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KATIE BALLERT MD
NPI 1679744817
Urology in Lexington, KY

Active since March 16, 2008PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
740 SOUTH LIMESTONE, SUITE B200, LEXINGTON, KY 40536(859) 257-3533(859) 257-6024 Get Directions Write a Review

NPPES record last updated: November 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Katie Ballert Md NPPES

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

KATIE BALLERT MD (NPI 1679744817) is an individual urology provider in Lexington, Kentucky, licensed in Kentucky (41842) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and is a graduate of University Of Louisville School Of Medicine (2001).

NPPES Registry Identity

NPI1679744817
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameKATIE BALLERTCredential: MD
Location Address740 SOUTH LIMESTONE, SUITE B200Lexington, KY 40536-0001
Mailing Address800 Rose StreetLexington, KY 40536-0298 · (859) 323-6679 · Fax (859) 323-1944
Phone(859) 257-3533
Fax(859) 257-6024
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2001
Enumeration DateMarch 16, 2008
Last NPPES UpdateNovember 25, 2020
NPPES CertifiedNovember 25, 2020
✔ NPI 1679744817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in KY · 41842
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
740 SOUTH LIMESTONE, Lexington, KY 40536
Open in Google Maps ↗

Other Names 1

Former Name (1)Katie Richardson

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

Katie Ballert 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 ID8224105796
PECOS Enrollment IDI20080925000096
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 8

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 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.
41 services35 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
22 services22 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services15 patients
Injection procedure for imaging of bladder during voiding 51600
This procedure involves injecting a safe, contrasting material into your bladder through a small tube. This helps capture clear images during voiding. The process helps doctors understand your bladder's function better and identify any potential issues.
14 services14 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients
Complex measurement of pressure of urine flow in bladder with voiding pressure studies 51728
This procedure measures the pressure in your bladder as it fills and empties. It helps to understand how well your bladder is functioning. Sensors record pressure levels during these processes, providing valuable data for your doctor.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

DR. ANDREA MICHELLE MORRISON MD
Student in an Organized Health Care Education/Training Program
740 SOUTH LIMESTONE, E300E
LEXINGTON, KY 40536
Fayette County (859) 257-5097
BENJAMIN LEHMKUHL
Student in an Organized Health Care Education/Training Program
740 SOUTH LIMESTONE, E300E
LEXINGTON, KY 40536
Fayette County (859) 257-5405
OUIDA FARMER TISDALL MD
Radiology (Diagnostic Radiology)
740 SOUTH LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 323-5233
KARALEE ANN MLACK
Nurse Practitioner (Acute Care)
740 SOUTH LIMESTONE, K401
LEXINGTON, KY 40536
Fayette County (859) 323-5533
FREDERICK ADRIAN SCHMITT PHD
Clinical Neuropsychologist
740 SOUTH LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 323-5661
DAVID A SLOAN MD
Surgery (Surgical Oncology)
740 SOUTH LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 257-3253
DR. LARRY B SHARP DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
740 SOUTH LIMESTONE, UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTRY
LEXINGTON, KY 40536
Fayette County (859) 257-1494
SIBU SAHA MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
740 SOUTH LIMESTONE, SUITE A301
LEXINGTON, KY 40536
Fayette County (859) 323-6494

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 Katie Ballert's NPI number?

The NPI number for Katie Ballert is 1679744817. It was assigned to this individual provider in the NPPES registry on March 16, 2008. The provider is also known as Katie Richardson.

Where is Katie Ballert located?

Katie Ballert practices at 740 South Limestone Suite B200, Lexington, KY 40536. The listed phone number is (859) 257-3533.

What is Katie Ballert's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Katie Ballert enrolled in Medicare?

Yes. Katie Ballert 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 Katie Ballert accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Katie Ballert 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 Katie Ballert affiliated with any hospitals?

According to CMS data, Katie Ballert is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Katie Ballert was last updated on November 25, 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.