Active NPI 1770035040 Individual Practitioner Female Practitioner

Erika Spaulding , APRN

Nurse Practitioner • Butler, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Erika Spaulding, APRN is a certified Nurse Practitioner practicing in Butler, KY. With approximately 10 years of clinical experience since completing medical education in 2016, Erika Spaulding delivers high-quality medical care to the local community at 79 COUNTRY CLUB DR.

Erika Spaulding is affiliated with Summit Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, insertion of needle into vein for collection of blood sample, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

79 Country Club Dr

Butler, KY 410068704

Telephone 8596542283

Fax 8596542284

Associated Practice Facility / Clinic

🏢 Cincinnati Healthcare Group Psc, Dba Patient First Physicians Group Facility NPI 1003849324

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Butler, KY

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs Matches City Avg

City Avg: 10.0 Yrs

State Avg: 12.5 Yrs

Regional Practice Density

2 Specialists

Practicing in Butler, KY (1865 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Spaulding (10 Years) 10 Yrs

Butler Specialty Average (10.0 Years) 10.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1010 Injection, methylprednisolone acetate, 1 mg	1,640	20	$0.66	$0.12
36415 Insertion of needle into vein for collection of blood sample	138	95	$22.00	$8.52
99213 Established patient office or other outpatient visit, typically 15 minutes	95	71	$213.00	$70.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	54	$301.00	$98.91
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	47	33	$33.00	$10.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	44	44	$305.00	$104.98
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	44	20	$17.00	$6.64
90662 Influenza vaccine split virus, preservative free	20	20	$141.00	$81.33
G0008 Administration of influenza virus vaccine	20	20	$101.00	$29.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	111	81	$135.00	$68.01
36415 Insertion of needle into vein for collection of blood sample	97	73	$16.00	$8.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	52	$180.00	$101.37
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	55	39	$50.00	$10.25
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	53	24	$13.00	$5.94
87400 Detection test for Influenza virus, A or B	36	17	$35.00	$13.08
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	35	35	$275.00	$103.82
J1040 Injection, methylprednisolone acetate, 80 mg	23	21	$18.00	$10.23
G0008 Administration of influenza virus vaccine	20	19	$38.00	$27.17
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	18	17	$110.00	$32.70
90662 Influenza vaccine split virus, preservative free	13	13	$110.00	$66.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	130	92	$127.62	$69.73
36415 Insertion of needle into vein for collection of blood sample	124	75	$16.00	$2.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	53	$176.96	$101.17
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	69	29	$13.00	$6.78
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	60	43	$50.00	$11.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	36	36	$272.58	$105.87
J1040 Injection, methylprednisolone acetate, 80 mg	28	23	$18.00	$10.67
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	24	19	$118.75	$33.49
85610 Blood test, clotting time	20	11	$9.00	$4.25
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	18	11	$5.00	$1.74
G0008 Administration of influenza virus vaccine	17	17	$38.00	$27.00
90662 Influenza vaccine split virus, preservative free	14	14	$110.00	$68.54
93000 Routine ekg using at least 12 leads including interpretation and report	14	12	$40.14	$11.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	126	91	$119.00	$71.80
36415 Insertion of needle into vein for collection of blood sample	118	78	$14.32	$2.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	112	79	$173.00	$102.53
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	89	60	$50.00	$11.23
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	78	36	$13.00	$7.14
85610 Blood test, clotting time	48	12	$9.00	$4.29
81003 Automated urinalysis test	34	22	$6.00	$2.05
J1040 Injection, methylprednisolone acetate, 80 mg	34	32	$18.00	$10.62
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	33	33	$188.00	$107.65
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	31	17	$5.00	$1.94
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	28	27	$126.75	$34.07
G0008 Administration of influenza virus vaccine	21	21	$38.00	$15.62
93000 Routine ekg using at least 12 leads including interpretation and report	15	14	$40.00	$11.26
90662 Influenza vaccine split virus, preservative free	14	14	$108.57	$64.95
0064A Adm sarscov2 50mcg/0.25mlbst	12	12	$90.00	$36.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	127	77	$10.00	$2.92
99213 Established patient office or other outpatient visit, typically 15 minutes	120	78	$119.00	$55.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	67	$173.00	$81.64
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	78	45	$50.00	$10.97
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	66	26	$10.64	$7.06
85610 Blood test, clotting time	53	15	$9.00	$4.26
J1040 Injection, methylprednisolone acetate, 80 mg	39	29	$17.18	$11.43
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	35	35	$188.00	$94.13
81003 Automated urinalysis test	20	19	$6.00	$2.04
G0008 Administration of influenza virus vaccine	17	17	$38.00	$15.62
93000 Routine ekg using at least 12 leads including interpretation and report	17	17	$40.00	$13.61
82570 Creatinine level to test for kidney function or muscle injury	14	14	$13.00	$4.86
82044 Urine microalbumin (protein) analysis	14	14	$7.00	$5.83
90662 Influenza vaccine split virus, preservative free	13	13	$90.00	$60.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	130	85	$10.00	$2.85
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	125	53	$10.00	$6.71
99213 Established patient office or other outpatient visit, typically 15 minutes	124	90	$116.42	$57.79
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	110	75	$50.00	$12.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	75	$170.03	$80.55
J1040 Injection, methylprednisolone acetate, 80 mg	77	60	$15.47	$11.62
85610 Blood test, clotting time	48	15	$9.00	$4.28
J0696 Injection, ceftriaxone sodium, per 250 mg	48	11	$17.00	$0.54
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	34	34	$183.79	$93.38
G0008 Administration of influenza virus vaccine	29	29	$38.00	$15.31
81002 Urinalysis, manual test	25	25	$6.00	$3.27
90662 Influenza vaccine split virus, preservative free	17	17	$90.00	$54.89
93000 Routine ekg using at least 12 leads including interpretation and report	16	16	$40.00	$13.48
G0009 Administration of pneumococcal vaccine	11	11	$38.00	$15.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	135	88	$168.00	$80.40
36415 Insertion of needle into vein for collection of blood sample	123	93	$10.00	$2.82
99213 Established patient office or other outpatient visit, typically 15 minutes	120	94	$114.74	$56.60
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	73	55	$50.00	$15.40
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	72	31	$10.00	$7.10
J0696 Injection, ceftriaxone sodium, per 250 mg	56	11	$17.00	$0.51
81002 Urinalysis, manual test	41	35	$6.00	$3.10
J1040 Injection, methylprednisolone acetate, 80 mg	35	32	$13.91	$12.97
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	31	31	$177.00	$92.56
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	22	22	$266.00	$136.45
93000 Routine ekg using at least 12 leads including interpretation and report	13	13	$37.00	$12.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	62	53	$115.44	$55.78
36415 Insertion of needle into vein for collection of blood sample	42	35	$10.00	$2.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	35	$171.35	$80.78
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	32	27	$50.00	$18.94
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	28	13	$10.00	$6.82
J1040 Injection, methylprednisolone acetate, 80 mg	19	18	$10.00	$9.33
81002 Urinalysis, manual test	13	12	$6.00	$3.23
G0008 Administration of influenza virus vaccine	11	11	$38.00	$22.90

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License KY 3010851

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License KY 3010851

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

7100440940 (KY)

Hospital & Practice Group Affiliations

Summit Medical Group Inc

79 Country Club Dr, Butler, KY 410068704

Phone: 8596542283

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. Danielle Myers , DO

Family Medicine

NPI 1063072437

Doctor of Osteopathic Medicine (D.O.)

Dr. Helen Weiss , MD

Family Medicine

NPI 1457322349

Doctor of Medicine (M.D.)

Dr. James Schack , MD

Family Medicine

NPI 1508313594

Doctor of Medicine (M.D.)

Dr. Brian Schack , MD

Internal Medicine

NPI 1790721918

Doctor of Medicine (M.D.)

Dr. Michael Schafer , MD

Family Medicine

NPI 1831115369

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

📍

Updated Business Mailing Address September 11, 2018

Registered at PO BOX 635283, CINCINNATI, OH 452635283 (Tel: 8596542283)

✅

NPI Profile Active June 06, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location June 06, 2017

Registered at 79 COUNTRY CLUB DR, BUTLER, KY 410068704 (Tel: 8596542283)

📍

Updated Business Mailing Address June 06, 2017

Registered at 2300 CHAMBER CENTER DRIVE, FT. MITCHELL, KY 410171673 (Tel: (859) 654-2283)

👤

Provider Name / Credentials Updated June 06, 2017

Recorded as ERIKA SPAULDING, APRN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2017

Nurse Practitioner (License #3010851 in KY)

✅

NPI Profile Active November 02, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 02, 2016

Registered at 103 LANDMARK DR, BELLEVUE, KY 410731393 (Tel: 8596556100)

📍

Updated Business Mailing Address November 02, 2016

Registered at 1401 MADISON AVE, COVINGTON, KY 410113313 (Tel: 8596556100)

👤

Provider Name / Credentials Updated November 02, 2016

Recorded as ERIKA SPAULDING, APRN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2016

Nurse Practitioner (License #3010851 in KY)

🟢

Initial NPI Registration & Enumeration November 02, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770035040

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 02, 2016

Last Update: September 11, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 635283

Cincinnati, OH 452635283

Phone: 8596542283

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.