ALISON R CLAUNCH APRN
NPI 1003266990
Nurse Practitioner - Family in Columbia, KY

Active since June 21, 2016PECOS EnrolledAccepts Medicare Assignment
96.68/100
CMS Quality Rating
197 WILL WALKER RD, COLUMBIA, KY 42728(270) 384-9981(270) 384-9981 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2021, Oct 30, 2017, Jun 21, 2016 (3 updates tracked since 2016).

About Alison R Claunch Aprn NPPES

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

ALISON R CLAUNCH APRN (NPI 1003266990) is an individual family provider in Columbia, Kentucky, licensed in Kentucky (3010387) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Taylor Regional Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1003266990
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALISON R CLAUNCHCredential: APRN
Location Address197 WILL WALKER RDColumbia, KY 42728-7436
Mailing AddressPo Box 1080Burkesville, KY 42717-1080 · (270) 858-6655 · Fax (270) 858-4027
Fax(270) 384-9981
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 21, 2016
Last NPPES UpdateJune 17, 20213 updates tracked since enumeration
NPPES CertifiedJune 17, 2021
NPI 1003266990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in KY · 3010387
197 WILL WALKER RD, Columbia, KY 42728

Other Identifiers 2

Other3010387KY · State License
Medicaid7100423510KY

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

Alison R Claunch Aprn 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 ID2769776327
PECOS Enrollment IDI20160804002784
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 3

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.

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
60 services58 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
25 services23 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Taylor Regional Hospital

Acute Care Hospitals · Campbellsville, KY
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number180087
Location1700 Old Lebanon RoadCampbellsville, KY 42718 · Taylor County
Emergency services

Tj Health Columbia

Acute Care Hospitals · Columbia, KY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number180149
Location901 Westlake DriveColumbia, KY 42728 · Adair County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42728 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
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.

96.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.69
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers14 claims31 services$4.45 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
1 supplier11 claims22 services$3.23 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier29 claims29 services$5.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
197 WILL WALKER RD
COLUMBIA, KY 42728
Nurse Practitioner (Family)
197 WILL WALKER RD
COLUMBIA, KY 42728
Nurse Practitioner (Family)
197 WILL WALKER RD
COLUMBIA, KY 42728
Physician Assistant (Medical)
197 WILL WALKER RD
COLUMBIA, KY 42728
Nurse Practitioner (Family)
197 WILL WALKER RD
COLUMBIA, KY 42728

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 Alison Claunch's NPI number?

The NPI number for Alison Claunch is 1003266990. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Where is Alison Claunch located?

Alison Claunch practices at 197 Will Walker Rd, Columbia, KY 42728. The listed phone number is (270) 384-9981.

What is Alison Claunch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Alison Claunch enrolled in Medicare?

Yes. Alison Claunch 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 Alison Claunch accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Alison Claunch 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 Alison Claunch affiliated with any hospitals?

According to CMS data, Alison Claunch is affiliated with Taylor Regional Hospital and Tj Health Columbia.

When was this NPI record last updated?

The NPPES record for Alison Claunch was last updated on June 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.