BARBARA J LEMMONS ARNP
NPI 1154370856
Nurse Practitioner - Adult Health in Louisville, KY

Active since May 09, 2006PECOS EnrolledAccepts Medicare Assignment
87.53/100
CMS Quality Rating
120 EXECUTIVE PARK, LOUISVILLE, KY 40207(502) 855-7200 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 9, 2022, Jan 12, 2021, Jan 30, 2019 and 3 more (6 updates tracked since 2016).

About Barbara J Lemmons Arnp NPPES

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

BARBARA J LEMMONS ARNP (NPI 1154370856) is an individual adult health provider in Louisville, Kentucky, licensed in Kentucky (3004548) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1154370856
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameBARBARA J LEMMONSCredential: ARNP
Location Address120 EXECUTIVE PARKLouisville, KY 40207-4201
Mailing AddressPo Box 21890Belfast, ME 04915-4115 · (502) 907-0356 · Fax (502) 919-9780
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 9, 2006
Last NPPES UpdateJune 9, 20226 updates tracked since enumeration
NPPES CertifiedJune 9, 2022
NPI 1154370856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses Licensed in KY · 3004548 Licensed in IN · 710040710A
120 EXECUTIVE PARK, Louisville, KY 40207

Other Identifiers 9

Other1233814KY · Wellcare Of Ky Provider Id Number
OtherCS1809600114Caresource Id
Other9168085Cigna Provider Id Number
Other000001004596Anthem Id
Medicaid300006948IN
Other7452751Aetna Pin
Other002626273United Healthcare Provider Id Number
Medicaid78016219KY
OtherPDZ000000060717Aetna Better Health Of Ky Provider Id Number

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

Barbara J Lemmons Arnp 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 ID6204873458
PECOS Enrollment IDI20050411000179, I20171108000198
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 7

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.
490 services174 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.
393 services205 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
390 services176 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0481
A definitive drug test is a detailed analysis used to identify specific drugs in your system. It uses advanced techniques, such as gc/ms and lc/ms, to detect and distinguish between different drugs, even those with similar structures.
314 services139 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0480
A definitive drug test is a detailed examination that can identify specific drugs in your system, even closely related ones. Techniques like GC/MS and LC/MS are used for high precision. This helps ensure accurate results for your safety and health.
46 services31 patients
Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional 99484
Care management for behavioral health involves a healthcare professional directing clinical staff to provide you with support for 20 minutes or more. This service can include planning your care, coordinating services, and managing your health conditions to improve your overall well-being.
31 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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.

87.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.58
Promoting Interoperability100
Improvement Activities40
Cost68.08

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
86%2,771 patients2/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%125 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
12%1,519 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
40%1,519 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
7%1,519 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
29%1,519 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 17

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

Anesthesiology
120 EXECUTIVE PARK
LOUISVILLE, KY 40207
Anesthesiology (Pain Medicine)
120 EXECUTIVE PARK
LOUISVILLE, KY 40207
Physician Assistant
120 EXECUTIVE PARK
LOUISVILLE, KY 40207
Nurse Practitioner (Adult Health)
120 EXECUTIVE PARK
LOUISVILLE, KY 40207
Pain Medicine (Interventional Pain Medicine)
120 EXECUTIVE PARK
LOUISVILLE, KY 40207
Physician Assistant
120 EXECUTIVE PARK
LOUISVILLE, KY 40207
Nurse Practitioner (Family)
120 EXECUTIVE PARK
LOUISVILLE, KY 40207
Physician Assistant
120 EXECUTIVE PARK
LOUISVILLE, KY 40207

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 Barbara Lemmons's NPI number?

The NPI number for Barbara Lemmons is 1154370856. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Where is Barbara Lemmons located?

Barbara Lemmons practices at 120 Executive Park, Louisville, KY 40207. The listed phone number is (502) 855-7200.

What is Barbara Lemmons's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Barbara Lemmons enrolled in Medicare?

Yes. Barbara Lemmons 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 Barbara Lemmons accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Barbara Lemmons 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 Barbara Lemmons was last updated on June 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.