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DR. TIMOTHY STEWART SPAULDING MD
NPI 1306882022
Obstetrics & Gynecology in La Grange, KY

Active since June 21, 2006PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
1023 NEW MOODY LN, SUITE 103, LA GRANGE, KY 40031(502) 222-5558(502) 222-3040 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 3, 2020, Jan 17, 2017 (2 updates tracked since 2017).

About Dr. Timothy Stewart Spaulding Md NPPES

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

DR. TIMOTHY STEWART SPAULDING MD (NPI 1306882022) is an individual obstetrics & gynecology provider in La Grange, Kentucky, licensed in Kentucky (25275) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and is a graduate of University Of Louisville School Of Medicine (1990).

NPPES Registry Identity

NPI1306882022
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. TIMOTHY STEWART SPAULDINGCredential: MD
Location Address1023 NEW MOODY LN, SUITE 103La Grange, KY 40031-9177
Mailing Address2700 Stanley Gault Pkwy, Suite 129Louisville, KY 40223-5132 · (502) 253-4917 · Fax (502) 489-5751
Phone(502) 222-5558
Fax(502) 222-3040
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1990
Enumeration DateJune 21, 2006
Last NPPES UpdateDecember 3, 20202 updates tracked since enumeration
NPPES CertifiedDecember 3, 2020
✔ NPI 1306882022 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 · 25275
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 ListedSpecialistTaxonomy 174400000X · License 25275 (KY)
1023 NEW MOODY LN, La Grange, KY 40031
Open in Google Maps ↗

Other Identifiers 1

Medicaid64252752KY

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Timothy Stewart Spaulding 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 ID345220059
PECOS Enrollment IDI20100504000554
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 Reassignments

3

Medicare enrollment records show Timothy Spaulding reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baptist Medical Associates, Inc
11 mi
Surgery
2600 STANLEY GAULT PKWY, SUITE 201
Louisville, KY 40223
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Baptist Health Medical Group Inc
  • 1,441 clinicians in this Medicare group
NPI 1649536772 (502) 238-2801
Community Medical Associates, Inc.
13 mi
Multi-Specialty
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,896 clinicians in this Medicare group
NPI 1073089850 (502) 588-9490
T J Samson Community Hospital
100 mi
Family Medicine
1325 N RACE ST
Glasgow, KY 42141
  • Reassigned Medicare billing, Kentucky enrollment
  • 323 clinicians in this Medicare group
NPI 1093752040 (270) 651-4797

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

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
23 services23 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
23 services23 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
19 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Baptist Health Lagrange

Acute Care Hospitals · La Grange, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180138
Location1025 New Moody LaneLa Grange, KY 40031 · Oldham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40031 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.

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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 19

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

BLUEGRASS ORTHOPEDIC GROUP PSC
Specialist
1023 NEW MOODY LN, STE 102
LA GRANGE, KY 40031
Oldham County (502) 222-0598
SARAH THAYER M.D.
Internal Medicine
1023 NEW MOODY LN, SUITE 201
LA GRANGE, KY 40031
Oldham County (502) 225-5520
MR. DARRICK MATTHEW MCDANALD M.D.
Obstetrics & Gynecology
1023 NEW MOODY LN, SUITE 103
LA GRANGE, KY 40031
Oldham County (502) 222-5558
TANNIKA CHRISTENSEN M.D.
Family Medicine
1023 NEW MOODY LN, SUITE 201
LA GRANGE, KY 40031
Oldham County (502) 225-4480
PAIGE PRIMARY CARE CENTER
Pediatrics
1023 NEW MOODY LN, SUITE 201
LA GRANGE, KY 40031
Oldham County (502) 225-4480
CARDIAC CARE CENTER OF LOUISVILLE, PLLC
Internal Medicine (Cardiovascular Disease)
1023 NEW MOODY LN, SUITE 101
LAGRANGE, KY 40031
Oldham County (502) 222-4557
MR. JAMIE C. HUBBARD CSA
Specialist/Technologist, Other (Surgical Assistant)
1023 NEW MOODY LN, SUITE 102
LA GRANGE, KY 40031
Oldham County (502) 222-0598
MRS. KRISTI LEIGH TINGLE WHNP-C
Nurse Practitioner (Women's Health)
1023 NEW MOODY LN, STE 103
LA GRANGE, KY 40031
Oldham County (502) 222-5558

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 Timothy Spaulding's NPI number?

The NPI number for Timothy Spaulding is 1306882022. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Timothy Spaulding located?

Timothy Spaulding practices at 1023 New Moody Ln Suite 103, La Grange, KY 40031. The listed phone number is (502) 222-5558.

What is Timothy Spaulding's specialty?

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

Is Timothy Spaulding enrolled in Medicare?

Yes. Timothy Spaulding 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.

Which organizations bill Medicare for Timothy Spaulding's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Spaulding reassigns Medicare benefits to 3 organizations: Baptist Medical Associates, Inc (Louisville, KY), Community Medical Associates, Inc. (Louisville, KY) and T J Samson Community Hospital (Glasgow, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Timothy Spaulding's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Spaulding accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and CareSource list Timothy Spaulding 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 Timothy Spaulding affiliated with any hospitals?

According to CMS data, Timothy Spaulding is affiliated with Norton Hospitals, Inc, Baptist Health Louisville and Baptist Health Lagrange.

When was this NPI record last updated?

The NPPES record for Timothy Spaulding 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.