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MARY KATHERINE ALEXANDRA SPIKER PA-C
NPI 1124531793
Physician Assistant in Louisville, KY

Active since November 06, 2017PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4950 NORTON HEALTHCARE BLVD STE 205, LOUISVILLE, KY 40241(502) 394-6390(502) 394-6388 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 27, 2020, Mar 11, 2020, Oct 5, 2018 and 2 more (5 updates tracked since 2017).

About Mary Katherine Alexandra Spiker Pa-c NPPES

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

MARY KATHERINE ALEXANDRA SPIKER PA-C (NPI 1124531793) is an individual physician assistant in Louisville, Kentucky, licensed in Kentucky (PA2308) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS, is affiliated with Jewish Hospital & St Mary's Healthcare, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1124531793
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY KATHERINE ALEXANDRA SPIKERCredential: PA-C
Location Address4950 NORTON HEALTHCARE BLVD STE 205Louisville, KY 40241-2847
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116
Phone(502) 394-6390
Fax(502) 394-6388
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 6, 2017
Last NPPES UpdateOctober 27, 20205 updates tracked since enumeration
NPPES CertifiedOctober 27, 2020
✔ NPI 1124531793 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 KY · PA2308
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 ListedOtolaryngologyTaxonomy 207Y00000X · License PA2308 (KY)
4950 NORTON HEALTHCARE BLVD STE 205, Louisville, KY 40241
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Mary Katherine Alexandra Spiker 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 ID5799041232
PECOS Enrollment IDI20171115003662
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 4

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.

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.
47 services47 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.
45 services44 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.
31 services31 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40241 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
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

ABIGAIL JUSTINE RAO M.D.
Neurological Surgery
4950 NORTON HEALTHCARE BLVD STE 205
LOUISVILLE, KY 40241
Jefferson County (502) 394-6390
DR. SARAH ELIZABETH HOLLOWAY
Nurse Practitioner (Acute Care)
4950 NORTON HEALTHCARE BLVD STE 205
LOUISVILLE, KY 40241
Jefferson County (502) 394-6390
DR. LORETTA LYNN JOPHLIN MD, PHD
Internal Medicine (Gastroenterology)
4950 NORTON HEALTHCARE BLVD STE 205
LOUISVILLE, KY 40241
Jefferson County (502) 896-4711

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 Mary Katherine Spiker's NPI number?

The NPI number for Mary Katherine Spiker is 1124531793. It was assigned to this individual provider in the NPPES registry on November 6, 2017.

Where is Mary Katherine Spiker located?

Mary Katherine Spiker practices at 4950 Norton Healthcare Blvd Ste 205, Louisville, KY 40241. The listed phone number is (502) 394-6390.

What is Mary Katherine Spiker's specialty?

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

Is Mary Katherine Spiker enrolled in Medicare?

Yes. Mary Katherine Spiker 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 Mary Katherine Spiker accept?

Health plans from CareSource list Mary Katherine Spiker 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 Mary Katherine Spiker affiliated with any hospitals?

According to CMS data, Mary Katherine Spiker is affiliated with Jewish Hospital & St Mary's Healthcare and Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Mary Katherine Spiker was last updated on October 27, 2020. 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.