Individual provider Active NPI

Susan M. Hodge, P.A.-C.

  • Physician Assistant
  • Barbourville, KY
National Provider Identifier
1942305156
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA896 Issued in KY
Practice address
602 Knox St
Barbourville, KY 40906-1304
Phone
(606) 546-6027
Fax
(606) 546-2084
NPI assigned
Sep 13, 2006
Last updated
Feb 5, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA896 KY Primary
Medical Physician Assistant 363AM0700X PA896 KY

Addresses

Primary practice location

602 Knox St
Barbourville, KY 40906-1304

Mailing address

602 Knox St
Barbourville, KY 40906-1304
Phone (606) 546-6027

Other identifiers 2

IdentifierTypeStateIssuer
P01439763OtherKYRR MEDICARE
7100120360MedicaidKY

Other names 1

  • Susan M. Stratton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051107000112 KY Practitioner - Physician Assistant 3678591856 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Kentucky College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

602 Knox St
Barbourville, KY 40906-1304
Phone (606) 546-6027

96 Future Dr
Corbin, KY 40701-8988
Phone (606) 528-0305

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA896KYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Aug 1, 2018 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2015 Accepting new patients
Alan D Graham Past Accepting new patients
Nancy V Morris MD PLLC Physician Assistant Past Accepting new patients

Locations

602 Knox St
Barbourville, KY 40906
Phone (606) 546-6027

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

1 Trillium Way
Ste 301
Corbin, KY 40701
Phone (606) 526-7363

96 Future Dr
Corbin, KY 40701

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

55 Thannoli Dr
Somerset, KY 42503
Phone (606) 677-0854

Interoperability endpoints

  • Direct secure messaging: shodge7207@bhkydirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1942305156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 KNOX ST",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409061304",
            "telephone_number": "606-546-6027",
            "fax_number": "606-546-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 KNOX ST",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409061304",
            "telephone_number": "606-546-6027",
            "fax_number": "606-546-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGE",
        "first_name": "SUSAN",
        "middle_name": "M.",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA896",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA896",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01439763",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100120360",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "STRATTON",
            "middle_name": "M.",
            "credential": "P.A.-C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Barbourville, KY

Sources for this page

Verify at the official NPI Registry.