DR. ROSEMARY CAMERON SOUSA MD
NPI 1497160261
Obstetrics & Gynecology in Lexington, KY

Active since June 30, 2014PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
800 ROSE ST, HQ101, LEXINGTON, KY 40536(859) 323-5871 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Rosemary Cameron Sousa Md NPPES

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

DR. ROSEMARY CAMERON SOUSA MD (NPI 1497160261) is an individual obstetrics & gynecology provider in Lexington, Kentucky, licensed in Kentucky (51589) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and is a graduate of University Of Cincinnati College Of Medicine (2014).

NPPES Registry Identity

NPI1497160261
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. ROSEMARY CAMERON SOUSACredential: MD
Location Address800 ROSE ST, HQ101Lexington, KY 40536
Mailing Address800 Rose St, Hq101Lexington, KY 40536-0001 · (859) 323-5871
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2014
Enumeration DateJune 30, 2014
Last NPPES UpdateJanuary 31, 2025
NPPES CertifiedJanuary 31, 2025
NPI 1497160261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in KY · 51589 Licensed in KY · R3630 Licensed in KY · TP606
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
800 ROSE ST, Lexington, KY 40536

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

Dr. Rosemary Cameron Sousa Md 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 ID8820344401
PECOS Enrollment IDI20180712000988
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

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Baptist Health Lagrange

Acute Care Hospitals · La Grange, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180138
Location1025 New Moody LaneLa Grange, KY 40031 · Oldham 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
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
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

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.

Radiology (Diagnostic Radiology)
800 ROSE ST, HX-302 UKMC
LEXINGTON, KY 40536
Pathology (Anatomic Pathology & Clinical Pathology)
800 ROSE ST, MS117
LEXINGTON, KY 40536
Anesthesiology
800 ROSE ST
LEXINGTON, KY 40536
Nurse Practitioner (Family)
800 ROSE ST
LEXINGTON, KY 40536
Pathology (Anatomic Pathology)
800 ROSE ST
LEXINGTON, KY 40536
Nurse Practitioner (Acute Care)
800 ROSE ST, MN604
LEXINGTON, KY 40536
Hospitalist
800 ROSE ST
LEXINGTON, KY 40536
Nurse Practitioner (Family)
800 ROSE ST, CC417
LEXINGTON, KY 40536

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 Rosemary Sousa's NPI number?

The NPI number for Rosemary Sousa is 1497160261. It was assigned to this individual provider in the NPPES registry on June 30, 2014.

Where is Rosemary Sousa located?

Rosemary Sousa practices at 800 Rose St Hq101, Lexington, KY 40536. The listed phone number is (859) 323-5871.

What is Rosemary Sousa's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Rosemary Sousa enrolled in Medicare?

Yes. Rosemary Sousa 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 Rosemary Sousa accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Rosemary Sousa 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 Rosemary Sousa affiliated with any hospitals?

According to CMS data, Rosemary Sousa is affiliated with Norton Hospitals, Inc and Baptist Health Lagrange.

When was this NPI record last updated?

The NPPES record for Rosemary Sousa was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.