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MELINDA D. RATH NP-C
NPI 1407314461
Nurse Practitioner - Family in Cynthiana, KY

Active since March 08, 2019PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2807 KY HIGHWAY 36 W, CYNTHIANA, KY 41031(859) 421-7917 Get Directions Write a Review

NPPES record last updated: March 8, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Melinda D. Rath Np-c NPPES

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

MELINDA D. RATH NP-C (NPI 1407314461) is an individual family provider in Cynthiana, Kentucky, licensed in Kentucky (3013021) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1407314461
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELINDA D. RATHCredential: NP-C
Location Address2807 KY HIGHWAY 36 WCynthiana, KY 41031-7341
Mailing Address2807 Ky Highway 36 WCynthiana, KY 41031-7341 · (859) 421-7917
Phone(859) 421-7917
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 8, 2019
✔ NPI 1407314461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3013021
2807 KY HIGHWAY 36 W, Cynthiana, KY 41031
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Other Names 1

Former Name (1)Melinda Diane Sidles

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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

Melinda D. Rath Np-c 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 ID5092147165
PECOS Enrollment IDI20191111001465
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 4

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
73 services71 patients
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.
51 services50 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.
13 services11 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.
11 services11 patients

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 41031 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
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.

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

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 Melinda Rath's NPI number?

The NPI number for Melinda Rath is 1407314461. It was assigned to this individual provider in the NPPES registry on March 8, 2019. The provider is also known as Melinda Diane Sidles.

Where is Melinda Rath located?

Melinda Rath practices at 2807 Ky Highway 36 W, Cynthiana, KY 41031. The listed phone number is (859) 421-7917.

What is Melinda Rath's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Melinda Rath enrolled in Medicare?

Yes. Melinda Rath 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 Melinda Rath accept?

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

According to CMS data, Melinda Rath is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Melinda Rath was last updated on March 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.