AGATHA S CRITCHFIELD MD
NPI 1639336019
Obstetrics & Gynecology - Maternal & Fetal Medicine in Louisville, KY

Q: What is Agatha Critchfield's NPI number?

The NPI number for Agatha Critchfield is 1639336019. It was assigned to this individual provider in the NPPES registry on May 22, 2008.

Q: What is Agatha Critchfield's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Active since May 22, 2008PECOS EnrolledAccepts Medicare Assignment

95.5/100

CMS Quality Rating

3900 KRESGE WAY STE 46, LOUISVILLE, KY 40207(502) 897-8245(502) 259-5983 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2020, Mar 3, 2020, Oct 7, 2019 and 1 more (4 updates tracked since 2019).

On this page

About Agatha S Critchfield Md NPPES

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

AGATHA S CRITCHFIELD MD (NPI 1639336019) is an individual maternal & fetal medicine provider in Louisville, Kentucky, licensed in Kentucky (46439) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1639336019

Entity TypeIndividualFemale

Primary Taxonomy207VM0101X

Provider Legal NameAGATHA S CRITCHFIELDCredential: MD

Location Address3900 KRESGE WAY STE 46Louisville, KY 40207-4681

Mailing Address5200 Commerce Crossings Dr Fl 3Louisville, KY 40229-2182 · (502) 253-4900 · Fax (502) 489-5751

Phone(502) 897-8245

Fax(502) 259-5983

Sole ProprietorNo

Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2006

Enumeration DateMay 22, 2008

Last NPPES UpdateDecember 3, 20204 updates tracked since enumeration

NPPES CertifiedDecember 3, 2020

✔ NPI 1639336019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207VM0101X

License✔ Licensed in KY · 46439

Definition

An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License LP00848 (RI)

3900 KRESGE WAY STE 46, Louisville, KY 40207

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1University Of Kentucky Medical Center Ob Gyn, 800 Rose Street; C358Lexington, KY 40536-0293 · Phone (859) 257-2321

Location 2800 Hospital DrMadisonville, KY 42431-1658 · Phone (270) 326-3900 · Fax (270) 326-3905

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

Agatha S Critchfield 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 ID9234253915

PECOS Enrollment IDI20131022000065

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.

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number180103

Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

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

Quality

89.59

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 4

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

JASON CHANDLER HOOK PA

Physician Assistant

3900 KRESGE WAY STE 46
LOUISVILLE, KY 40207

Jefferson County (502) 899-3858

MARIANNE OLSON MS, GC

Genetic Counselor, MS

3900 KRESGE WAY STE 46
LOUISVILLE, KY 40207

Jefferson County (502) 897-8100

STACEY LANKHEIT STIVERS MD

Obstetrics & Gynecology (Maternal & Fetal Medicine)

3900 KRESGE WAY STE 46
LOUISVILLE, KY 40207

Jefferson County (502) 897-8245

NOLAN JACOB MCGLASSON PA

Physician Assistant

3900 KRESGE WAY STE 46
LOUISVILLE, KY 40207

Jefferson County (502) 899-3858

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 Agatha Critchfield's NPI number?

The NPI number for Agatha Critchfield is 1639336019. It was assigned to this individual provider in the NPPES registry on May 22, 2008.

Where is Agatha Critchfield located?

Agatha Critchfield practices at 3900 Kresge Way Ste 46, Louisville, KY 40207. The listed phone number is (502) 897-8245.

What is Agatha Critchfield's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Agatha Critchfield enrolled in Medicare?

Yes. Agatha Critchfield 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 Agatha Critchfield accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Blue Cross and Blue Shield of Nebraska and 3 other insurers list Agatha Critchfield 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 Agatha Critchfield affiliated with any hospitals?

According to CMS data, Agatha Critchfield is affiliated with Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Agatha Critchfield was last updated on December 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.