS Part D by Provider and Drug, 2021; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-06-15
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES MA PA7210

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.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

License # reported to NPPES MA PA7210
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20191112003026

Enrollment State Jurisdiction

MA

PECOS Control ID

1153753124

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Umass Memorial Medical Group Inc

119 Belmont St, Worcester, MA 016052903

Phone: 5083341000

Umass Memorial Medical Group Inc

55 Lake Ave N, Worcester, MA 016550002

Phone: 5083341000

Secondary Practice Locations

119 Belmont St

Worcester, MA 016052903

Phone: 7744437552

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Elizabeth Abbruzzese , NP

Nurse Practitioner

NPI 1326645300

Nurse Practitioner

Mia Andresen Roumia , PA-C

Physician Assistant

NPI 1285252064

Physician Assistant (Certified)

Jessica Babyak , PA

Physician Assistant

NPI 1669668729

Physician Assistant

Patrick Bafuma , PA-C

Physician Assistant

NPI 1225260078

Physician Assistant (Certified)

NPI 1013630433

Nurse Practitioner

Anstrice Braga , NP

Nurse Practitioner

NPI 1073818993

Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
๐Ÿ“
Updated Practice Location June 15, 2023

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 7744437552)

๐Ÿ“
Updated Business Mailing Address June 15, 2023

Registered at PO BOX 415348, BOSTON, MA 022415348 (Tel: 8002258885)

๐Ÿ“
Updated Practice Location November 07, 2019

Registered at 3300 MAIN STREET, SPRINGFIELD, MA 01107 (Tel: 4137945600)

๐Ÿ“
Updated Business Mailing Address November 07, 2019

Registered at 280 CHESTNUT ST, 2ND FLOOR, SPRINGFIELD, MA 011991001 (Tel: 4137945700)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2019

Physician Assistant (license number reported to NPPES: MA PA7210)

๐Ÿ“
Updated Practice Location September 24, 2019

Registered at 759 CHESTNUT ST, SPRINGFIELD, MA 01199 (Tel: 4137940000)

๐Ÿ“
Updated Business Mailing Address September 24, 2019

Registered at 280 CHESTNUT ST FL 2, SPRINGFIELD, MA 011991001 (Tel: 4137945700)

โœ…
NPI Profile Active September 03, 2019

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) September 03, 2019

Registered at 202 ROBINSON HALL, 360 HUNTINGTON AVE, BOSTON, MA 02115 (Tel: 6173733195)

๐Ÿ“
Business Mailing Address (Initial Record) September 03, 2019

Registered at 202 ROBINSON HALL, 360 HUNTINGTON AVE, BOSTON, MA 02115 (Tel: 6173733195)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) September 03, 2019

Recorded as KILEY KNOWLTON, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2019

Physician Assistant

๐ŸŸข
Initial NPI Registration & Enumeration September 03, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1992353908
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 03, 2019
Last Update: June 15, 2023
Sole Proprietor: No

Other Physician Assistants in Worcester

All Physician Assistants in Worcester

Mailing Address

Po Box 415348

Boston, MA 022415348

Phone: 8002258885

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.