SUSAN M. HODGE P.A.-C.
NPI 1942305156
Physician Assistant in Barbourville, KY

Active since September 13, 2006PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
602 KNOX ST, BARBOURVILLE, KY 40906(606) 546-6027(606) 546-2084 Get Directions Write a Review

NPPES record last updated: February 5, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susan M. Hodge P.a.-c. NPPES

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

SUSAN M. HODGE P.A.-C. (NPI 1942305156) is an individual physician assistant in Barbourville, Kentucky, licensed in Kentucky (PA896) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Corbin, and is a graduate of University Of Kentucky College Of Medicine (2004).

NPPES Registry Identity

NPI1942305156
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSUSAN M. HODGECredential: P.A.-C.
Location Address602 KNOX STBarbourville, KY 40906-1304
Mailing Address602 Knox StBarbourville, KY 40906-1304 · (606) 546-6027 · Fax (606) 546-2084
Fax(606) 546-2084
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2004
Enumeration DateSeptember 13, 2006
Last NPPES UpdateFebruary 5, 2016
NPI 1942305156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in KY · PA896
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 PA896 (KY)
602 KNOX ST, Barbourville, KY 40906

Other Names 1

Former Name (1)Susan M. Stratton P.a.-c.

Other Identifiers 3

Medicaid7100120360KY
OtherP01439763KY · Rr Medicare
Medicare PINK086412KY

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

Susan M. Hodge P.a.-c. 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 ID3678591856
PECOS Enrollment IDI20101216000164
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

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.

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.
36 services25 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180080
LocationOne Trillium WayCorbin, KY 40701 · Whitley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40906 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 4

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
6 suppliers34 claims57 services$5.99 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers11 claims11 services$1.03 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers25 claims26 services$108.01 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier19 claims19 services$20.39 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 14

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

General Practice
602 KNOX ST
BARBOURVILLE, KY 40906
Nurse Practitioner
602 KNOX ST
BARBOURVILLE, KY 40906
Family Medicine
602 KNOX ST
BARBOURVILLE, KY 40906
Family Medicine
602 KNOX ST
BARBOURVILLE, KY 40906
Clinic/Center (Rural Health)
602 KNOX ST
BARBOURVILLE, KY 40906
Nurse Practitioner (Family)
602 KNOX ST
BARBOURVILLE, KY 40906
Physician Assistant
602 KNOX ST, KNOX FAMILY MEDICINE
BARBOURVILLE, KY 40906
Physical Therapist
602 KNOX ST
BARBOURVILLE, KY 40906

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 Susan Hodge's NPI number?

The NPI number for Susan Hodge is 1942305156. It was assigned to this individual provider in the NPPES registry on September 13, 2006. The provider is also known as Susan M. Stratton P.A.-C..

Where is Susan Hodge located?

Susan Hodge practices at 602 Knox St, Barbourville, KY 40906. The listed phone number is (606) 546-6027.

What is Susan Hodge's specialty?

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

Is Susan Hodge enrolled in Medicare?

Yes. Susan Hodge 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 Susan Hodge accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Susan Hodge 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 Susan Hodge affiliated with any hospitals?

According to CMS data, Susan Hodge is affiliated with Baptist Health Corbin.

When was this NPI record last updated?

The NPPES record for Susan Hodge was last updated on February 5, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.