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MARY HELEN MANLEY MD
NPI 1942732912
Internal Medicine in La Grange, KY

Active since March 29, 2017PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
1023 NEW MOODY LN STE 202A, LA GRANGE, KY 40031(502) 225-5520(502) 225-5521 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 5, 2025, Jun 28, 2021, Jun 14, 2021 and 2 more (5 updates tracked since 2017).

About Mary Helen Manley Md NPPES

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

MARY HELEN MANLEY MD (NPI 1942732912) is an individual internal medicine provider in La Grange, Kentucky, licensed in Kentucky (55320) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Louisville, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1942732912
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMARY HELEN MANLEYCredential: MD
Location Address1023 NEW MOODY LN STE 202ALa Grange, KY 40031-9177
Mailing Address1901 Campus PlLouisville, KY 40299-2308 · (502) 253-4924 · Fax (502) 489-5750
Phone(502) 225-5520
Fax(502) 225-5521
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2017
Enumeration DateMarch 29, 2017
Last NPPES UpdateSeptember 5, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2025
✔ NPI 1942732912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in KY · 55320✔ Licensed in KY · R4557
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 55320 (KY), TP156 (KY)
1023 NEW MOODY LN STE 202A, La Grange, KY 40031
Open in Google Maps ↗

Other Names 1

Former Name (1)Mary Helen Jennings Md

Secondary Practice Locations 2

Location 1University Of Kentucky 800 Rose StreetLexington, KY 40536 · Phone (859) 323-2636
Location 2800 Rose St, 3rd FlLexington, KY 40536 · Phone (859) 257-1000 · Fax (859) 257-7706

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Helen Manley Md 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 ID1658623111
PECOS Enrollment IDI20210706003342
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 Reassignments

2

Medicare enrollment records show Mary Manley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baptist Medical Associates, Inc
11 mi
Surgery
2600 STANLEY GAULT PKWY, SUITE 201
Louisville, KY 40223
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Baptist Health Medical Group Inc
  • 1,441 clinicians in this Medicare group
NPI 1649536772 (502) 238-2801
University Of Kentucky
52 mi
General Practice
2195 HARRODSBURG RD STE 175
Lexington, KY 40504
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,761 clinicians in this Medicare group
NPI 1194852582 (859) 257-9272

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

Areas of Expertise CMS Part B claims 9

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.
288 services149 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
117 services117 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.
98 services79 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.
41 services33 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
27 services26 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
26 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Baptist Health Lagrange

Acute Care Hospitals · La Grange, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180138
Location1025 New Moody LaneLa Grange, KY 40031 · Oldham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40031 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
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.

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

Other Providers at the Same Location NPPES

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

FIRST UROLOGY, PSC
Urology
1023 NEW MOODY LN STE 202A
LA GRANGE, KY 40031
Oldham County (502) 897-7172

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 Mary Manley's NPI number?

The NPI number for Mary Manley is 1942732912. It was assigned to this individual provider in the NPPES registry on March 29, 2017. The provider is also known as Mary Helen Jennings MD.

Where is Mary Manley located?

Mary Manley practices at 1023 New Moody Ln Ste 202A, La Grange, KY 40031. The listed phone number is (502) 225-5520.

What is Mary Manley's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mary Manley enrolled in Medicare?

Yes. Mary Manley 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.

Which organizations bill Medicare for Mary Manley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Manley reassigns Medicare benefits to 2 organizations: Baptist Medical Associates, Inc (Louisville, KY) and University Of Kentucky (Lexington, KY). Each 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 Mary Manley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Manley accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and CareSource list Mary Manley 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 Mary Manley affiliated with any hospitals?

According to CMS data, Mary Manley is affiliated with Baptist Health Louisville and Baptist Health Lagrange.

When was this NPI record last updated?

The NPPES record for Mary Manley was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.