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SARAH BETH FLORA M.D.
NPI 1558593459
Family Medicine in Edgewood, KY

Active since August 11, 2009PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
413 SOUTH LOOP ROAD, EDGEWOOD, KY 41017(859) 301-3800(859) 301-3987 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 11, 2022, Sep 7, 2018, Nov 11, 2015 (3 updates tracked since 2015).

About Sarah Beth Flora M.d. NPPES

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

SARAH BETH FLORA M.D. (NPI 1558593459) is an individual family medicine provider in Edgewood, Kentucky, licensed in Kentucky (43908) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS and is a graduate of Wright State University Boonshoft School Of Medicine (2008).

NPPES Registry Identity

NPI1558593459
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSARAH BETH FLORACredential: M.D.
Location Address413 SOUTH LOOP ROADEdgewood, KY 41017-5446
Mailing AddressPo Box 635284Cincinnati, OH 45263-6324 · (859) 635-9440 · Fax (859) 448-2622
Phone(859) 301-3800
Fax(859) 301-3987
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2008
Enumeration DateAugust 11, 2009
Last NPPES UpdateAugust 11, 20223 updates tracked since enumeration
NPPES CertifiedAugust 11, 2022
✔ NPI 1558593459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 43908
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.
413 SOUTH LOOP ROAD, Edgewood, KY 41017
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Other Names 1

Former Name (1)Sarah Beth Von Lehmden

Other Identifiers 3

Medicaid0059422OH
Medicaid7100181950KY
OtherP01003859KY · Rail Road Medicare

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

Sarah Beth Flora M.d. 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 ID1456527746
PECOS Enrollment IDI20120109000715
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 3

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.
53 services42 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
30 services26 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 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.

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

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
70%23 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
26%34 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims5,115 services$0.30 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

ROBERT N TRACY M.D.
Family Medicine
413 SOUTH LOOP ROAD
EDGEWOOD, KY 41017
Kenton County (859) 301-3800
DR. SHANNON K BENTLEY M.D.
Family Medicine
413 SOUTH LOOP ROAD, ST ELIZABETH FAMILY PRACTICE CENTER
EDGEWOOD, KY 41017
Kenton County (859) 301-3800
DR. MARY ANN BARNES MD
Family Medicine
413 SOUTH LOOP ROAD
EDGEWOOD, KY 41017
Kenton County (859) 301-3800
KENNETH BAZYDLO
Family Medicine
413 SOUTH LOOP ROAD
EDGEWOOD, KY 41017
Kenton County (859) 301-3800
BOBBI OMORI LAKIN M.D.
Family Medicine
413 SOUTH LOOP ROAD
EDGEWOOD, KY 41017
Kenton County (859) 301-3800
DR. CHRISANTHY ZOWTIAK MD
Family Medicine
413 SOUTH LOOP ROAD, ST. ELIZABETH HEALTHCARE CENTER FOR FAMILY MEDICINE
EDGEWOOD, KY 41017
Kenton County (859) 301-3800

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 Sarah Flora's NPI number?

The NPI number for Sarah Flora is 1558593459. It was assigned to this individual provider in the NPPES registry on August 11, 2009. The provider is also known as Sarah Beth Von Lehmden.

Where is Sarah Flora located?

Sarah Flora practices at 413 South Loop Road, Edgewood, KY 41017. The listed phone number is (859) 301-3800.

What is Sarah Flora's specialty?

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

Is Sarah Flora enrolled in Medicare?

Yes. Sarah Flora 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 Sarah Flora accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Sarah Flora 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 Sarah Flora was last updated on August 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.