VALERIE BREEDING
NPI 1427508738
Nurse Practitioner - Family in Richmond, KY

Active since October 11, 2016PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
890 RICHMOND PLZ, RICHMOND, KY 40475(859) 623-5155 Get Directions Write a Review

NPPES record last updated: October 31, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 31, 2016, Oct 11, 2016 (2 updates tracked since 2016).

About Valerie Breeding NPPES

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

VALERIE BREEDING (NPI 1427508738) is an individual family provider in Richmond, Kentucky, licensed in Kentucky (3010839) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Richmond, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1427508738
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameVALERIE BREEDING
Location Address890 RICHMOND PLZRichmond, KY 40475-2564
Mailing Address3403 Berkshire CirJohnson City, TN 37604-8922 · (423) 440-9287
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 11, 2016
Last NPPES UpdateOctober 31, 20162 updates tracked since enumeration
NPI 1427508738 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 · 3010839
890 RICHMOND PLZ, Richmond, KY 40475

Other Names 1

Former Name (1)Valerie Leigh Sipple

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

Valerie Breeding 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 ID7911286489
PECOS Enrollment IDI20161128002064
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 9

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.
154 services92 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
81 services57 patients
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.
78 services70 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
42 services42 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
33 services28 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
16 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Richmond

Acute Care Hospitals · Richmond, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180049
Location801 Eastern BypassRichmond, KY 40475 · Madison County
Emergency services Birthing friendly

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40475 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.

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 13

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

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
890 RICHMOND PLZ
RICHMOND, KY 40475
Nurse Practitioner (Family)
890 RICHMOND PLZ
RICHMOND, KY 40475
Pharmacist
890 RICHMOND PLZ
RICHMOND, KY 40475
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
890 RICHMOND PLZ
RICHMOND, KY 40475
Nurse Practitioner (Family)
890 RICHMOND PLZ
RICHMOND, KY 40475
Nurse Practitioner (Family)
890 RICHMOND PLZ
RICHMOND, KY 40475
Pharmacist
890 RICHMOND PLZ
RICHMOND, KY 40475
Nurse Practitioner (Family)
890 RICHMOND PLZ
RICHMOND, KY 40475

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 Valerie Breeding's NPI number?

The NPI number for Valerie Breeding is 1427508738. It was assigned to this individual provider in the NPPES registry on October 11, 2016. The provider is also known as Valerie Leigh Sipple.

Where is Valerie Breeding located?

Valerie Breeding practices at 890 Richmond Plz, Richmond, KY 40475. The listed phone number is (859) 623-5155.

What is Valerie Breeding's specialty?

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

Is Valerie Breeding enrolled in Medicare?

Yes. Valerie Breeding 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 Valerie Breeding accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Valerie Breeding 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 Valerie Breeding affiliated with any hospitals?

According to CMS data, Valerie Breeding is affiliated with Baptist Health Richmond and Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Valerie Breeding was last updated on October 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.