PAMELA R KOUNS PA
NPI 1790741163
Physician Assistant in Lexington, KY

Active since April 25, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
740 SOUTH LIMESTONE, LEXINGTON, KY 40536(859) 323-8082(859) 257-5901 Get Directions Write a Review

NPPES record last updated: June 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 3, 2020, Feb 9, 2017, Oct 19, 2016 (3 updates tracked since 2016).

About Pamela R Kouns Pa NPPES

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

PAMELA R KOUNS PA (NPI 1790741163) is an individual physician assistant in Lexington, Kentucky, licensed in Kentucky (PA876) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1790741163
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NamePAMELA R KOUNSCredential: PA
Location Address740 SOUTH LIMESTONELexington, KY 40536
Mailing Address2333 Alumni Park Plaza, Suite 200Lexington, KY 40517-4022 · (859) 218-5677 · Fax (859) 257-7899
Fax(859) 257-5901
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateApril 25, 2006
Last NPPES UpdateJune 3, 20203 updates tracked since enumeration
NPPES CertifiedJune 3, 2020
NPI 1790741163 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
License Licensed in KY · PA876
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 PA876 (KY)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA876 (KY)
740 SOUTH LIMESTONE, Lexington, KY 40536

Other Identifiers 1

Medicaid95004974KY

Accepted 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

Pamela R Kouns 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 ID7214988583
PECOS Enrollment IDI20050203000443
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 2

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 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.
26 services24 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
15 services11 patients

Hospital Affiliations CMS Care Compare

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette 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.

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.

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

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.

Student in an Organized Health Care Education/Training Program
740 SOUTH LIMESTONE, E300E
LEXINGTON, KY 40536
Student in an Organized Health Care Education/Training Program
740 SOUTH LIMESTONE, E300E
LEXINGTON, KY 40536
Radiology (Diagnostic Radiology)
740 SOUTH LIMESTONE
LEXINGTON, KY 40536
Nurse Practitioner (Acute Care)
740 SOUTH LIMESTONE, K401
LEXINGTON, KY 40536
Clinical Neuropsychologist
740 SOUTH LIMESTONE
LEXINGTON, KY 40536
Surgery (Surgical Oncology)
740 SOUTH LIMESTONE
LEXINGTON, KY 40536
Dentist (Orthodontics and Dentofacial Orthopedics)
740 SOUTH LIMESTONE, UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTRY
LEXINGTON, KY 40536
Thoracic Surgery (Cardiothoracic Vascular Surgery)
740 SOUTH LIMESTONE, SUITE A301
LEXINGTON, KY 40536

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 Pamela Kouns's NPI number?

The NPI number for Pamela Kouns is 1790741163. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Pamela Kouns located?

Pamela Kouns practices at 740 South Limestone, Lexington, KY 40536. The listed phone number is (859) 323-8082.

What is Pamela Kouns's specialty?

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

Is Pamela Kouns enrolled in Medicare?

Yes. Pamela Kouns 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 Pamela Kouns accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Pamela Kouns 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 Pamela Kouns affiliated with any hospitals?

According to CMS data, Pamela Kouns is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Pamela Kouns was last updated on June 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.