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MARLEE MAXWELL PONDER PA-C
NPI 1265031637
Physician Assistant in Lexington, KY

Active since October 18, 2020PECOS EnrolledAccepts Medicare Assignment
89.63/100
CMS Quality Rating
1099 DUVAL ST STE 100, LEXINGTON, KY 40515(859) 273-3888(859) 273-3256 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2024, Dec 29, 2021, Oct 18, 2020 (3 updates tracked since 2020).

About Marlee Maxwell Ponder Pa-c NPPES

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

MARLEE MAXWELL PONDER PA-C (NPI 1265031637) is an individual physician assistant in Lexington, Kentucky, licensed in Kentucky (TC156) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1265031637
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARLEE MAXWELL PONDERCredential: PA-C
Location Address1099 DUVAL ST STE 100Lexington, KY 40515-6490
Mailing Address1099 Duval St Ste 100Lexington, KY 40515-6490 · (859) 273-3888 · Fax (859) 273-3256
Phone(859) 273-3888
Fax(859) 273-3256
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 18, 2020
Last NPPES UpdateJuly 10, 20243 updates tracked since enumeration
NPPES CertifiedMay 2, 2024
✔ NPI 1265031637 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 · TC156
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.
1099 DUVAL ST STE 100, Lexington, KY 40515
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Other Identifiers 1

Medicaid7100982460KY

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

Marlee Maxwell Ponder 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 ID8820401995
PECOS Enrollment IDI20240916001538
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 3

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.
38 services31 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.
37 services36 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
21 services20 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40515 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.

89.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.66
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

DR. CAITLIN PANTER GRIFFIN D.O.
Family Medicine
1099 DUVAL ST STE 100
LEXINGTON, KY 40515
Fayette County (859) 273-3888
MR. TRUMELL STEVON IKARD APRN, FNP-C
Nurse Practitioner (Family)
1099 DUVAL ST STE 100
LEXINGTON, KY 40515
Fayette County (859) 273-3888

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 Marlee Ponder's NPI number?

The NPI number for Marlee Ponder is 1265031637. It was assigned to this individual provider in the NPPES registry on October 18, 2020.

Where is Marlee Ponder located?

Marlee Ponder practices at 1099 Duval St Ste 100, Lexington, KY 40515. The listed phone number is (859) 273-3888.

What is Marlee Ponder's specialty?

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

Is Marlee Ponder enrolled in Medicare?

Yes. Marlee Ponder 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 Marlee Ponder accept?

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

According to CMS data, Marlee Ponder is affiliated with Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Marlee Ponder was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.