Mary Alice Disselkamp, PA-C
Physician Assistant · Elizabethtown, KY
Mary Alice Disselkamp, PA-C is a physician assistant with a practice address in Elizabethtown, Kentucky, and NPI 1043876170, issued on May 14, 2019. Check the license with the Kentucky board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Mary Alice Disselkamp
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- Practice location
- 2407 Ring RD Ste 108, Elizabethtown, KY 42701
- Phone
- (270) 706-5787
- Enumerated
- May 14, 2019
- Record last updated
- Nov 8, 2023
- Fax
- (270) 706-5788
- Medicare enrollment
- Enrolled (PECOS I20191011002558); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 2407 Ring RD Ste 108
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Katherine Collin, PA-CPhysician Assistant1801233978
- Joseph Sego, PAPhysician Assistant1477859635
Verify Mary Alice Disselkamp in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Kentucky board licenses this professionCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The practice group's MIPS final score for 2023 (Medicare payment program): 89.8 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $23.30
1 payment: food and beverage; the largest payer was Eisai Inc. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Radiology Associates IncElizabethtown, KY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
35 physician assistant records list a practice address in Elizabethtown
They are 35 of the 1,781 NPPES records with a practice address in Elizabethtown, and 1,958 physician assistant records in Kentucky.
All 35 in Elizabethtown → All 1,958 in Kentucky → Every provider in Elizabethtown →
Other physician assistant records in Kentucky
- Devin AbbottLexington, KY1174354229
- Malinda Abbott, PALexington, KY1467470203
- Whitney Abbott, PA-CLexington, KY1619100799
- Brian Abner, PA-CBarbourville, KY1275883050
- Dee Abrams, PA-CLexington, KY1104927656
- Hayley Absher, PA-CShelbyville, KY1780209429
- Sara Ackerman, PA-CLawrenceburg, KY1467504845
- Briana AcostaClay City, KY1285528679
- Ashley Adair, PA-CLouisville, KY1639093396
- James Adair, PA-CLexington, KY1003140989
Common questions
What is Mary Alice Disselkamp, PA-C's NPI number?
Mary Alice Disselkamp, PA-C's National Provider Identifier (NPI) is 1043876170, issued on May 14, 2019. An NPI identifies a provider in billing; it is not a license.
Where is Mary Alice Disselkamp, PA-C located?
The NPPES record lists a practice address at 2407 Ring RD Ste 108, Elizabethtown, KY, 42701. Phone: (270) 706-5787. Providers update this record themselves, so call before visiting.
How can I verify Mary Alice Disselkamp, PA-C's license?
Search the Kentucky board that licenses this profession; the NPPES record confirms identity only.
What is Mary Alice Disselkamp, PA-C's MIPS final score?
The 2023 MIPS final score is 89.8 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.