MARTHA JO BIDDLE ARNP
NPI 1922300631
Clinical Nurse Specialist - Adult Health in Lexington, KY
NPI Status: Active since December 01, 2010
- Individual
- Female
- Clinical Nurse Specialist
- Adult Health
- PECOS Enrolled
About MARTHA BIDDLE
This page provides the complete NPI Profile along with additional information for Martha Biddle, a provider established in Lexington, Kentucky with a medical specialization in Clinical Nurse Specialist, focusing in adult health . The healthcare provider is registered in the NPI registry with number 1922300631 assigned on December 2010. The practitioner's primary taxonomy code is 364SA2200X with license number 3004126 (KY). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1922300631
- Provider Name
- MARTHA JO BIDDLE ARNP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 800 ROSE ST LEXINGTON, KY 40536
- Location Phone
- (859) 323-2615
- Mailing Address
- 800 ROSE ST LEXINGTON, KY 40536
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-01-2010
- Last Update Date
- 02-05-2019
- Code Navigator
A Clinical Nurse Specialist (CNS) like Martha Biddle is a type of advanced practice registered nurse (APRN) that provides direct patient care in various nursing specialties, including pediatrics or psychiatric-mental health. CNSs collaborate with other nurses and medical professionals to improve patient care quality. CNSs are often positioned in leadership roles where they may provide education and mentorship to other nursing personnel. Additionally, CNSs may also conduct research and advocate for certain healthcare policies.
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
Clinical Nurse Specialist Adult Health
- Taxonomy Code
- 364SA2200X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 3004126
- License State
- KY
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7801709200 | MEDICAID (05) | KY |
Medicare Participation & PECOS Enrollment Status
Martha Biddle 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: Durable Medical Equipment (DME) 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: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
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 99204
- Average New Patient Price $122.77
- Minimum New Patient Price $52.76
- Maximum New Patient Price $162.27
- Average New Patient Copayment $30.69
- 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 99214
- Average Established Patient Price $93.94
- Minimum Established Patient Price $16.53
- Maximum Established Patient Price $131.99
- Average Established Patient Copayment $23.48
- 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.
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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. | |||||||||
| 1 | 9 | 2 | 2 | 3 | 0 | 0 | 6 | 3 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 4 | 2 | 6 | 0 | 0 | 6 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 4 + 2 + 6 + 0 + 0 + 6 + 6 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1922300631 is valid because the calculated check digit 1 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 |
|---|---|---|---|
| 1679565477 | DR. 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 |
| 1760448484 | DR. DIANNE WILSON MD Individual | Pathology (Anatomic Pathology) | 800 ROSE ST LEXINGTON, KY 40536 (859) 323-5425 |
| 1609805795 | VALERIE J NICHOLSON MD Individual | Emergency Medicine | 800 ROSE ST LEXINGTON, KY 40536 (859) 323-5901 |
| 1043242746 | REBECCA C BOWERS MD Individual | Emergency Medicine | 800 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 |
| 1154356376 | MS. 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 Medicine | 800 ROSE ST LEXINGTON, KY 40536 (859) 323-5901 |
| 1316962152 | JULIA E MARTIN MD Individual | Emergency Medicine | 800 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 |
| 1134147507 | DR. 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 | Anesthesiology | 800 ROSE ST LEXINGTON, KY 40536 (859) 323-5956 |
| 1508972548 | MRS. OKSANA KLIMKINA M.D. Individual | Anesthesiology | 800 ROSE ST LEXINGTON, KY 40536 (859) 323-5956 |
| 1821106238 | DR. ZAKI-UDIN HASSAN M.D Individual | Anesthesiology | 800 ROSE ST LEXINGTON, KY 40536 (859) 323-5956 |
| 1689783490 | DR. DANIEL T GOULSON M.D. Individual | Anesthesiology | 800 ROSE ST DEPARTMENT OF ANESTHESIOLOGY, N200 UKMC LEXINGTON, KY 40536 (859) 323-5956 |
| 1982700472 | DR. 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 |
| 1225135973 | DR. KAVITA R MATHU-MUJU DMD Individual | Dentist (Pediatric Dentistry) | 800 ROSE ST D104 LEXINGTON, KY 40536 (859) 323-6261 |
| 1265539910 | DR. 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 1922300631, enumerated in the NPI registry as an "individual" on December 01, 2010
The provider is located at 800 Rose St Lexington, Ky 40536 and the phone number is (859) 323-2615
The provider's speciality is Clinical Nurse Specialist with taxonomy code 364SA2200X with a focus in Adult Health
The provider might be accepting Accepts: Medicare and Medicaid. 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: Durable Medical Equipment (DME) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $122.77 with an average copayment of $30.69 for new patient appointments. Established patients should expect a typical charge of $93.94 and an average copayment of 23.48. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on December 01, 2010. 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].
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