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Active NPI 1831285477 Individual Practitioner Female Practitioner

Amy Antle , PA

Physician Assistant • Lexington, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Amy Antle, PA is a certified Physician Assistant practicing in Lexington, KY. With approximately 36 years of clinical experience since completing medical education in 1990, Amy Antle delivers high-quality medical care to the local community at 160 N EAGLE CREEK DR.

Amy Antle is affiliated with Kentucky Mso Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, 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

160 N Eagle Creek Dr

Lexington, KY 405092121

Telephone 8592630022
Fax 8592634666
Associated Practice Facility / Clinic
🏢 Bluegrass Breast Imaging Pllc Facility NPI 1427075209

Medicare Profile & Education

Medical School

Other

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Lexington, KY

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
36 Yrs +25.3 yrs vs City Avg
City Avg: 10.7 Yrs
State Avg: 12.7 Yrs
Regional Practice Density
590 Specialists

Practicing in Lexington, KY (1973 Statewide)

Telehealth Adoption Rate
11.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
69.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Antle (36 Years) 36 Yrs
Lexington Specialty Average (10.7 Years) 10.7 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
30 30 $437.00 $127.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
29 19 $304.00 $100.62

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License KY PA 118

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
95000758 (KY)
Commercial Insurance / Payer ID Anthem
000000374870 (KY)

Hospital & Practice Group Affiliations

Kentucky Mso Llc

360 Amsden Ave, Versailles, KY 403831851

Kentucky Mso Llc

175 Hospital Dr, Georgetown, KY 40324

Phone: 5025702324

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dr. Todd Horn , MD

Internal Medicine - Gastroenterology

NPI 1093814808

Doctor of Medicine (M.D.)

Rhiannon Black , APRN

Nurse Practitioner - Family

NPI 1528431871

Advanced Practice Registered Nurse

Dr. Damir Kusmic , MD

Internal Medicine - Gastroenterology

NPI 1780039727

Doctor of Medicine (M.D.)

Melissa Stipp , APRN

Nurse Practitioner - Family

NPI 1922676204

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location January 14, 2022

Registered at 160 N EAGLE CREEK DR, LEXINGTON, KY 405092121 (Tel: 8592630022)

📍
Updated Business Mailing Address January 14, 2022

Registered at 160 N EAGLE CREEK DR, LEXINGTON, KY 405092121 (Tel: 8592630022)

NPI Profile Active May 21, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location May 21, 2008

Registered at 160 NORTH EAGLE CREEK, LEXINGTON, KY 40509 (Tel: 8592630022)

📍
Updated Business Mailing Address May 21, 2008

Registered at 160 NORTH EAGLE CREEK, LEXINGTON, KY 40509 (Tel: 8592630022)

👤
Provider Name / Credentials Updated May 21, 2008

Recorded as AMY ANTLE, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2008

Physician Assistant (License #PA 118 in KY)

🟢
Initial NPI Registration & Enumeration October 04, 2006

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: 1831285477
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2006
Last Update: January 14, 2022
Sole Proprietor: No

Mailing Address

160 N Eagle Creek Dr

Lexington, KY 405092121

Phone: 8592630022

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.