MONICA JULIANA CHAMORRO MD
NPI 1528529385
Family Medicine in Glasgow, KY

Active since March 26, 2019PECOS EnrolledAccepts Medicare Assignment
87.62/100
CMS Quality Rating
1325 N RACE ST, GLASGOW, KY 42141(270) 651-4865 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 1, 2023, Jul 25, 2022 (2 updates tracked since 2022).

About Monica Juliana Chamorro Md NPPES

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

MONICA JULIANA CHAMORRO MD (NPI 1528529385) is an individual family medicine provider in Glasgow, Kentucky, licensed in Kentucky (56733) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with T J Samson Community Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1528529385
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMONICA JULIANA CHAMORROCredential: MD
Location Address1325 N RACE STGlasgow, KY 42141-3427
Mailing Address1325 N Race StGlasgow, KY 42141-3427
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMarch 26, 2019
Last NPPES UpdateMarch 1, 20232 updates tracked since enumeration
NPPES CertifiedMarch 1, 2023
NPI 1528529385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in KY · 56733
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.

1325 N RACE ST, Glasgow, KY 42141

Other Identifiers 1

Medicaid7100751060KY

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

Monica Juliana Chamorro 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 ID6406270321
PECOS Enrollment IDI20220812003165
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 nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
208 services67 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
154 services65 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.
107 services76 patients
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.
32 services19 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
23 services21 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
21 services20 patients

Hospital Affiliations CMS Care Compare

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

T J Samson Community Hospital

Acute Care Hospitals · Glasgow, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180017
Location1301 North Race StreetGlasgow, KY 42141 · Barren County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42141 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.

87.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40
Cost47.2

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.

Family Medicine
1325 N RACE ST
GLASGOW, KY 42141
Student in an Organized Health Care Education/Training Program
1325 N RACE ST
GLASGOW, KY 42141
Student in an Organized Health Care Education/Training Program
1325 N RACE ST
GLASGOW, KY 42141
Student in an Organized Health Care Education/Training Program
1325 N RACE ST
GLASGOW, KY 42141
Student in an Organized Health Care Education/Training Program
1325 N RACE ST
GLASGOW, KY 42141
Family Medicine
1325 N RACE ST
GLASGOW, KY 42141
Family Medicine
1325 N RACE ST
GLASGOW, KY 42141
Student in an Organized Health Care Education/Training Program
1325 N RACE ST
GLASGOW, KY 42141

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 Monica Chamorro's NPI number?

The NPI number for Monica Chamorro is 1528529385. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Where is Monica Chamorro located?

Monica Chamorro practices at 1325 N Race St, Glasgow, KY 42141. The listed phone number is (270) 651-4865.

What is Monica Chamorro's specialty?

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

Is Monica Chamorro enrolled in Medicare?

Yes. Monica Chamorro 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 Monica Chamorro accept?

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

According to CMS data, Monica Chamorro is affiliated with T J Samson Community Hospital.

When was this NPI record last updated?

The NPPES record for Monica Chamorro was last updated on March 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.