MR. EDWARD ALLEN SIZEMORE ARNP, NP-C
NPI 1467788216
Nurse Practitioner - Family in Winchester, KY

Active since October 29, 2009PECOS EnrolledAccepts Medicare Assignment
475 SHOPPERS DR, WINCHESTER, KY 40391(859) 744-5111(859) 744-1177 Get Directions Write a Review

NPPES record last updated: July 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Edward Allen Sizemore Arnp, Np-c NPPES

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

MR. EDWARD ALLEN SIZEMORE ARNP, NP-C (NPI 1467788216) is an individual family provider in Winchester, Kentucky, licensed in Kentucky (3006181) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS, is affiliated with Clark Regional Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1467788216
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. EDWARD ALLEN SIZEMORECredential: ARNP, NP-C
Location Address475 SHOPPERS DRWinchester, KY 40391-1380
Mailing AddressPo Box 936London, KY 40743-0936 · Fax (606) 330-7825
Fax(859) 744-1177
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 29, 2009
Last NPPES UpdateJuly 11, 2019
NPI 1467788216 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 · 3006181
475 SHOPPERS DR, Winchester, KY 40391

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

Mr. Edward Allen Sizemore Arnp, 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 ID244372969
PECOS Enrollment IDI20100119000466
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.
65 services31 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.
42 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Clark Regional Medical Center

Acute Care Hospitals · Winchester, KY
3/5 CMS rating
OwnershipProprietary
CMS Certification Number180092
Location175 Hospital DriveWinchester, KY 40391 · Clark County
Emergency services Birthing friendly

Georgetown Community Hospital

Acute Care Hospitals · Georgetown, KY
OwnershipProprietary
CMS Certification Number180101
Location1140 Lexington RoadGeorgetown, KY 40324 · Scott County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40391 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$19.50 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$115.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Speech-Language Pathologist
475 SHOPPERS DR
WINCHESTER, KY 40391
Speech-Language Pathologist
475 SHOPPERS DR
WINCHESTER, KY 40391
Speech-Language Pathologist
475 SHOPPERS DR
WINCHESTER, KY 40391
Speech-Language Pathologist
475 SHOPPERS DR
WINCHESTER, KY 40391
Speech-Language Pathologist
475 SHOPPERS DR
WINCHESTER, KY 40391
Nurse Practitioner (Family)
475 SHOPPERS DR
WINCHESTER, KY 40391
Occupational Therapist
475 SHOPPERS DR
WINCHESTER, KY 40391
Nurse Practitioner (Pediatrics)
475 SHOPPERS DR
WINCHESTER, KY 40391

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 Edward Sizemore's NPI number?

The NPI number for Edward Sizemore is 1467788216. It was assigned to this individual provider in the NPPES registry on October 29, 2009.

Where is Edward Sizemore located?

Edward Sizemore practices at 475 Shoppers Dr, Winchester, KY 40391. The listed phone number is (859) 744-5111.

What is Edward Sizemore's specialty?

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

Is Edward Sizemore enrolled in Medicare?

Yes. Edward Sizemore 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 Edward Sizemore accept?

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

According to CMS data, Edward Sizemore is affiliated with Clark Regional Medical Center and Georgetown Community Hospital.

When was this NPI record last updated?

The NPPES record for Edward Sizemore was last updated on July 11, 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.