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ROBIN SUTCLIFFE APRN
NPI 1730490921
Nurse Practitioner - Family in Lexington, KY

Active since June 23, 2010PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
1780 NICHOLASVILLE RD STE 202, LEXINGTON, KY 40503(859) 260-5051(859) 260-5052 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 5, 2021, Dec 3, 2020, Jul 3, 2018 and 1 more (4 updates tracked since 2017).

About Robin Sutcliffe Aprn NPPES

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

ROBIN SUTCLIFFE APRN (NPI 1730490921) is an individual family provider in Lexington, Kentucky, licensed in Kentucky (3006478) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1730490921
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameROBIN SUTCLIFFECredential: APRN
Location Address1780 NICHOLASVILLE RD STE 202Lexington, KY 40503-1412
Mailing AddressUk Division Of Digestive Diseases 800 Rose StLexington, KY 40536-0001
Phone(859) 260-5051
Fax(859) 260-5052
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 23, 2010
Last NPPES UpdateApril 5, 20214 updates tracked since enumeration
NPPES CertifiedApril 5, 2021
✔ NPI 1730490921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3006478
Also ListedNurse PractitionerTaxonomy 363L00000X · License 3006478 (KY)
1780 NICHOLASVILLE RD STE 202, Lexington, KY 40503
Open in Google Maps ↗

Other Identifiers 3

Other000000948426KY · Anthem
Medicaid7100138490KY
Other1088116KY · Wellcare Of Ky

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Robin Sutcliffe Aprn 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 ID345436705
PECOS Enrollment IDI20101124000242
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 3

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.
48 services40 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services19 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 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.

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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

DR. JAMES STORMER PEZZI M.D.
Internal Medicine (Gastroenterology)
1780 NICHOLASVILLE RD STE 202
LEXINGTON, KY 40503
Fayette County (859) 260-5051
MS. BIANCA YVETTE WHITLOW APRN
Nurse Practitioner (Adult Health)
1780 NICHOLASVILLE RD STE 202
LEXINGTON, KY 40503
Fayette County (859) 260-5051
BROOKS RICHARDSON MD
Internal Medicine (Gastroenterology)
1780 NICHOLASVILLE RD STE 202
LEXINGTON, KY 40503
Fayette County (859) 260-5051
DR. ADALBERTO ROMAN CASTELLANOS M.D.
Internal Medicine (Gastroenterology)
1780 NICHOLASVILLE RD STE 202
LEXINGTON, KY 40503
Fayette County (859) 260-5064

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 Robin Sutcliffe's NPI number?

The NPI number for Robin Sutcliffe is 1730490921. It was assigned to this individual provider in the NPPES registry on June 23, 2010.

Where is Robin Sutcliffe located?

Robin Sutcliffe practices at 1780 Nicholasville Rd Ste 202, Lexington, KY 40503. The listed phone number is (859) 260-5051.

What is Robin Sutcliffe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Robin Sutcliffe enrolled in Medicare?

Yes. Robin Sutcliffe 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 Robin Sutcliffe accept?

Health plans from CareSource list Robin Sutcliffe 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 Robin Sutcliffe was last updated on April 5, 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.