Mary Disselkamp, PA-C
NPI 1043876170 · Physician Assistant · Elizabethtown, KY
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mary Disselkamp, PA-C is a Physician Assistant provider in Elizabethtown, KY (NPI 1043876170).
Provider details
- NPI number
- 1043876170
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
7 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,441 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Dxa Bone Density Measurement of Hip, Pelvis, Spine77080 | 784 | $7 |
| Dxa Bone Density Measurement of Hip, Pelvis, Spine77080 | 287 | $7 |
| Drainage of Fluid From Abdominal Cavity Using Imaging Guidance49083 | 154 | $82 |
| Fluoroscopic Guidance for Needle Placement77002 | 74 | $21 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 73 | $36 |
| Removal of Spinal Fluid With Lower Back Spinal Tap for Diagnostic Test Using Imaging Guidance62328 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$23 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-05-14
- Last updated
- 2023-11-08
- Certified
- 2023-11-08
Frequently asked questions
- What is Mary Disselkamp's NPI number?
- Mary Disselkamp's National Provider Identifier (NPI) is 1043876170, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Disselkamp's specialty?
- Mary Disselkamp is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mary Disselkamp located?
- Mary Disselkamp's practice location on file with NPPES is 2407 Ring Rd Ste 108, Elizabethtown, KY 42701-5938.
- What is Mary Disselkamp's phone number?
- The practice phone number listed in the NPPES registry for Mary Disselkamp is (270) 706-5787.
- Does Mary Disselkamp accept Medicare?
- Mary Disselkamp is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mary Disselkamp's NPI active?
- Yes — Mary Disselkamp's NPI (1043876170) is active in the NPPES registry as of the last update on 2023-11-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.