1. Home
  2. Directory
  3. Kentucky
  4. Corbin
  5. Surgery
  6. NPI Profile

ERIKA GABRIELLE ALMODOVAR MD
NPI 1528590882
Surgery in Corbin, KY

Active since March 28, 2017PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
1 TRILLIUM WAY, CORBIN, KY 40701(606) 528-1212 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 24, 2023, Aug 21, 2018, Mar 28, 2017 (3 updates tracked since 2017).

About Erika Gabrielle Almodovar Md NPPES

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

ERIKA GABRIELLE ALMODOVAR MD (NPI 1528590882) is an individual surgery provider in Corbin, Kentucky, licensed in Kentucky (58251) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Corbin, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1528590882
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameERIKA GABRIELLE ALMODOVARCredential: MD
Location Address1 TRILLIUM WAYCorbin, KY 40701-8426
Mailing Address1 Trillium WayCorbin, KY 40701-8426 · (606) 528-1212
Phone(606) 528-1212
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 28, 2017
Last NPPES UpdateJuly 24, 20233 updates tracked since enumeration
NPPES CertifiedJuly 24, 2023
✔ NPI 1528590882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in KY · 58251✔ Licensed in KY · R4326
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1 TRILLIUM WAY, Corbin, KY 40701
Open in Google Maps ↗

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

Erika Gabrielle Almodovar 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 ID7113255043
PECOS Enrollment IDI20230720000377
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.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
24 services23 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services18 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.
17 services17 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.
17 services16 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.
16 services14 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
14 services12 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180080
LocationOne Trillium WayCorbin, KY 40701 · Whitley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40701 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.

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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
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.

MAZHAR SALIM M.D.
Psychiatry & Neurology (Psychiatry)
1 TRILLIUM WAY
CORBIN, KY 40701
Whitley County (606) 523-8779
COMMONWEALTH UROLOGY, PSC
Urology
1 TRILLIUM WAY, GROUND FLOOR ENTRANCE 5
CORBIN, KY 40701
Whitley County (606) 523-8770
KAYLA ALEXIS SMITH PHARMD
Pharmacist
1 TRILLIUM WAY
CORBIN, KY 40701
Whitley County (606) 523-1934
BENJAMIN C FOSTER CRNA
Nurse Anesthetist, Certified Registered
1 TRILLIUM WAY
CORBIN, KY 40701
Whitley County (606) 528-1212
DR. SWATI YALAMANCHI M.D.
Internal Medicine (Hematology & Oncology)
1 TRILLIUM WAY, BAPTIST HEALTH CANCER CENTER
CORBIN, KY 40701
Whitley County (606) 523-1934
MARIAH JEAN JACKSON-ARNETT MD
Emergency Medicine
1 TRILLIUM WAY
CORBIN, KY 40701
Whitley County (606) 528-1212
JACQUELYNE ANNE FRIEBIS PA-C
Physician Assistant
1 TRILLIUM WAY
CORBIN, KY 40701
Whitley County (606) 528-1212
DEBRA L ANDERSON
Social Worker (Clinical)
1 TRILLIUM WAY
CORBIN, KY 40701
Whitley County (606) 523-8521

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 Erika Almodovar's NPI number?

The NPI number for Erika Almodovar is 1528590882. It was assigned to this individual provider in the NPPES registry on March 28, 2017.

Where is Erika Almodovar located?

Erika Almodovar practices at 1 Trillium Way, Corbin, KY 40701. The listed phone number is (606) 528-1212.

What is Erika Almodovar's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Erika Almodovar enrolled in Medicare?

Yes. Erika Almodovar 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 Erika Almodovar accept?

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

According to CMS data, Erika Almodovar is affiliated with Baptist Health Corbin.

When was this NPI record last updated?

The NPPES record for Erika Almodovar was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.