MALLORY L BARTRAM PA-C
NPI 1508257783
Physician Assistant in Lexington, KY

NPI Status: Active since February 10, 2015

Contact Information

800 ROSE ST
MS-463
LEXINGTON, KY
ZIP 40536
Phone: (859) 323-0100
Fax: (859) 257-6066

Get Directions Reviews

  • Individual
  • Female
  • Physician Assistant
  • Accepts Insurance
  • PECOS Enrolled

About MALLORY BARTRAM

This page provides the complete NPI Profile along with additional information for Mallory Bartram, a primary care provider established in Lexington, Kentucky with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1508257783 assigned on February 2015. The practitioner's primary taxonomy code is 363A00000X with license number PA1985 (KY). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1508257783
Provider Name
MALLORY L BARTRAM PA-C
Other Name
MALLORY L BUCKOSH PA-C
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
800 ROSE ST MS-463 LEXINGTON, KY 40536
Location Phone
(859) 323-0100
Location Fax
(859) 257-6066
Mailing Address
800 ROSE ST MS-463 LEXINGTON, KY 40536
Mailing Phone
(859) 323-0100
Mailing Fax
(859) 257-6066
Is Sole Proprietor?
No
Enumeration Date
02-10-2015
Last Update Date
10-15-2018
Code Navigator

A primary care provider (PCP) like Mallory Bartram sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA1985
License State
KY
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Central Bronze - HMO
  • Central Bronze + Vision + Adult Dental - HMO
  • Central Gold - HMO
  • Central Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
  • Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential 9200 (+ Incentives) - HMO
  • Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives) - HMO
  • Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Essential 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Silver Essential 3500 HSA (+ Incentives) - HMO
  • Anthem Silver Essential 5000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Silver Essential 7000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Silver Essential 7000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Bronze First 7500 $25 Generic Drugs - HMO
  • Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Gold 1500 $15 Generic Drugs - HMO
  • Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Select Drugs - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • HSA Eligible Bronze 6000 - HMO
  • Low Premium Bronze 9200 $25 Generic Drugs - HMO
  • Low Premium Bronze 9200 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Low Premium Silver 6000 $3 Generic Drugs - HMO
  • Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
  • Platinum Zero $5 Generic Drugs - HMO
  • Platinum Zero $5 Generic Drugs Adult Vision & Fitness - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Mallory Bartram is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 40536 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $82.24
  • Minimum New Patient Price $52.76
  • Maximum New Patient Price $162.27
  • Average New Patient Copayment $20.56
  • Minimum New Patient Copayment $13.19
  • Maximum New Patient Copayment $40.56

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $66.24
  • Minimum Established Patient Price $16.53
  • Maximum Established Patient Price $131.99
  • Average Established Patient Copayment $16.56
  • Minimum Established Patient Copayment $4.13
  • Maximum Established Patient Copayment $32.99

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for MALLORY L BARTRAM PA-C

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1508257783
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25084514716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 4 + 5 + 1 + 4 + 7 + 1 + 6 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1508257783 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1679565477DR. SUSAN R GERKIN MD
Individual
Internal Medicine (Nephrology)800 ROSE ST MN 564
LEXINGTON, KY 40536
(859) 323-5049
1285629717 DEBORAH J WHITEHURST ARNP
Individual
Nurse Practitioner (Pediatrics)800 ROSE ST MN-109
LEXINGTON, KY 40536
(859) 257-1552
1285619510 KAREN S PLAYFORTH MD
Individual
Obstetrics & Gynecology (Maternal & Fetal Medicine)800 ROSE ST C358
LEXINGTON, KY 40536
(859) 218-5692
1760448484DR. DIANNE WILSON MD
Individual
Pathology (Anatomic Pathology)800 ROSE ST
LEXINGTON, KY 40536
(859) 323-5425
1609805795 VALERIE J NICHOLSON MD
Individual
Emergency Medicine800 ROSE ST
LEXINGTON, KY 40536
(859) 323-5901
1043242746 REBECCA C BOWERS MD
Individual
Emergency Medicine800 ROSE ST
LEXINGTON, KY 40536
(859) 323-5901
1477587418 JUSTINE M YONEDA MD
Individual
Radiology (Radiation Oncology)800 ROSE ST
LEXINGTON, KY 40536
(859) 323-6486
1154356376MS. MARTHA L. BURNS PA-C
Individual
Physician Assistant (Medical)800 ROSE ST ROOM CC407 ROACH BUILDING
LEXINGTON, KY 40536
(859) 257-6940
1174548861 WILLIAM FRANKLIN YOUNG MD
Individual
Emergency Medicine800 ROSE ST
LEXINGTON, KY 40536
(859) 323-5901
1316962152 JULIA E MARTIN MD
Individual
Emergency Medicine800 ROSE ST
LEXINGTON, KY 40536
(859) 323-5901
1285652537 WILLIAM HENRY ST. CLAIR MD
Individual
Radiology (Radiation Oncology)800 ROSE ST
LEXINGTON, KY 40536
(859) 323-6486
1134147507DR. ANDREW MICHAEL FRIED M.D.
Individual
Radiology (Diagnostic Radiology)800 ROSE ST DEPT. DIAGNOSTIC RADIOLOGY, UNIV. OF KY. HOSPITAL
LEXINGTON, KY 40536
(859) 323-5236
1710905054 PUSHPA M PATEL MD
Individual
Radiology (Radiation Oncology)800 ROSE ST
LEXINGTON, KY 40536
(859) 323-6486
1932214012 STEVEN CHRISTOPHER LASHER MD
Individual
Anesthesiology800 ROSE ST
LEXINGTON, KY 40536
(859) 323-5956
1508972548MRS. OKSANA KLIMKINA M.D.
Individual
Anesthesiology800 ROSE ST
LEXINGTON, KY 40536
(859) 323-5956
1821106238DR. ZAKI-UDIN HASSAN M.D
Individual
Anesthesiology800 ROSE ST
LEXINGTON, KY 40536
(859) 323-5956
1689783490DR. DANIEL T GOULSON M.D.
Individual
Anesthesiology800 ROSE ST DEPARTMENT OF ANESTHESIOLOGY, N200 UKMC
LEXINGTON, KY 40536
(859) 323-5956
1982700472DR. DEAN K. WHITE D.D.S, M.S.D
Individual
Dentist (Oral and Maxillofacial Pathology)800 ROSE ST UK ORAL PATHOLOGY LAB, UKMC RM. MN 530
LEXINGTON, KY 40536
(859) 323-5515
1225135973DR. KAVITA R MATHU-MUJU DMD
Individual
Dentist (Pediatric Dentistry)800 ROSE ST D104
LEXINGTON, KY 40536
(859) 323-6261
1265539910DR. JOHN B BURT DMD
Individual
Dentist (General Practice)800 ROSE ST
LEXINGTON, KY 40536
(859) 323-5562

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508257783, enumerated in the NPI registry as an "individual" on February 10, 2015

The provider is located at 800 Rose St Ms-463 Lexington, Ky 40536 and the phone number is (859) 323-0100

The provider's speciality is Physician Assistant with taxonomy code 363A00000X

The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $82.24 with an average copayment of $20.56 for new patient appointments. Established patients should expect a typical charge of $66.24 and an average copayment of 16.56. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on February 10, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.