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KYLE MICHAEL WIEDEMER PA-C
NPI 1750905972
Physician Assistant in Winchester, KY

Active since June 03, 2020PECOS EnrolledAccepts Medicare Assignment
225 HOSPITAL DR STE 110, WINCHESTER, KY 40391(859) 737-6572 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 2, 2021, Jul 19, 2021, Jun 3, 2020 (3 updates tracked since 2020).

About Kyle Michael Wiedemer Pa-c NPPES

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

KYLE MICHAEL WIEDEMER PA-C (NPI 1750905972) is an individual physician assistant in Winchester, Kentucky, licensed in Kentucky (TC115) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Clark Regional Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1750905972
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKYLE MICHAEL WIEDEMERCredential: PA-C
Location Address225 HOSPITAL DR STE 110Winchester, KY 40391-7624
Mailing Address225 Hospital Dr Ste 110Winchester, KY 40391-7624 · (859) 737-6572
Phone(859) 737-6572
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 3, 2020
Last NPPES UpdateNovember 2, 20213 updates tracked since enumeration
NPPES CertifiedAugust 18, 2021
✔ NPI 1750905972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in KY · TC115
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.
225 HOSPITAL DR STE 110, Winchester, KY 40391
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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

Kyle Michael Wiedemer Pa-c 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 ID1759789423
PECOS Enrollment IDI20211011001179
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 4

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.

Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U
This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.
42 services42 patients
Detection test by immunoassay technique for streptococcus, group a (strep) 87430
A detection test using the immunoassay technique for Group A Strep is a simple procedure. It identifies a specific bacteria, Streptococcus, which can cause throat infections. A swab from your throat is taken and tested for the presence of these bacteria.
19 services18 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
15 services15 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Clark Regional Medical Center

Acute Care Hospitals · Winchester, KY
3/5 CMS rating
OwnershipProprietary
CMS Certification Number180092
Location175 Hospital DriveWinchester, KY 40391 · Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40391 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

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

MANEESH GADDAM M.D.
Internal Medicine (Pulmonary Disease)
225 HOSPITAL DR STE 110
WINCHESTER, KY 40391
Clark County (859) 737-6499

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 Kyle Wiedemer's NPI number?

The NPI number for Kyle Wiedemer is 1750905972. It was assigned to this individual provider in the NPPES registry on June 3, 2020.

Where is Kyle Wiedemer located?

Kyle Wiedemer practices at 225 Hospital Dr Ste 110, Winchester, KY 40391. The listed phone number is (859) 737-6572.

What is Kyle Wiedemer's specialty?

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

Is Kyle Wiedemer enrolled in Medicare?

Yes. Kyle Wiedemer 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.

Is Kyle Wiedemer affiliated with any hospitals?

According to CMS data, Kyle Wiedemer is affiliated with Clark Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Kyle Wiedemer was last updated on November 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.