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KAITLYN MARIE MIDDAUGH MD
NPI 1659937407
Pediatrics in Louisville, KY

Active since May 17, 2019PECOS EnrolledAccepts Medicare Assignment
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: July 26, 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, maintains 2 additional practice locations, and is a graduate of Other (2021).

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
Phone(502) 254-2223
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
12955 SHELBYVILLE RD STE 1, Louisville, KY 40243
Open in Google Maps ↗

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

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

Kaitlyn Marie Middaugh 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 ID1456890086
PECOS Enrollment IDI20240828000291
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.

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.

VIRGINIA L MENCHE MD
Pediatrics
12955 SHELBYVILLE RD STE 1
LOUISVILLE, KY 40243
Jefferson County (502) 254-2223
LISA S BORDEN MD
Pediatrics
12955 SHELBYVILLE RD STE 1
LOUISVILLE, KY 40243
Jefferson County (502) 254-2223

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kaitlyn Middaugh accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield 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 with the weekly NPPES data releases published by CMS.