KAITLYN MARIE MIDDAUGH MD
NPI 1659937407
Pediatrics in Louisville, KY

Active since May 17, 2019PECOS Enrolled
12955 SHELBYVILLE RD STE 1, LOUISVILLE, KY 40243(502) 254-2223 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 2, 2024, May 13, 2021, May 17, 2019 (3 updates tracked since 2019).

About Kaitlyn Marie Middaugh Md NPPES

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

KAITLYN MARIE MIDDAUGH MD (NPI 1659937407) is an individual pediatrics provider in Louisville, Kentucky, licensed in Kentucky (58927) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1659937407
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKAITLYN MARIE MIDDAUGHCredential: MD
Location Address12955 SHELBYVILLE RD STE 1Louisville, KY 40243-1538
Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 559-9425
Sole ProprietorYes
Enumeration DateMay 17, 2019
Last NPPES UpdateAugust 2, 20243 updates tracked since enumeration
NPPES CertifiedAugust 2, 2024
✔ NPI 1659937407 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 · 58927
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.
12955 SHELBYVILLE RD STE 1, Louisville, KY 40243

Other Names 1

Former Name (1)Kaitlyn Yeary

Secondary Practice Locations 2

Location 1571 S Floyd St Ste 412Louisville, KY 40202-3877 · Phone (502) 629-8828
Location 2500 S Preston St Rm 305Louisville, KY 40202-1702 · Phone (502) 852-8696

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaitlyn Marie Middaugh 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 Reassignment

Medicare enrollment records show Kaitlyn Middaugh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

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

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 40243 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 2

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

Pediatrics
12955 SHELBYVILLE RD STE 1
LOUISVILLE, KY 40243
Pediatrics
12955 SHELBYVILLE RD STE 1
LOUISVILLE, KY 40243

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 Kaitlyn Middaugh's NPI number?

The NPI number for Kaitlyn Middaugh is 1659937407. It was assigned to this individual provider in the NPPES registry on May 17, 2019. The provider is also known as Kaitlyn Yeary.

Where is Kaitlyn Middaugh located?

Kaitlyn Middaugh practices at 12955 Shelbyville Rd Ste 1, Louisville, KY 40243. The listed phone number is (502) 254-2223.

What is Kaitlyn Middaugh's specialty?

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

Is Kaitlyn Middaugh enrolled in Medicare?

Yes. Kaitlyn Middaugh is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kaitlyn Middaugh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlyn Middaugh reassigns Medicare benefits to Norton Children's Medical Group, LLC (Louisville, KY). The 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 Kaitlyn Middaugh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kaitlyn Middaugh accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Kaitlyn Middaugh 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 Kaitlyn Middaugh was last updated on August 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.