Doctor profile · Federal record
Dr. STEPHANIE AGONCILLO, PA-C
Physician Assistant · Physician Assistant · SANTA CRUZ, CA
- NPI 1427425172
- Accepts Medicare
- 11 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
2911 CHANTICLEER AVE
SANTA CRUZ, CA 950651815
(831) 477-2350 - Additional location
-
460 Waterstone Dr
Hillsborough, NC 272789078
(919) 595-5900
Credentials & registration
- NPI registered
- August 2015 — 11 yrs on file
- Profile last updated
- November 19, 2019
- Year of graduation
- 2015 — 11 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- California #53464
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1427425172. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
63
Distinct HCPCS
4
Medicare allowed
$6,540
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 23 | 22 | $167 | |
49650 |
Repair of groin hernia using an endoscope | 17 | 17 | $59 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 12 | 12 | $54 | |
19301 |
Partial removal of breast | 11 | 11 | $95 |
In context: peer comparison
Among 21 peers in this city , average services per provider: 112. This provider delivers 0.6× the peer median.Open Payments
Industry payments received
All-time total
$140
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Davol Inc. | 1 | $139.59 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
13
Patients
13
Total drug cost
$41
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Oxycodone Hcl | Generic | 13 | 13 | $41 |