KRISTEN R STAKELIN M.D.
NPI 1235138348
Internal Medicine in Georgetown, KY

Active since July 20, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1138 LEXINGTON RD, STE 290, GEORGETOWN, KY 40324(502) 863-0721(502) 863-6104 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristen R Stakelin M.d. NPPES

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

KRISTEN R STAKELIN M.D. (NPI 1235138348) is an individual internal medicine provider in Georgetown, Kentucky, licensed in Kentucky (34091) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and is a graduate of University Of Louisville School Of Medicine (1997).

NPPES Registry Identity

NPI1235138348
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKRISTEN R STAKELINCredential: M.D.
Location Address1138 LEXINGTON RD, STE 290Georgetown, KY 40324-9672
Mailing Address1138 Lexington Rd, Ste 290Georgetown, KY 40324-9672 · (502) 863-0721 · Fax (502) 863-6104
Fax(502) 863-6104
Sole ProprietorYes
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1997
Enumeration DateJuly 20, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1235138348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in KY · 34091
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.
1138 LEXINGTON RD, Georgetown, KY 40324

Other Identifiers 3

Medicare UPINH19625KY
Medicaid64017395KY
Medicare ID-Type Unspecified1841501KY

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

Kristen R Stakelin M.d. 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 ID4486753365
PECOS Enrollment IDI20070618000225
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 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.
126 services69 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
65 services34 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services13 patients
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.
12 services12 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 40324 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

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
3 suppliers20 claims253 services$17.93 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
3 suppliers20 claims660 services$2.38 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
19 suppliers92 claims234 services$6.00 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers25 claims32 services$1.02 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
2 suppliers26 claims26 services$295.81 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
12 suppliers279 claims280 services$182.49 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 20

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

Physician Assistant
1138 LEXINGTON RD
GEORGETOWN, KY 40324
Internal Medicine
1138 LEXINGTON RD, SUITE 290
GEORGETOWN, KY 40324
Family Medicine
1138 LEXINGTON RD, STE 130
GEORGETOWN, KY 40324
Internal Medicine
1138 LEXINGTON RD, SUITE 290
GEORGETOWN, KY 40324
Podiatrist (Foot & Ankle Surgery)
1138 LEXINGTON RD, SUITE 210
GEORGETOWN, KY 40324
Internal Medicine (Gastroenterology)
1138 LEXINGTON RD, SUITE 140
GEORGETOWN, KY 40324
Internal Medicine
1138 LEXINGTON RD, SUITE 290
GEORGETOWN, KY 40324
Internal Medicine
1138 LEXINGTON RD, SUITE 290
GEORGETOWN, KY 40324

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 Kristen Stakelin's NPI number?

The NPI number for Kristen Stakelin is 1235138348. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Where is Kristen Stakelin located?

Kristen Stakelin practices at 1138 Lexington Rd Ste 290, Georgetown, KY 40324. The listed phone number is (502) 863-0721.

What is Kristen Stakelin's specialty?

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

Is Kristen Stakelin enrolled in Medicare?

Yes. Kristen Stakelin 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 Kristen Stakelin accept?

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

According to CMS data, Kristen Stakelin is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Kristen Stakelin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.