KELCIE ANN RODRIGUEZ PETERSON M.D.
NPI 1275976243
Obstetrics & Gynecology in Louisville, KY

Q: What is Kelcie Rodriguez Peterson's NPI number?

The NPI number for Kelcie Rodriguez Peterson is 1275976243. It was assigned to this individual provider in the NPPES registry on April 9, 2013. The provider is also known as Kelcie Ann Rodriguez.

Q: What is Kelcie Rodriguez Peterson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since April 09, 2013PECOS Enrolled

601 S FLOYD ST STE 300, LOUISVILLE, KY 40202(502) 629-1515(502) 629-1545 Get Directions Write a Review

NPPES record last updated: July 8, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 8, 2021, Jan 21, 2021, Dec 10, 2020 and 4 more (7 updates tracked since 2017).

On this page

About Kelcie Ann Rodriguez Peterson M.d. NPPES

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

KELCIE ANN RODRIGUEZ PETERSON M.D. (NPI 1275976243) is an individual obstetrics & gynecology provider in Louisville, Kentucky, licensed in Kentucky (50082) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1275976243

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameKELCIE ANN RODRIGUEZ PETERSONCredential: M.D.

Location Address601 S FLOYD ST STE 300Louisville, KY 40202-1837

Mailing Address8406 Oxford Woods CtLouisville, KY 40222-4667 · (406) 855-6979

Phone(502) 629-1515

Fax(502) 629-1545

Sole ProprietorNo

Enumeration DateApril 9, 2013

Last NPPES UpdateJuly 8, 20217 updates tracked since enumeration

NPPES CertifiedJuly 8, 2021

✔ NPI 1275976243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in KY · 50082

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

601 S FLOYD ST STE 300, Louisville, KY 40202

Open in Google Maps ↗

Other Names 1

Former Name (1)Kelcie Ann Rodriguez

Secondary Practice Location 1

Location 169 Jesse Hill Jr Dr SE, Emory Univ School of Medicine, Glenn Bldng, 412BAtlanta, GA 30303-3033 · Phone (404) 251-8812

Other Identifiers 4

Other230370KY · Siho

Other00000351117KY · Anthem

OtherK247810KY · Medicare

Medicaid300007105IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelcie Ann Rodriguez Peterson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Kelcie Rodriguez Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ihc Health Services Inc

504 mi

Clinic/Center

1300 N 500 E #130, LOGAN REGIONAL ORTHOPEDICS
Logan, UT 84341

Reassigned Medicare billing, Utah enrollment
3,691 clinicians in this Medicare group

NPI 1205963105 (435) 716-2800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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

$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.

Other Providers at the Same Location NPPES 5

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

SARAH BOYD RADTKE MD

Obstetrics & Gynecology