SUSAN HART SPENCE PA
NPI 1497537336
Physician Assistant in Lexington, KY

Active since October 16, 2023PECOS EnrolledAccepts Medicare Assignment
740 S LIMESTONE, STE D201, LEXINGTON, KY 40536(859) 323-0079 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 18, 2025, Feb 5, 2024, Oct 16, 2023 (3 updates tracked since 2023).

About Susan Hart Spence Pa NPPES

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

SUSAN HART SPENCE PA (NPI 1497537336) is an individual physician assistant in Lexington, Kentucky, licensed in Kentucky (PA3329) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1497537336
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSUSAN HART SPENCECredential: PA
Location Address740 S LIMESTONE, STE D201Lexington, KY 40536-0284
Mailing Address740 S Limestone, Ste D201Lexington, KY 40536-0284 · (859) 323-0079
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 16, 2023
Last NPPES UpdateDecember 18, 20253 updates tracked since enumeration
NPPES CertifiedDecember 18, 2025
NPI 1497537336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in KY · PA3329
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA3329 (KY)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA3329 (KY)
740 S LIMESTONE, 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

Susan Hart Spence Pa 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 ID7012352529
PECOS Enrollment IDI20240223002727
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.

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.
16 services16 patients

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
$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
$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.

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.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
740 S LIMESTONE
LEXINGTON, KY 40536
Psychiatry & Neurology (Neurology)
740 S LIMESTONE
LEXINGTON, KY 40536
Psychologist (Clinical)
740 S LIMESTONE
LEXINGTON, KY 40536
Internal Medicine (Infectious Disease)
740 S LIMESTONE
LEXINGTON, KY 40536
Specialist/Technologist (Athletic Trainer)
740 S LIMESTONE, SUITE K401, KY CLINIC
LEXINGTON, KY 40536
Genetic Counselor, MS
740 S LIMESTONE
LEXINGTON, KY 40536
Nurse Practitioner (Psychiatric/Mental Health)
740 S LIMESTONE
LEXINGTON, KY 40536
Nurse Practitioner (Primary Care)
740 S LIMESTONE
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 Susan Spence's NPI number?

The NPI number for Susan Spence is 1497537336. It was assigned to this individual provider in the NPPES registry on October 16, 2023.

Where is Susan Spence located?

Susan Spence practices at 740 S Limestone Ste D201, Lexington, KY 40536. The listed phone number is (859) 323-0079.

What is Susan Spence's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Susan Spence enrolled in Medicare?

Yes. Susan Spence 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 Susan Spence accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Susan Spence 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.

When was this NPI record last updated?

The NPPES record for Susan Spence was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.