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DR. MARY KATHERINE YOUNGBLOOD M.D.
NPI 1376734731
Internal Medicine - Rheumatology in Lexington, KY

Active since August 09, 2007PECOS Enrolled
59.4/100
CMS Quality Rating
740 S LIMESTONE, LEXINGTON, KY 40536(859) 323-6700(859) 257-1331 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 5, 2024, Jan 20, 2023, Nov 17, 2022 and 1 more (4 updates tracked since 2021).

About Dr. Mary Katherine Youngblood M.d. NPPES

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

DR. MARY KATHERINE YOUNGBLOOD M.D. (NPI 1376734731) is an individual rheumatology provider in Lexington, Kentucky, licensed in Kentucky (TP312) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1376734731
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDR. MARY KATHERINE YOUNGBLOODCredential: M.D.
Location Address740 S LIMESTONELexington, KY 40536-3120
Mailing Address1301 2nd Ave SwLargo, FL 33770-3120 · (727) 584-7706 · Fax (727) 582-9323
Phone(859) 323-6700
Fax(859) 257-1331
Sole ProprietorNo
Enumeration DateAugust 9, 2007
Last NPPES UpdateAugust 5, 20244 updates tracked since enumeration
NPPES CertifiedAugust 5, 2024
✔ NPI 1376734731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses✔ Licensed in KY · TP312✔ Licensed in FL · ME63721✔ Licensed in WI · 66432
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
740 S LIMESTONE, Lexington, KY 40536
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11301 2nd Ave SWLargo, FL 33770-3120 · Phone (727) 584-7706 · Fax (727) 582-9323
Location 23111 Gundersen DrOnalaska, WI 54650-8447 · Phone (608) 782-7300

Other Identifiers 4

Other1000649FL · Careplus
Other4355089FL · Aetna
Medicaid373864700FL
Other23324FL · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary Katherine Youngblood 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 Reassignments

4

Medicare enrollment records show Mary Youngblood reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Kentucky
Same address
Dentist
740 S LIMESTONE ST
Lexington, KY 40536
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,761 clinicians in this Medicare group
NPI 1730225129 (859) 257-3462
Gundersen Lutheran Medical Center Inc
385 mi
Clinic/Center
6150 W LAYTON AVE
Milwaukee, WI 53220
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,457 clinicians in this Medicare group
NPI 1871222117 (608) 782-7300
Mchs Hospitals, Inc.
514 mi
Mental Health (Including Community Mental Health Center)
2450 VINEYARD DR
Plover, WI 54467
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,476 clinicians in this Medicare group
NPI 1386249894 (715) 342-0290
Marshfield Clinic Inc
543 mi
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
NPI 1952347981 (715) 387-5511

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.

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.
40 services37 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.
16 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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.

59.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality19.61
Promoting Interoperability100
Improvement Activities20
Cost70.07

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.

DR. ELIZABETH BROWN AUTRY PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
740 S LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 218-2509
KHALID HAIKAL DO
Psychiatry & Neurology (Neurology)
740 S LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 323-5661
MARK A ETSCHEIDT PHD
Psychologist (Clinical)
740 S LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 323-5956
MICHAEL HAN YOUNG MD
Internal Medicine (Infectious Disease)
740 S LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 323-5544
MR. DAVID ANTHONY BRAJUHA ATC
Specialist/Technologist (Athletic Trainer)
740 S LIMESTONE, SUITE K401, KY CLINIC
LEXINGTON, KY 40536
Fayette County (859) 323-5533
MS. MARGARET GRACE AU MBE, MS, CGC
Genetic Counselor, MS
740 S LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 218-1795
ALEXANDRIA DULAY
Nurse Practitioner (Psychiatric/Mental Health)
740 S LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 257-8992
KITTYE R ROBERTS ARNP
Nurse Practitioner (Primary Care)
740 S LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 323-5981

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 Mary Youngblood's NPI number?

The NPI number for Mary Youngblood is 1376734731. It was assigned to this individual provider in the NPPES registry on August 9, 2007.

Where is Mary Youngblood located?

Mary Youngblood practices at 740 S Limestone, Lexington, KY 40536. The listed phone number is (859) 323-6700.

What is Mary Youngblood's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Mary Youngblood enrolled in Medicare?

Yes. Mary Youngblood is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mary Youngblood's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Youngblood reassigns Medicare benefits to 4 organizations: University Of Kentucky (Lexington, KY), Gundersen Lutheran Medical Center Inc (Milwaukee, WI), Mchs Hospitals, Inc. (Plover, WI) and Marshfield Clinic Inc (Marshfield, WI). 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 Mary Youngblood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Youngblood accept?

Health plans from Providence Health Plan list Mary Youngblood 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.

When was this NPI record last updated?

The NPPES record for Mary Youngblood was last updated on August 5, 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.