Active NPI 1225391113 Individual Practitioner Female Practitioner

Staci Bhalodi , PA-C

Physician Assistant • Versailles, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Staci Bhalodi, PA-C is a certified Physician Assistant practicing in Versailles, KY. With approximately 14 years of clinical experience since completing medical education in 2012, Staci Bhalodi delivers high-quality medical care to the local community at 360 AMSDEN AVE STE 401.

Staci Bhalodi is affiliated with Kentucky Mso Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of skin and tissue, 20.0 sq cm or less, established patient outpatient office visit, new 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

360 Amsden Ave Ste 401

Versailles, KY 403831854

Telephone 8598792384

Fax 8598792388

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Versailles, KY

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs +3.3 yrs vs City Avg

City Avg: 10.7 Yrs

State Avg: 12.7 Yrs

Regional Practice Density

9 Specialists

Practicing in Versailles, KY (1973 Statewide)

Telehealth Adoption Rate

11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bhalodi (14 Years) 14 Yrs

Versailles 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
11042 Removal of skin and tissue, 20.0 sq cm or less	129	50	$375.00	$50.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	125	91	$249.25	$81.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$462.73	$112.12
99213 Established patient office or other outpatient visit, typically 15 minutes	22	18	$168.00	$55.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$276.36	$68.60

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	137	102	$230.49	$79.62
11042 Removal of skin and tissue, 20.0 sq cm or less	128	44	$349.40	$45.29
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	41	11	$123.93	$20.73
99213 Established patient office or other outpatient visit, typically 15 minutes	28	23	$146.76	$53.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$476.93	$108.78

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	76	68	$234.08	$79.80
11042 Removal of skin and tissue, 20.0 sq cm or less	41	18	$362.56	$48.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	29	$232.08	$91.36
11042 Removal of skin and tissue, 20.0 sq cm or less	31	14	$342.10	$49.13
99213 Established patient office or other outpatient visit, typically 15 minutes	30	18	$153.50	$57.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$416.63	$135.22
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$156.46	$51.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	69	28	$341.00	$49.18
99213 Established patient office or other outpatient visit, typically 15 minutes	55	33	$153.00	$59.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	30	$225.00	$95.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	33	$225.00	$81.62
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$153.00	$55.26
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	11	11	$32.00	$11.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$445.18	$111.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$415.18	$126.79
99443 Telephone medical discussion with physician, 21-30 minutes	11	11	$114.00	$104.57

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	101	78	$225.00	$78.53
99213 Established patient office or other outpatient visit, typically 15 minutes	79	55	$153.00	$48.19
11042 Removal of skin and tissue, 20.0 sq cm or less	68	26	$341.00	$50.68
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	46	41	$32.00	$12.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$364.05	$130.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	16	$314.53	$106.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	81	57	$151.44	$50.36
11042 Removal of skin and tissue, 20.0 sq cm or less	60	21	$338.65	$50.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	33	$223.59	$80.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$367.88	$131.69
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	18	18	$32.00	$11.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	113	63	$149.99	$47.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	68	$221.54	$75.83
11042 Removal of skin and tissue, 20.0 sq cm or less	31	16	$336.65	$50.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$360.19	$125.26
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	21	20	$31.81	$11.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$235.00	$84.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	46	22	$146.83	$41.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	36	$216.30	$85.09
99213 Established patient office or other outpatient visit, typically 15 minutes	31	29	$145.87	$55.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$222.24	$80.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	15	$217.00	$63.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$85.43	$20.65

Medical Specialties & State Licenses

CMS Verified: 2025-05-13

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License KY PA2120

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.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License KY PA2120

Definition to come...

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License KY PA2120

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License

PA2120 (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

Career & Practice History Timeline

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

15 Historical Events

📍

Updated Practice Location May 13, 2025

Registered at 360 AMSDEN AVE STE 401, VERSAILLES, KY 403831854 (Tel: 8598792384)

📍

Updated Business Mailing Address May 13, 2025

Registered at 360 AMSDEN AVE STE 401, VERSAILLES, KY 403831854 (Tel: 8598792384)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2025

Physician Assistant (License #PA2120 in KY)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2020

Physician Assistant (License #PA2120 in KY)

✅

NPI Profile Active January 12, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 12, 2017

Registered at 800 ROSE ST, C225, LEXINGTON, KY 405360293 (Tel: 8593236602)

📍

Updated Business Mailing Address January 12, 2017

Registered at 4030 TATES CREEK ROAD, APT 4415, LEXINGTON, KY 40517 (Tel: 7185943826)

👤

Provider Name / Credentials Updated January 12, 2017

Recorded as STACI BHALODI, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2017

Physician Assistant (License #PA2120 in KY)

✅

NPI Profile Active October 10, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 10, 2016

Registered at 800 ROSE STREET, C224, LEXINGTON, KY 40536 (Tel: 8593236346)

📍

Updated Business Mailing Address October 10, 2016

Registered at 4030 TATES CREEK ROAD, APT 4415, LEXINGTON, KY 40517 (Tel: 7185943826)

👤

Provider Name / Credentials Updated October 10, 2016

Recorded as STACI BHALODI, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2016

Physician Assistant (License #TC498 in KY)

🟢

Initial NPI Registration & Enumeration June 17, 2012

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: 1225391113

Entity Type:

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

Enumeration Date: June 17, 2012

Last Update: May 13, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

360 Amsden Ave Ste 401

Versailles, KY 403831854

Phone: 8598792384

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.