DR. JESSICA SETSER M.D.
NPI 1457733305
Family Medicine in Lexington, KY

Q: What is Jessica Setser's NPI number?

The NPI number for Jessica Setser is 1457733305. It was assigned to this individual provider in the NPPES registry on June 26, 2015.

Q: What is Jessica Setser's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Setser was last updated on June 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 June 26, 2015PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

2195 HARRODSBURG RD, STE 125, LEXINGTON, KY 40504(859) 257-4732(859) 323-6661 Get Directions Write a Review

NPPES record last updated: June 20, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 20, 2018, Sep 2, 2016 (2 updates tracked since 2016).

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About Dr. Jessica Setser M.d. NPPES

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

DR. JESSICA SETSER M.D. (NPI 1457733305) is an individual family medicine provider in Lexington, Kentucky, licensed in Kentucky (51173) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and is a graduate of East Tennessee State University Quillen College Of Medicine (2014).

NPPES Registry Identity

NPI1457733305

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JESSICA SETSERCredential: M.D.

Location Address2195 HARRODSBURG RD, STE 125Lexington, KY 40504

Mailing Address2195 Harrodsburg Rd, Ste 125Lexington, KY 40504-3504 · (859) 257-4732 · Fax (859) 323-6661

Phone(859) 257-4732

Fax(859) 323-6661

Sole ProprietorNo

Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2014

Enumeration DateJune 26, 2015

Last NPPES UpdateJune 20, 20182 updates tracked since enumeration

✔ NPI 1457733305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in KY · 51173

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2195 HARRODSBURG RD, Lexington, KY 40504

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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

Dr. Jessica Setser 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 ID345538203

PECOS Enrollment IDI20180710002951

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 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

134 services39 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

130 services25 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.

106 services77 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.

52 services48 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.

44 services44 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

25 services23 patients

Hospital Affiliations CMS Care Compare 2

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

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 40504 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 Interoperability

100

Improvement Activities

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.

TAMMY CHESHER THOMAS APRN

Nurse Practitioner (Family)

2195 HARRODSBURG RD
LEXINGTON, KY 40504

Fayette County (859) 257-1000

ISAAC MATTHEW CAMPBELL

Physical Therapist (Orthopedic)

2195 HARRODSBURG RD
LEXINGTON, KY 40504

Fayette County (785) 713-0148

HUNTER HARDIN MS, RD, LD

Dietitian, Registered

2195 HARRODSBURG RD
LEXINGTON, KY 40504

Fayette County (859) 323-7391

MRS. LEE ANN BREWER APRN

Nurse Practitioner (Family)

2195 HARRODSBURG RD, SUITE 125
LEXINGTON, KY 40504

Fayette County (859) 323-6371

UNIVERSITY OF KENTUCKY

Pharmacy

2195 HARRODSBURG RD, ROOM T1636
LEXINGTON, KY 40504

Fayette County (859) 257-5899

JEREMIAH NOE PA

Physician Assistant

2195 HARRODSBURG RD
LEXINGTON, KY 40504

Fayette County (859) 257-9255

ROBERTO CARDARELLI DO

Family Medicine

2195 HARRODSBURG RD, SUITE 125
LEXINGTON, KY 40504

Fayette County (859) 257-8562

MILTON KYLE SMOOT M.D.

Family Medicine (Sports Medicine)

2195 HARRODSBURG RD, SUITE 125
LEXINGTON, KY 40504

Fayette County (859) 218-3131

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 Jessica Setser's NPI number?

The NPI number for Jessica Setser is 1457733305. It was assigned to this individual provider in the NPPES registry on June 26, 2015.

Where is Jessica Setser located?

Jessica Setser practices at 2195 Harrodsburg Rd Ste 125, Lexington, KY 40504. The listed phone number is (859) 257-4732.

What is Jessica Setser's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jessica Setser enrolled in Medicare?

Yes. Jessica Setser 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 Jessica Setser accept?

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

According to CMS data, Jessica Setser is affiliated with University Of Kentucky Hospital and Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Jessica Setser was last updated on June 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.