AMANDA BETH CHISM – Internal Medicine Physician, NPI 1295050672
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,216 INTERNAL MEDICINE in KY
Provider Addresses for AMANDA BETH CHISM
75 NATURE TRL STE 3
RADCLIFF, KY 401609111
Phone: (270) 351-2323
Fax: (270) 351-8031
Type: Mailing
7991, Woodbury Drive, Okolona, Louisville, Jefferson County, Kentucky, 40219, United States
LOUISVILLE, KY 402193771
Phone: (502) 966-8484
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 89 Open Payments records for all available years, with a total value of $1,262.
Total Amount is formed as General ($1,262) + Research ($0) + Ownership ($0) = $1,262.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: PFIZER INC. ($403).
Total Amount
$1,262
General + Research + Ownership
Payments
89
Total payment records
General Amount
$1,262
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $403 |
| Novo Nordisk Inc | $345 |
| Ultragenyx Pharmaceutical Inc. | $64 |
| Lilly USA, LLC | $59 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $38 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-10-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111018000697 | I | Internal Medicine | KY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 378 | 156 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 206 | 121 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 124 | 11 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 105 | 105 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 86 | 74 | $0 |
Insurance plans in this area (ZIP 40160)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | KY | 90670 | Pneumococcal vaccine for injection into muscle | 27 | 27 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| - | KY | |
| - | KY | |
| General Practice | KY | |
| P S Y C H I A T R Y | KY | |
| Thoracic Surgery, Cardiac Surgery | KY | |
| N E U R O S U R G E R Y | KY | |
| Physician Assistant | KY | |
| Emergency Medicine, General Practice | KY | |
| Hematology/Oncology, Internal Medicine | KY |
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