WILLIAM VANMETER SUDDUTH IV PA-C
NPI 1225043730
Physician Assistant in Lexington, KY
About William Vanmeter Sudduth Iv Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLIAM VANMETER SUDDUTH IV PA-C (NPI 1225043730) is an individual physician assistant in Lexington, Kentucky, licensed in Kentucky (PA684) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Corbin, and maintains a secondary practice location in Lexington.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
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
William Vanmeter Sudduth Iv 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.
Areas of Expertise CMS Part B claims 12
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baptist Health Corbin
Acute Care Hospitals · Corbin, KYBaptist Health Lexington
Acute Care Hospitals · Lexington, KYPhysician 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.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LEXINGTON, KY 40536
LEXINGTON, KY 40536
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 William Sudduth's NPI number?
The NPI number for William Sudduth is 1225043730. It was assigned to this individual provider in the NPPES registry on July 31, 2006.
Where is William Sudduth located?
William Sudduth practices at 800 Rose St, Lexington, KY 40536. The listed phone number is (859) 323-0295.
What is William Sudduth's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is William Sudduth enrolled in Medicare?
Yes. William Sudduth 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 William Sudduth accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list William Sudduth 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 William Sudduth affiliated with any hospitals?
According to CMS data, William Sudduth is affiliated with Baptist Health Corbin and Baptist Health Lexington.
When was this NPI record last updated?
The NPPES record for William Sudduth was last updated on December 3, 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.
# William Vanmeter Sudduth IV, PA-C · NPI 1225043730
Physician Assistant physician in Lexington, Kentucky. Individual provider, active in the CMS NPPES registry since July 31, 2006.
## Identity
- **NPI:** 1225043730 (Entity type: Individual)
- **Enumerated:** July 31, 2006
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA684 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 800 ROSE ST, Lexington, KY 40536-7001
- **Phone:** (859) 323-0295
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** December 3, 2020
- **Other identifiers:** Medicaid 950025800 (KY); Other 970023737 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1225043730) · Data from the CMS NPPES public registry.