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KELLY JANE COBURN PA
NPI 1528654258
Physician Assistant in Lexington, KY

Active since December 16, 2020PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
800 ROSE ST FL 1, LEXINGTON, KY 40536(859) 323-6542(859) 323-2074 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 15, 2025, Aug 2, 2022, Feb 14, 2021 and 3 more (6 updates tracked since 2020).

About Kelly Jane Coburn Pa NPPES

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

KELLY JANE COBURN PA (NPI 1528654258) is an individual physician assistant in Lexington, Kentucky, licensed in Kentucky (PA2674) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and maintains a secondary practice location in Edgewood.

NPPES Registry Identity

NPI1528654258
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY JANE COBURNCredential: PA
Location Address800 ROSE ST FL 1Lexington, KY 40536-3403
Mailing Address800 Rose St Fl 1Lexington, KY 40536-7001
Phone(859) 323-6542
Fax(859) 323-2074
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 16, 2020
Last NPPES UpdateMay 15, 20256 updates tracked since enumeration
NPPES CertifiedMay 15, 2025
✔ NPI 1528654258 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 · PA2674
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 PA2674 (KY)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA2674 (KY)
800 ROSE ST FL 1, Lexington, KY 40536
Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Medical Village DrEdgewood, KY 41017-3403 · Phone (859) 301-4000 · Fax (859) 301-3962

Other Identifiers 1

Other50.006598OH · Physician Assistant

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

Kelly Jane Coburn 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 ID7911311154
PECOS Enrollment IDI20220816003399
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.

Hospital Affiliations CMS Care Compare

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette 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
$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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NICOLE THORNTON GORDON DMD
Dentist
800 ROSE ST FL 1
LEXINGTON, KY 40536
Fayette County (859) 323-5831
BROOKE ISABELLA DIPASQUALE PA
Physician Assistant
800 ROSE ST FL 1
LEXINGTON, KY 40536
Fayette County (859) 562-1085
RADHIKA MADDALI MD
Pediatrics (Neonatal-Perinatal Medicine)
800 ROSE ST FL 1
LEXINGTON, KY 40536
Fayette County (859) 562-1085
RAVI CHETAN BHAVSAR MD
Pediatrics (Neonatal-Perinatal Medicine)
800 ROSE ST FL 1
LEXINGTON, KY 40536
Fayette County (859) 562-1085
IANNA BLANCHARD MD
Pediatrics (Neonatal-Perinatal Medicine)
800 ROSE ST FL 1
LEXINGTON, KY 40536
Fayette County (859) 562-1085
ERIN MOLLOY MD
Pediatrics (Pediatric Critical Care Medicine)
800 ROSE ST FL 1
LEXINGTON, KY 40536
Fayette County (859) 562-1085
RAHUL JIJU JOSEPH MD
Pediatrics (Neonatal-Perinatal Medicine)
800 ROSE ST FL 1
LEXINGTON, KY 40536
Fayette County (859) 562-1085
CHRISTEN MICHELLE RICHARDSON PA
Physician Assistant
800 ROSE ST FL 1
LEXINGTON, KY 40536
Fayette County (859) 323-6542

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 Kelly Coburn's NPI number?

The NPI number for Kelly Coburn is 1528654258. It was assigned to this individual provider in the NPPES registry on December 16, 2020.

Where is Kelly Coburn located?

Kelly Coburn practices at 800 Rose St Fl 1, Lexington, KY 40536. The listed phone number is (859) 323-6542.

What is Kelly Coburn's specialty?

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

Is Kelly Coburn enrolled in Medicare?

Yes. Kelly Coburn 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 Kelly Coburn accept?

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

According to CMS data, Kelly Coburn is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Coburn was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.