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TIA M ALTON MD
NPI 1639468812
Pediatrics in Shelbyville, KY

Active since March 29, 2011PECOS Enrolled
150 FRANKFORT RD STE 101, SHELBYVILLE, KY 40065(502) 647-5468(502) 647-7134 Get Directions Write a Review

NPPES record last updated: March 15, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 15, 2021, Dec 31, 2020, May 25, 2018 (3 updates tracked since 2018).

About Tia M Alton Md NPPES

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

TIA M ALTON MD (NPI 1639468812) is an individual pediatrics provider in Shelbyville, Kentucky, licensed in Kentucky (46839) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639468812
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameTIA M ALTONCredential: MD
Location Address150 FRANKFORT RD STE 101Shelbyville, KY 40065-7401
Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 272-5395 · Fax (502) 272-5116
Phone(502) 647-5468
Fax(502) 647-7134
Sole ProprietorNo
Enumeration DateMarch 29, 2011
Last NPPES UpdateMarch 15, 20213 updates tracked since enumeration
NPPES CertifiedMarch 15, 2021
✔ NPI 1639468812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in KY · 46839
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
150 FRANKFORT RD STE 101, Shelbyville, KY 40065
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tia M Alton Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Tia Alton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Medical Associates, Inc.
22 mi
Multi-Specialty
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,896 clinicians in this Medicare group
NPI 1073089850 (502) 588-9490
Norton Children's Medical Group, LLC
22 mi
Clinical Genetics (M.D.)
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Norton Childrens Medical Group LLC
  • 1,008 clinicians in this Medicare group
NPI 1013559921 (502) 272-5336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40065 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.

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.

SARA FRANK NP
Nurse Practitioner (Family)
150 FRANKFORT RD STE 101
SHELBYVILLE, KY 40065
Shelby County (502) 647-5468
SYDNIE JAMISON
Pediatrics
150 FRANKFORT RD STE 101
SHELBYVILLE, KY 40065
Shelby County (502) 647-5468
DR. JESSICA N B EASTERLING M.D
Pediatrics
150 FRANKFORT RD STE 101
SHELBYVILLE, KY 40065
Shelby County (502) 647-5468
SARAH MARGARET HAWKINS SHAW MD
Pediatrics
150 FRANKFORT RD STE 101
SHELBYVILLE, KY 40065
Shelby County (502) 647-5468
ANGELITO L SAMSON M.D.
Pediatrics (Adolescent Medicine)
150 FRANKFORT RD STE 101
SHELBYVILLE, KY 40065
Shelby County (502) 647-5468
LISA B STEPHENS M.D.
Pediatrics
150 FRANKFORT RD STE 101
SHELBYVILLE, KY 40065
Shelby County (502) 647-5468

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 Tia Alton's NPI number?

The NPI number for Tia Alton is 1639468812. It was assigned to this individual provider in the NPPES registry on March 29, 2011.

Where is Tia Alton located?

Tia Alton practices at 150 Frankfort Rd Ste 101, Shelbyville, KY 40065. The listed phone number is (502) 647-5468.

What is Tia Alton's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Tia Alton enrolled in Medicare?

Yes. Tia Alton is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tia Alton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tia Alton reassigns Medicare benefits to 2 organizations: Community Medical Associates, Inc. (Louisville, KY) and Norton Children's Medical Group, LLC (Louisville, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tia Alton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tia Alton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and CareSource list Tia Alton 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 Tia Alton was last updated on March 15, 2021. 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.