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KELLY BUTLER-VISE PA-C
NPI 1164752903
Physician Assistant in Carlisle, KY

Active since December 29, 2009PECOS EnrolledAccepts Medicare Assignment
79.84/100
CMS Quality Rating
107 S BROADWAY ST, CARLISLE, KY 40311(859) 289-4124(859) 289-4126 Get Directions Write a Review

NPPES record last updated: February 13, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Butler-vise Pa-c NPPES

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

KELLY BUTLER-VISE PA-C (NPI 1164752903) is an individual physician assistant in Carlisle, Kentucky, licensed in Kentucky (PA1334) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS, is affiliated with St Claire Regional Medical Center, and is a graduate of University Of Kentucky College Of Medicine (2009).

NPPES Registry Identity

NPI1164752903
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY BUTLER-VISECredential: PA-C
Location Address107 S BROADWAY STCarlisle, KY 40311-1150
Mailing Address107 S Broadway StCarlisle, KY 40311-1150 · (859) 289-4124 · Fax (859) 289-4126
Phone(859) 289-4124
Fax(859) 289-4126
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2009
Enumeration DateDecember 29, 2009
Last NPPES UpdateFebruary 13, 2013
✔ NPI 1164752903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in KY · PA1334
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.
107 S BROADWAY ST, Carlisle, KY 40311
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Other Identifiers 1

Medicaid7100123820KY

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

Kelly Butler-vise 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 ID9537294897
PECOS Enrollment IDI20100312000168
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.

Hospital Affiliations CMS Care Compare 2

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

St Claire Regional Medical Center

Acute Care Hospitals · Morehead, KY
3/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number180018
Location222 Medical CircleMorehead, KY 40351 · Rowan County
Emergency services Birthing friendly

Saint Joseph Mount Sterling

Acute Care Hospitals · Mount Sterling, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number180064
Location225 Falcon DriveMount Sterling, KY 40353 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40311 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.

79.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.43
Promoting Interoperability84
Improvement Activities40
Cost71.06

Referred Medical Equipment & Supplies CMS DME claims 8

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
7 suppliers47 claims91 services$5.68 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers26 claims26 services$0.99 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier19 claims19 services$20.12 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier25 claims25 services$8.62 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier19 claims19 services$117.93 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
4 suppliers22 claims3,281 services$0.03 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 4

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

JANET TAMAREN M.D.
Family Medicine
107 S BROADWAY ST
CARLISLE, KY 40311
Nicholas County (859) 289-4124
JENNIFER BOND APRN
Nurse Practitioner (Family)
107 S BROADWAY ST
CARLISLE, KY 40311
Nicholas County (859) 289-4124
BOURBON PHYSICIAN PRACTICE LLC
Clinic/Center (Rural Health)
107 S BROADWAY ST
CARLISLE, KY 40311
Nicholas County (859) 289-4124
CARLISLE CLINIC, PSC
Clinic/Center (Rural Health)
107 S BROADWAY ST
CARLISLE, KY 40311
Nicholas County (859) 289-4124

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 Kelly Butler-vise's NPI number?

The NPI number for Kelly Butler-vise is 1164752903. It was assigned to this individual provider in the NPPES registry on December 29, 2009.

Where is Kelly Butler-vise located?

Kelly Butler-vise practices at 107 S Broadway St, Carlisle, KY 40311. The listed phone number is (859) 289-4124.

What is Kelly Butler-vise's specialty?

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

Is Kelly Butler-vise enrolled in Medicare?

Yes. Kelly Butler-vise 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.

Is Kelly Butler-vise affiliated with any hospitals?

According to CMS data, Kelly Butler-vise is affiliated with St Claire Regional Medical Center and Saint Joseph Mount Sterling.

When was this NPI record last updated?

The NPPES record for Kelly Butler-vise was last updated on February 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.