LYSBETH FRANCO
NPI 1700276987
Advanced Practice Midwife in Madisonville, KY

Active since January 27, 2015PECOS EnrolledAccepts Medicare Assignment
73.19/100
CMS Quality Rating
800 HOSPITAL DR, MADISONVILLE, KY 42431(270) 326-3900 Get Directions Write a Review

NPPES record last updated: January 27, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lysbeth Franco NPPES

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

LYSBETH FRANCO (NPI 1700276987) is an individual advanced practice midwife in Madisonville, Kentucky, licensed in Kentucky (3008902) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, is affiliated with Jewish Hospital & St Mary's Healthcare, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1700276987
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameLYSBETH FRANCO
Location Address800 HOSPITAL DRMadisonville, KY 42431-1658
Mailing Address200 Clinic DrMadisonville, KY 42431-1661
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 27, 2015
NPI 1700276987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License Licensed in KY · 3008902
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
800 HOSPITAL DR, Madisonville, KY 42431

Accepted 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

Lysbeth Franco 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 ID4981920766
PECOS Enrollment IDI20150313002325
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.

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42431 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
$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.

73.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.74
Promoting Interoperability100
Improvement Activities40
Cost51.91

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.

Surgery
800 HOSPITAL DR
MADISONVILLE, KY 42431
Thoracic Surgery (Cardiothoracic Vascular Surgery)
800 HOSPITAL DR
MADISONVILLE, KY 42431
Clinic/Center (Federally Qualified Health Center (FQHC))
800 HOSPITAL DR
MADISONVILLE, KY 42431
Specialist/Technologist, Other (Surgical Assistant)
800 HOSPITAL DR
MADISONVILLE, KY 42431
Specialist/Technologist, Other (Surgical Assistant)
800 HOSPITAL DR
MADISONVILLE, KY 42431
Internal Medicine (Interventional Cardiology)
800 HOSPITAL DR
MADISONVILLE, KY 42431
Nurse Practitioner (Family)
800 HOSPITAL DR
MADISONVILLE, KY 42431
Otolaryngology
800 HOSPITAL DR
MADISONVILLE, KY 42431

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 Lysbeth Franco's NPI number?

The NPI number for Lysbeth Franco is 1700276987. It was assigned to this individual provider in the NPPES registry on January 27, 2015.

Where is Lysbeth Franco located?

Lysbeth Franco practices at 800 Hospital Dr, Madisonville, KY 42431. The listed phone number is (270) 326-3900.

What is Lysbeth Franco's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Lysbeth Franco enrolled in Medicare?

Yes. Lysbeth Franco 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 Lysbeth Franco accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list Lysbeth Franco 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 Lysbeth Franco affiliated with any hospitals?

According to CMS data, Lysbeth Franco is affiliated with Jewish Hospital & St Mary's Healthcare.

When was this NPI record last updated?

The NPPES record for Lysbeth Franco was last updated on January 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.