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THOMAS L STICKLER APRN
NPI 1780912915
Nurse Practitioner - Family in Louisa, KY

Active since November 30, 2009PECOS EnrolledAccepts Medicare Assignment
85.07/100
CMS Quality Rating
2483 HIGHWAY 644, SUITE 107, LOUISA, KY 41230(606) 638-7400(606) 638-0468 Get Directions Write a Review

NPPES record last updated: April 30, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomas L Stickler Aprn NPPES

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

THOMAS L STICKLER APRN (NPI 1780912915) is an individual family provider in Louisa, Kentucky, licensed in Kentucky (3006204) and active in the NPI registry since November 2009. He is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1780912915
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTHOMAS L STICKLERCredential: APRN
Location Address2483 HIGHWAY 644, SUITE 107Louisa, KY 41230-9242
Mailing AddressPo Box 30Louisa, KY 41230-0030 · (606) 638-7400 · Fax (606) 638-0468
Phone(606) 638-7400
Fax(606) 638-0468
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateNovember 30, 2009
Last NPPES UpdateApril 30, 2012
✔ NPI 1780912915 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 · 3006204
2483 HIGHWAY 644, Louisa, KY 41230
Open in Google Maps ↗

Other Identifiers 4

Medicaid3810016489WV
Medicare PIN0586691KY
Medicaid7100097770KY
Medicaid3032480KY

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

Thomas L Stickler 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 ID1951442045
PECOS Enrollment IDI20100112000314, I20251117000922
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.

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.
253 services199 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.
142 services131 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
72 services68 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
49 services49 patients

Hospital Affiliations CMS Care Compare

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

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180009
Location2201 Lexington AvenueAshland, KY 41101 · Boyd County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41230 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.

85.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.96
Promoting Interoperability100
Improvement Activities40
Cost64.52

Reported Quality Measures

Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)
Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
Lower rates are better for this measure.
0%417 patients
Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
25%289 patients2/55-star benchmark: 92%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
33%243 patients2/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
35%537 patients2/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
10%116 patients1/55-star benchmark: 100%
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%2,692 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.
99%7,960 patients5/55-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…
24%672 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%250 patients5/55-star benchmark: 100%
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.
70%2,310 patients3/55-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%2,310 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…
2%2,310 patients1/55-star benchmark: 89%
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.
6%2,310 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers22 claims49 services$4.73 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers15 claims17 services$0.73 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers28 claims28 services$8.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

MEDICAL SERVICES OF KENTUCKY, PSC
Physician Assistant
2483 HIGHWAY 644, BOX 769
LOUISA, KY 41230
Lawrence County (606) 638-9451
ROBERT B DAVIS MD
Radiology (Diagnostic Radiology)
2483 HIGHWAY 644
LOUISA, KY 41230
Lawrence County (606) 638-9451
DEBRA J ANSINELLI ARNP
Nurse Practitioner
2483 HIGHWAY 644, SUITE 103
LOUISA, KY 41230
Lawrence County (606) 638-9954
DR. TIMOTHY R YOOST M.D.
Urology
2483 HIGHWAY 644, SUITE 204
LOUISA, KY 41230
Lawrence County (606) 638-7488
DR. AARON SCOTT KENDRICK D.O.
Anesthesiology
2483 HIGHWAY 644, STE 106
LOUISA, KY 41230
Lawrence County (606) 638-1154
MRS. KAREN MARLENE MOORE NP-C
Nurse Practitioner (Family)
2483 HIGHWAY 644
LOUISA, KY 41230
Lawrence County (606) 638-1154
JOSEPH L SKEENS MD
Radiology (Diagnostic Radiology)
2483 HIGHWAY 644
LOUISA, KY 41230
Lawrence County (606) 638-9451
BRENDA J. HAMILTON N.P.
Nurse Practitioner
2483 HIGHWAY 644
LOUISA, KY 41230
Lawrence County (606) 638-9451

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 Thomas Stickler's NPI number?

The NPI number for Thomas Stickler is 1780912915. It was assigned to this individual provider in the NPPES registry on November 30, 2009.

Where is Thomas Stickler located?

Thomas Stickler practices at 2483 Highway 644 Suite 107, Louisa, KY 41230. The listed phone number is (606) 638-7400.

What is Thomas Stickler's specialty?

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

Is Thomas Stickler enrolled in Medicare?

Yes. Thomas Stickler 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 Thomas Stickler accept?

Health plans from CareSource list Thomas Stickler 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 Thomas Stickler affiliated with any hospitals?

According to CMS data, Thomas Stickler is affiliated with King's Daughters' Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Stickler was last updated on April 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.