KEVIN MICAEL MITCHAM PA
NPI 1740663608
Physician Assistant in Lexington, KY

Q: What is Kevin Mitcham's NPI number?

The NPI number for Kevin Mitcham is 1740663608. It was assigned to this individual provider in the NPPES registry on July 9, 2015.

Q: What is Kevin Mitcham's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Mitcham was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.

Active since July 09, 2015PECOS EnrolledAccepts Medicare Assignment

740 S LIMESTONE STE L119, LEXINGTON, KY 40536(859) 257-3253(859) 323-1203 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 19, 2024, Feb 9, 2023, Dec 22, 2022 and 1 more (4 updates tracked since 2021).

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About Kevin Micael Mitcham Pa NPPES

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

KEVIN MICAEL MITCHAM PA (NPI 1740663608) is an individual physician assistant in Lexington, Kentucky, licensed in Kentucky (TC110) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - Madison, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1740663608

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameKEVIN MICAEL MITCHAMCredential: PA

Location Address740 S LIMESTONE STE L119Lexington, KY 40536-1239

Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959

Phone(859) 257-3253

Fax(859) 323-1203

Sole ProprietorNo

Medical School CMSMercer University School Of MedicineGraduated 2015

Enumeration DateJuly 9, 2015

Last NPPES UpdateDecember 19, 20244 updates tracked since enumeration

NPPES CertifiedDecember 19, 2024

✔ NPI 1740663608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in KY · TC110✔ Licensed in TN · 2796✔ Licensed in IN · 10003888A

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License TC110 (KY), 2796 (TN)

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License TC110 (KY), 2796 (TN)

740 S LIMESTONE STE L119, Lexington, KY 40536

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Secondary Practice Locations 2

Location 11701 N Senate BlvdIndianapolis, IN 46202-1239 · Phone (317) 962-0582 · Fax (317) 962-2082

Location 2111 W Stone Dr, Suite 310Kingsport, TN 37660-6027 · Phone (423) 408-7050 · Fax (423) 408-7054

Other Identifiers 2

Other233690173IN · Medicare

Medicaid300070423IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, Medica.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

Kevin Micael Mitcham Pa 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 ID8426362831

PECOS Enrollment IDI20250627000106, I20250813001071

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

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

17 services17 patients

Hospital Affiliations CMS Care Compare

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

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520083

Location700 South Park StMadison, WI 53715 · Dane 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

$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.

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.

LINDSAY ELIZABETH BAECHTOLD PA-C

Physician Assistant