MIRIAM BROWN MARCUM MD
NPI 1326269374
Obstetrics & Gynecology in Lexington, KY

Active since May 01, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
125 E MAXWELL ST STE 140, LEXINGTON, KY 40508(859) 323-0005(859) 323-0790 Get Directions Write a Review

NPPES record last updated: August 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2020, Jun 10, 2019 (2 updates tracked since 2019).

About Miriam Brown Marcum Md NPPES

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

MIRIAM BROWN MARCUM MD (NPI 1326269374) is an individual obstetrics & gynecology provider in Lexington, Kentucky, licensed in Kentucky (41183) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and is a graduate of University Of Kentucky College Of Medicine (2003).

NPPES Registry Identity

NPI1326269374
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMIRIAM BROWN MARCUMCredential: MD
Location Address125 E MAXWELL ST STE 140Lexington, KY 40508-2678
Mailing Address800 Rose St # C367Lexington, KY 40536-3215 · (859) 323-6051 · Fax (859) 257-7899
Fax(859) 323-0790
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2003
Enumeration DateMay 1, 2007
Last NPPES UpdateAugust 7, 20202 updates tracked since enumeration
NPPES CertifiedAugust 7, 2020
NPI 1326269374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in KY · 41183
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 ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License 41183 (KY)
Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X · License 41183 (KY)
125 E MAXWELL ST STE 140, Lexington, KY 40508

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

Miriam Brown Marcum 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 ID6800988528
PECOS Enrollment IDI20070824000590
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.

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 40508 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 12

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

Obstetrics & Gynecology (Maternal & Fetal Medicine)
125 E MAXWELL ST STE 140
LEXINGTON, KY 40508
Obstetrics & Gynecology
125 E MAXWELL ST STE 140
LEXINGTON, KY 40508
Obstetrics & Gynecology
125 E MAXWELL ST STE 140
LEXINGTON, KY 40508
Obstetrics & Gynecology
125 E MAXWELL ST STE 140
LEXINGTON, KY 40508
Obstetrics & Gynecology (Maternal & Fetal Medicine)
125 E MAXWELL ST STE 140
LEXINGTON, KY 40508
Obstetrics & Gynecology (Maternal & Fetal Medicine)
125 E MAXWELL ST STE 140
LEXINGTON, KY 40508
Obstetrics & Gynecology
125 E MAXWELL ST STE 140
LEXINGTON, KY 40508
Obstetrics & Gynecology
125 E MAXWELL ST STE 140
LEXINGTON, KY 40508

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 Miriam Marcum's NPI number?

The NPI number for Miriam Marcum is 1326269374. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Where is Miriam Marcum located?

Miriam Marcum practices at 125 E Maxwell St Ste 140, Lexington, KY 40508. The listed phone number is (859) 323-0005.

What is Miriam Marcum's specialty?

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

Is Miriam Marcum enrolled in Medicare?

Yes. Miriam Marcum 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 Miriam Marcum accept?

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

According to CMS data, Miriam Marcum is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Miriam Marcum was last updated on August 7, 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.