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

Q: 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.

Q: What is Mary Youngblood's specialty?

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

Q: 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.

Active since August 09, 2007PECOS EnrolledAccepts Medicare Assignment

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: August 09, 2026.

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

On this page

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, is affiliated with Essentia Health St Joseph's Medical Center, 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

Medical School CMSOtherGraduated 1987

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 Cox HealthPlans, HealthPartners, Medica 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

Dr. Mary Katherine Youngblood M.d. 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 ID5193718773

PECOS Enrollment IDI20250730001854

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.

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

Hospital Affiliations CMS Care Compare

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

Essentia Health St Joseph's Medical Center

Acute Care Hospitals · Brainerd, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240075

Location523 North 3rd StreetBrainerd, MN 56401 · Crow Wing County

Emergency services Birthing friendly

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

Quality

19.61

Promoting Interoperability

100

Improvement Activities

Cost

70.07

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Youngblood accept?

Health plans from Cox HealthPlans, HealthPartners, Medica and 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.

Is Mary Youngblood affiliated with any hospitals?

According to CMS data, Mary Youngblood is affiliated with Essentia Health St Joseph's Medical Center.

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.