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MARY CATHERINE CARUSO APRN
NPI 1760980882
Nurse Practitioner - Family in Pineville, KY

Active since January 23, 2018PECOS EnrolledAccepts Medicare Assignment
850 RIVERVIEW RD, PINEVILLE, KY 40977(606) 337-6047(606) 337-0925 Get Directions Write a Review

NPPES record last updated: January 23, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Catherine Caruso Aprn NPPES

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

MARY CATHERINE CARUSO APRN (NPI 1760980882) is an individual family provider in Pineville, Kentucky, licensed in Kentucky (3012000) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1760980882
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY CATHERINE CARUSOCredential: APRN
Location Address850 RIVERVIEW RDPineville, KY 40977-1430
Mailing AddressPo Box 308Pineville, KY 40977-0308 · (606) 337-6047 · Fax (606) 337-0925
Phone(606) 337-6047
Fax(606) 337-0925
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 23, 2018
✔ NPI 1760980882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3012000
850 RIVERVIEW RD, Pineville, KY 40977
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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

Mary Catherine Caruso 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 ID3870854425
PECOS Enrollment IDI20180223000243
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 5

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.

Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
57 services26 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
19 services18 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
16 services14 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
15 services15 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40977 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.

Reported Quality Measures

Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
29%223 patients2/55-star benchmark: 98%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
75%223 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%3,620 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
63%6,043 patients1/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
23%48 patients2/55-star benchmark: 88%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
2%588 patients1/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
38%1,030 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%588 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
9%588 patients1/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 23% · 227 patients
35%227 patients1/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
7%588 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

JAMES S. HARTLEY
Emergency Medicine
850 RIVERVIEW RD
PINEVILLE, KY 40977
Bell County (800) 291-4020
SANKAR LAKSHMAN M.D.
Radiology (Diagnostic Radiology)
850 RIVERVIEW RD
PINEVILLE, KY 40977
Bell County (276) 523-7938
PINEVILLE RADIOLOGY ASSOCIATES, PSC
Radiology (Diagnostic Radiology)
850 RIVERVIEW RD
PINEVILLE, KY 40977
Bell County (276) 523-7938
PINE MOUNTAIN CLINIC PSC
Internal Medicine
850 RIVERVIEW RD
PINEVILLE, KY 40977
Bell County (606) 337-6047
DR. J KAREN CLARK M.D.
Radiology (Diagnostic Radiology)
850 RIVERVIEW RD
PINEVILLE, KY 40977
Bell County (606) 337-3051
DR. KATHRYN LEFEVERS
Dentist
850 RIVERVIEW RD, 3RD FLOOR PCH
PINEVILLE, KY 40977
Bell County (606) 337-6297
PINEVILLE COMMUNITY HOSPITAL ASSN INC
Pharmacy (Community/Retail Pharmacy)
850 RIVERVIEW RD
PINEVILLE, KY 40977
Bell County (606) 337-4240
TENNESSEE CANCER SPECIALISTS PLLC
Internal Medicine (Hematology & Oncology)
850 RIVERVIEW RD, PINEVILLE COMMUNITY HOSPITAL
PINEVILLE, KY 40977
Bell County (865) 934-5800

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 Mary Caruso's NPI number?

The NPI number for Mary Caruso is 1760980882. It was assigned to this individual provider in the NPPES registry on January 23, 2018.

Where is Mary Caruso located?

Mary Caruso practices at 850 Riverview Rd, Pineville, KY 40977. The listed phone number is (606) 337-6047.

What is Mary Caruso's specialty?

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

Is Mary Caruso enrolled in Medicare?

Yes. Mary Caruso 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.

When was this NPI record last updated?

The NPPES record for Mary Caruso was last updated on January 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.