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KATHERINE ELIZABETH WIMBERLY MD
NPI 1205211547
Internal Medicine in Lexington, KY

Active since July 28, 2015PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
830 S LIMESTONE STE 304, LEXINGTON, KY 40536(859) 323-0303(859) 323-1200 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 7, 2019, Jun 27, 2016 (2 updates tracked since 2016).

About Katherine Elizabeth Wimberly Md NPPES

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

KATHERINE ELIZABETH WIMBERLY MD (NPI 1205211547) is an individual internal medicine provider in Lexington, Kentucky, licensed in Kentucky (52855) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and is a graduate of University Of Kentucky College Of Medicine (2015).

NPPES Registry Identity

NPI1205211547
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKATHERINE ELIZABETH WIMBERLYCredential: MD
Location Address830 S LIMESTONE STE 304Lexington, KY 40536-0293
Mailing Address830 S Limestone Ste 304Lexington, KY 40536-0001
Phone(859) 323-0303
Fax(859) 323-1200
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2015
Enumeration DateJuly 28, 2015
Last NPPES UpdateJuly 17, 20252 updates tracked since enumeration
NPPES CertifiedJuly 17, 2025
✔ NPI 1205211547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KY · 52855
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 52855 (KY)
Also ListedHospitalistTaxonomy 208M00000X · License 52855 (KY)
830 S LIMESTONE STE 304, Lexington, KY 40536
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Other Names 1

Other Name (5)Kate Wimberly M.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Katherine Elizabeth Wimberly Md 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 ID7113213620
PECOS Enrollment IDI20190725000695
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
70 services24 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
61 services23 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
21 services21 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
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.

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 8

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

DR. WHITNEY LEIGH LYNCH MD
Internal Medicine
830 S LIMESTONE STE 304
LEXINGTON, KY 40536
Fayette County (859) 323-0303
DR. KRISTA LEIGH PERRY DO
Internal Medicine
830 S LIMESTONE STE 304
LEXINGTON, KY 40536
Fayette County (859) 323-0303
SARA SHALASH LCSW
Social Worker (Clinical)
830 S LIMESTONE STE 304
LEXINGTON, KY 40536
Fayette County (859) 323-0303
SAVANNAH RAYE WALKER M.D.
Pediatrics
830 S LIMESTONE STE 304
LEXINGTON, KY 40536
Fayette County (859) 323-0303
MINUS RAY HELTON II MD
Internal Medicine
830 S LIMESTONE STE 304
LEXINGTON, KY 40536
Fayette County (859) 323-0303
BETHANY GILES LCSW
Social Worker (Clinical)
830 S LIMESTONE STE 304
LEXINGTON, KY 40536
Fayette County (859) 323-0303
ASHLEY NICOLE PETTIT LCSW
Social Worker (Clinical)
830 S LIMESTONE STE 304
LEXINGTON, KY 40536
Fayette County (859) 323-0303
GABRIELLE ELIZABETH KAHLER MD
Internal Medicine
830 S LIMESTONE STE 304
LEXINGTON, KY 40536
Fayette County (859) 323-0303

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 Katherine Wimberly's NPI number?

The NPI number for Katherine Wimberly is 1205211547. It was assigned to this individual provider in the NPPES registry on July 28, 2015. The provider is also known as Kate Wimberly M.D..

Where is Katherine Wimberly located?

Katherine Wimberly practices at 830 S Limestone Ste 304, Lexington, KY 40536. The listed phone number is (859) 323-0303.

What is Katherine Wimberly's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Katherine Wimberly enrolled in Medicare?

Yes. Katherine Wimberly 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 Katherine Wimberly accept?

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

According to CMS data, Katherine Wimberly is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Katherine Wimberly was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.