STEPHANIE K PRIDEMORE PA
NPI 1922269307
Physician Assistant in Lexington, KY

Active since June 19, 2008PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
740 S LIMESTONE STE C300, LEXINGTON, KY 40536(859) 257-5405(859) 323-5483 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 4, 2024, Dec 8, 2020 (2 updates tracked since 2020).

About Stephanie K Pridemore Pa NPPES

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

STEPHANIE K PRIDEMORE PA (NPI 1922269307) is an individual physician assistant in Lexington, Kentucky, licensed in Kentucky (PA602) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1922269307
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSTEPHANIE K PRIDEMORECredential: PA
Location Address740 S LIMESTONE STE C300Lexington, KY 40536-3706
Mailing Address1618 Harrodsburg RdLexington, KY 40504-3706 · (859) 288-5004 · Fax (859) 288-5007
Fax(859) 323-5483
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJune 19, 2008
Last NPPES UpdateSeptember 4, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2024
NPI 1922269307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in KY · PA602
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 ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X · License PA602 (KY)
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA602 (KY)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA602 (KY)
740 S LIMESTONE STE C300, Lexington, KY 40536

Secondary Practice Location 1

Location 11618 Harrodsburg RdLexington, KY 40504-3706 · Phone (859) 288-5004 ext. 23 · Fax (859) 288-5007

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

Stephanie K Pridemore 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 ID6002960275
PECOS Enrollment IDI20090822000032
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 3

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 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.
38 services34 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.
22 services19 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.
16 services16 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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier32 claims32 services$8.29 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 5

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

Physician Assistant
740 S LIMESTONE STE C300
LEXINGTON, KY 40536
Otolaryngology
740 S LIMESTONE STE C300
LEXINGTON, KY 40536
Otolaryngology
740 S LIMESTONE STE C300
LEXINGTON, KY 40536
Physician Assistant
740 S LIMESTONE STE C300
LEXINGTON, KY 40536
Nurse Practitioner (Family)
740 S LIMESTONE STE C300
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 Stephanie Pridemore's NPI number?

The NPI number for Stephanie Pridemore is 1922269307. It was assigned to this individual provider in the NPPES registry on June 19, 2008.

Where is Stephanie Pridemore located?

Stephanie Pridemore practices at 740 S Limestone Ste C300, Lexington, KY 40536. The listed phone number is (859) 257-5405.

What is Stephanie Pridemore's specialty?

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

Is Stephanie Pridemore enrolled in Medicare?

Yes. Stephanie Pridemore 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 Stephanie Pridemore accept?

Health plans from CareSource list Stephanie Pridemore 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 Stephanie Pridemore affiliated with any hospitals?

According to CMS data, Stephanie Pridemore is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Stephanie Pridemore was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.