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NANCY JOANN METZGER MD
NPI 1811958788
Family Medicine in Covington, KY

Active since March 30, 2006PECOS Enrolled
2040 MADISON AVE, COVINGTON, KY 41014(859) 491-7673 Get Directions Write a Review

NPPES record last updated: August 2, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 2, 2019, Apr 11, 2017 (2 updates tracked since 2017).

About Nancy Joann Metzger Md NPPES

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

NANCY JOANN METZGER MD (NPI 1811958788) is an individual family medicine provider in Covington, Kentucky, licensed in Kentucky (23660) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hebron.

NPPES Registry Identity

NPI1811958788
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNANCY JOANN METZGERCredential: MD
Location Address2040 MADISON AVECovington, KY 41014
Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 344-5555 · Fax (859) 344-5552
Phone(859) 491-7673
Sole ProprietorNo
Enumeration DateMarch 30, 2006
Last NPPES UpdateAugust 2, 20192 updates tracked since enumeration
✔ NPI 1811958788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 23660
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2040 MADISON AVE, Covington, KY 41014
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Secondary Practice Location 1

Location 12093 Medical Arts Dr, 1st FloorHebron, KY 41048-9315 · Phone (859) 442-6600 · Fax (859) 442-6601

Other Identifiers 3

Medicaid64236607KY
Medicaid2389437OH
Medicaid200407690IN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nancy Joann Metzger Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Nancy Metzger reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Summit Medical Group, Inc.
3.5 mi
Urgent Care
2626 ALEXANDRIA PIKE
Highland Heights, KY 41076
  • Reassigned Medicare billing, Kentucky enrollment
  • 946 clinicians in this Medicare group
NPI 1881026169 (859) 757-0434

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41014 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

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
63%87 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
97%125 patients4/55-star benchmark: 100%
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…
15%139 patients1/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
31%102 patients2/55-star benchmark: 100%
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 4

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

PACE MOBILITY PRODUCTS
Durable Medical Equipment & Medical Supplies
2040 MADISON AVE
COVINGTON, KY 41014
Kenton County (859) 525-6623
DIANNE MARIE HENN LEHMAN APRN
Nurse Practitioner (Acute Care)
2040 MADISON AVE
COVINGTON, KY 41014
Kenton County (859) 491-7673
THE MEDICAL EQUIPMENT STORE LLC
Durable Medical Equipment & Medical Supplies
2040 MADISON AVE
COVINGTON, KY 41014
Kenton County (859) 322-8595
LYNDER MEDICAL
Durable Medical Equipment & Medical Supplies
2040 MADISON AVE
COVINGTON, KY 41014
Kenton County (859) 525-6623

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 Nancy Metzger's NPI number?

The NPI number for Nancy Metzger is 1811958788. It was assigned to this individual provider in the NPPES registry on March 30, 2006.

Where is Nancy Metzger located?

Nancy Metzger practices at 2040 Madison Ave, Covington, KY 41014. The listed phone number is (859) 491-7673.

What is Nancy Metzger's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nancy Metzger enrolled in Medicare?

Yes. Nancy Metzger is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nancy Metzger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nancy Metzger reassigns Medicare benefits to Summit Medical Group, Inc. (Highland Heights, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nancy Metzger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nancy Metzger was last updated on August 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.