Dietitian, Registered In Lexington Kentucky

NPI list of 118 dietitian, registered registered providers with a business address in Lexington, KY of which 8 are registered as organizations and 110 as individuals. A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

NPI Name Type Taxonomy Address Medicare PECOS
1003008996MELISSA OMOHUNDROIndividualDietitian, Registered164 ACORN FALLS DR
LEXINGTON, KY 40509
(859) 227-8448
Non-Participating ProviderNO
1013543172KELLY BLACKBURNIndividualDietitian, Registered711 HAMBRICK AVE
LEXINGTON, KY 40508
(818) 641-4892
Non-Participating ProviderNO
1023331048MELISSA RENEE COMBS-WRIGHTIndividualDietitian, Registered740 S LIMESTONE ROOM J 449
LEXINGTON, KY 40536
(859) 323-5404
Non-Participating ProviderNO
1043234016CAROLE M. HANNERSIndividualDietitian, Registered1101 VETERANS DR LD120
LEXINGTON, KY 40502
(859) 281-3825
Non-Participating ProviderNO
1043337322MARY JANE WHITEIndividualDietitian, Registered2050 VERSAILLES RD
LEXINGTON, KY 40504
(859) 254-5701
Non-Participating ProviderNO
1053695445NICOLE MCWHORTERIndividualDietitian, Registered
(Nutrition, Metabolic)
740 S LIMESTONE STREET J418
LEXINGTON, KY 40536
(859) 323-8325
Non-Participating ProviderNO
1073189064AUSTYN ERICKSONIndividualDietitian, Registered1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
(859) 260-6100
Non-Participating ProviderNO
1073851234HILARY A. HALPINIndividualDietitian, Registered2101 NICHOLASVILLE RD SUITE 106
LEXINGTON, KY 40503
(859) 278-5926
Non-Participating ProviderNO
1083071476LORAINE CIRAIndividualDietitian, Registered2195 HARRODSBURG RD STE 125
LEXINGTON, KY 40504
(859) 323-2232
Non-Participating ProviderNO
1093011520BRITTAN WHEELER BIBBIndividualDietitian, Registered805 NEWTOWN CIR
LEXINGTON, KY 40511
(859) 288-2402
Non-Participating ProviderNO
1093332074YOLANDA LETRICE JACKSONIndividualDietitian, Registered1024 GREENDALE RD UNIT 14103
LEXINGTON, KY 40511
(859) 533-2136
Non-Participating ProviderNO
1093355042KEVIN RICHIEIndividualDietitian, Registered
(Nutrition, Obesity and Weight Management)
653 MONTCLAIR DR
LEXINGTON, KY 40502
(812) 786-5700
Non-Participating ProviderNO
1104217504BETHANY FENTONIndividualDietitian, Registered2250 LEESTOWN RD
LEXINGTON, KY 40511
(859) 281-4900
Non-Participating ProviderNO
1104272467LAURA WENTZIndividualDietitian, Registered1101 VETERANS DR
LEXINGTON, KY 40502
(859) 223-4511
Non-Participating ProviderNO
1114413184MEGAN MEDRANOIndividualDietitian, Registered163 OLD TODDS RD STE 115
LEXINGTON, KY 40509
(317) 519-3926
Non-Participating ProviderNO
1114936739BLUEGRASS NUTRITION COUNSELINGOrganizationDietitian, Registered535 W 2ND ST SUITE 207
LEXINGTON, KY 40508
(859) 388-9152
Non-Participating ProviderNO
1134133325JANICE M TURNERIndividualDietitian, Registered1101 VETERANS DR
LEXINGTON, KY 40502
(859) 233-4511
Non-Participating ProviderNO
1134792344EMILY GOGELIndividualDietitian, Registered3167 CUSTER DR
LEXINGTON, KY 40517
(859) 208-2234
Non-Participating ProviderNO
1144610270RITA MARIE BURDENIndividualDietitian, Registered1101 VETERANS DR CD 120
LEXINGTON, KY 40502
(859) 233-4511
Non-Participating ProviderNO
1144635434JOANNA WATERCUTTERIndividualDietitian, Registered1101 VETERANS DR
LEXINGTON, KY 40502
(859) 281-3830
Non-Participating ProviderNO
1144835653HANNAH FORD HICKEYIndividualDietitian, Registered3167 CUSTER DR STE 301
LEXINGTON, KY 40517
(859) 388-9152
Non-Participating ProviderNO
1154441327AMY E. HOFFMANIndividualDietitian, Registered535 W 2ND ST SUITE 207
LEXINGTON, KY 40508
(859) 388-9152
Non-Participating ProviderNO
1154621795SHERI SETSER-LEGGIndividualDietitian, Registered2195 HARRODSBURG RD STE 125
LEXINGTON, KY 40504
(859) 323-2232
Non-Participating ProviderNO
1154743169ERIN HARNEDIndividualDietitian, Registered2250 LEESTOWN RD
LEXINGTON, KY 40511
(858) 233-4511
Non-Participating ProviderNO
1164446159CAROL BROWNIndividualDietitian, Registered1101 VETERANS DR 120 LD
LEXINGTON, KY 40502
(859) 233-4511
Non-Participating ProviderNO
1164934733ERIN TORRESIndividualDietitian, Registered100 N EAGLE CREEK DR
LEXINGTON, KY 40509
(859) 258-5340
Non-Participating ProviderNO
1184057903KATIE SUZANNE BERRYIndividualDietitian, Registered2250 LEESTOWN RD 120 LD
LEXINGTON, KY 40511
(859) 281-4949
Non-Participating ProviderNO
1184088445HOLLY RUTH, R.D., L.D., ACEIndividualDietitian, Registered4877 WATERSIDE DR
LEXINGTON, KY 40513
(859) 296-1558
Non-Participating ProviderNO
1194111583BRITTANY THEA CHASE CALHOUNIndividualDietitian, Registered2250 LEESTOWN RD 120/LD
LEXINGTON, KY 40511
(859) 233-4511
Non-Participating ProviderNO
1194365809MIKAYLA ANN CUPPIndividualDietitian, Registered2250 LEESTOWN RD
LEXINGTON, KY 40511
(859) 233-4511
Non-Participating ProviderNO
1194758813SABRINA LYNN KAMPHAUSIndividualDietitian, Registered310 S LIMESTONE
LEXINGTON, KY 40508
(859) 226-7418
Non-Participating ProviderNO
1205384427ERIN MARIE L SILLSIndividualDietitian, Registered449 MANITOBA LN
LEXINGTON, KY 40515
(859) 327-2549
Non-Participating ProviderNO
1215049580GENELLE WAGER HIXIndividualDietitian, Registered740 S LIMESTONE ROOM J449
LEXINGTON, KY 40536
(859) 323-5404
Non-Participating ProviderNO
1215591185ERIN CASEYIndividualDietitian, Registered220 STRAWBERRY FIELDS RD
LEXINGTON, KY 40516
(203) 623-2494
Non-Participating ProviderNO
1225694789IDA MARIE IBARRA RODRIGUEZIndividualDietitian, Registered2692 BRADEN WAY
LEXINGTON, KY 40509
(787) 922-2177
Non-Participating ProviderNO
1235632795ERIN WARD FREEMANIndividualDietitian, Registered2195 HARRODSBURG RD
LEXINGTON, KY 40504
(859) 433-4706
Non-Participating ProviderNO
1245689512JACOB LEQUIREIndividualDietitian, Registered2250 LEESTOWN RD
LEXINGTON, KY 40511
(859) 233-4511
Non-Participating ProviderNO
1265486005DEBRA ANN PRICEIndividualDietitian, Registered1101 VETERANS DR 120 LD
LEXINGTON, KY 40502
(859) 233-4511
Non-Participating ProviderNO
1265486146BARI LYN SIMMONSIndividualDietitian, Registered1101 VETERANS DR NUTRITION AND FOOD SERVICE 120-CDD
LEXINGTON, KY 40502
(859) 233-4511
Non-Participating ProviderNO
1265584866EDITH CRACE GRAYBILLIndividualDietitian, Registered1594 HARRODSBURG RD
LEXINGTON, KY 40504
(859) 313-4297
Non-Participating ProviderNO
1285659581CASSANDRA COMPTON DOWNINGIndividualDietitian, Registered1101 VETERANS DR
LEXINGTON, KY 40502
(859) 233-4511
Non-Participating ProviderNO
1306070073NANCY K. DURALLIndividualDietitian, Registered3251 BEAUMONT CENTRE CIR
LEXINGTON, KY 40513
(859) 219-0530
Non-Participating ProviderNO
1316101488TERRI PHELPSIndividualDietitian, Registered650 NEWTOWN PIKE
LEXINGTON, KY 40508
(859) 252-2371
Non-Participating ProviderNO
1326091026SUZANNE WRIGHT GOREIndividualDietitian, Registered1101 VETERANS DR
LEXINGTON, KY 40502
(859) 233-4511
Non-Participating ProviderNO
1326361643ASHLEY DAUBIndividualDietitian, Registered
(Nutrition, Metabolic)
740 S LIMESTONE ST KY CLINIC, ROOM J450
LEXINGTON, KY 40536
(859) 323-8325
Non-Participating ProviderNO
1376094169EMILY DICKENS MCGLONEIndividualDietitian, Registered90 SOUTHPORT DR
LEXINGTON, KY 40503
(859) 494-2561
Non-Participating ProviderNO
1386270148LAUREN PAIGE COLSTONIndividualDietitian, Registered
(Nutrition, Obesity and Weight Management)
373 VIRGINIA AVE STE 110
LEXINGTON, KY 40504
(502) 320-4028
Non-Participating ProviderNO
1386920395HEATHER DAWN KISERIndividualDietitian, Registered2250 LEESTOWN RD
LEXINGTON, KY 40511
(859) 233-4511
Non-Participating ProviderNO
1396936209CHRISTINA PENELOPE THOMPSONIndividualDietitian, Registered535 W 2ND ST SUITE 207
LEXINGTON, KY 40508
(859) 388-9152
Non-Participating ProviderNO
1407012511JANET S GILLIGANIndividualDietitian, Registered2195 HARRODSBURG RD
LEXINGTON, KY 40504
(859) 257-1693
Non-Participating ProviderNO
1427374172JENNIFER VEST ALVISIndividualDietitian, Registered333 WALLER AVE SUITE 300
LEXINGTON, KY 40504
(859) 252-3170
Non-Participating ProviderNO
1427629427IMAN SHALASHIndividualDietitian, Registered3167 CUSTER DR
LEXINGTON, KY 40517
(859) 388-9152
Non-Participating ProviderNO
1447306592NANCY G HINERIndividualDietitian, Registered650 NEWTOWN PIKE
LEXINGTON, KY 40508
(859) 252-2371
Non-Participating ProviderNO
1447411087KAREN TROENDLY JONESIndividualDietitian, Registered805 NEWTOWN CIR
LEXINGTON, KY 40511
(859) 288-2473
Non-Participating ProviderNO
1447747282SARAH ANN CZARNECKIIndividualDietitian, Registered752 CLAYVIS CT
LEXINGTON, KY 40515
(859) 351-9989
Non-Participating ProviderNO
1447803754NEW LEXINGTON CLINIC, PSCOrganizationDietitian, Registered1221 S BROADWAY
LEXINGTON, KY 40504
(859) 258-4000
Non-Participating ProviderNO
1457722902ANDREW M WHEELERIndividualDietitian, Registered800 ROSE STREET, HP 503
LEXINGTON, KY 40536
(859) 323-5542
Accepts MedicareNO
1457751174KENTUCKY ONE HEALTH
SAINT JOSEPH HEALTHCARE
OrganizationDietitian, Registered3251 BEAUMONT CIRCLE SAINT JOSEPH HEALTHY LIFESTYLE CENTER
LEXINGTON, KY 40513
(859) 219-0530
Non-Participating ProviderNO
1467856096ALYSON LAYNE-DAVIDSONIndividualDietitian, Registered2433 REGENCY RD
LEXINGTON, KY 40503
(859) 899-5260
Non-Participating ProviderNO
1477069334KATHLEEN E STANLEYIndividualDietitian, Registered1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
(859) 260-6674
Non-Participating ProviderNO
1477102614CANDICE BELLE TUFANOIndividualDietitian, Registered2184 WINTERBERRY DR APT B
LEXINGTON, KY 40504
(859) 321-3957
Non-Participating ProviderNO
1477719193JULIE TATEIndividualDietitian, Registered1101 VETERANS DR
LEXINGTON, KY 40502
(859) 281-3939
Non-Participating ProviderNO
1497049894MEGAN MARSH FINNIEIndividualDietitian, Registered1101 BEAUMONT CENTRE LN APARTMENT # 13107
LEXINGTON, KY 40513
(859) 351-6875
Non-Participating ProviderNO
1497220313TODD MEEKIndividualDietitian, Registered2681 RED LEAF DR
LEXINGTON, KY 40509
(859) 396-4487
Non-Participating ProviderNO
1497882922JEAN MARIE BAQUEROIndividualDietitian, Registered
(Nutrition, Renal)
1451 HARRODSBURG RD
LEXINGTON, KY 40504
(859) 977-4000
Non-Participating ProviderNO
1508169871JENNIFER ANN KOUNSIndividualDietitian, Registered2416 REGENCY ROAD
LEXINGTON, KY 40503
(859) 278-1316
Non-Participating ProviderNO
1518393487COREY JOSEPH HAWESIndividualDietitian, Registered2220 EXECUTIVE DR SUITE 103
LEXINGTON, KY 40505
(502) 938-9414
Non-Participating ProviderNO
1528362241KELLI LYNN ZIKIndividualDietitian, Registered1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
(859) 260-5122
Non-Participating ProviderNO
1528413028JILL KINDYIndividualDietitian, Registered705 BROADMOOR PL
LEXINGTON, KY 40509
(859) 536-0288
Non-Participating ProviderNO
1538636006MUDITA ARORAIndividualDietitian, Registered197 ELLERSLIE PARK BLVD
LEXINGTON, KY 40515
(859) 457-0115
Non-Participating ProviderNO
1548355605LOIS J HILLIndividualDietitian, Registered
(Nutrition, Renal)
1600 HARRODSBURG ROAD SUITE 10
LEXINGTON, KY 40504
(859) 536-0740
Accepts MedicareNO
1548880677KIRA LITRAS GALLOWAYIndividualDietitian, Registered1000 S LIMESTONE
LEXINGTON, KY 40536
(859) 257-1000
Non-Participating ProviderNO
1558482059TONI G. RODGERSIndividualDietitian, Registered151 OPPORTUNITY WAY
LEXINGTON, KY 40511
(859) 514-4039
Non-Participating ProviderNO
1558977603SHANNON WINKEIndividualDietitian, Registered3167 CUSTER DR STE 301
LEXINGTON, KY 40517
(859) 421-7905
Non-Participating ProviderNO
1568403129KAREN A MCKNIGHTIndividualDietitian, Registered2195 HARRODSBURG RD STE 125
LEXINGTON, KY 40504
(859) 323-2232
Non-Participating ProviderNO
1578585758JENNIFER LYNN FULLERIndividualDietitian, Registered740 S LIMESTONE RM J513
LEXINGTON, KY 40536
(859) 323-3805
Non-Participating ProviderNO
1578601860STEPHANIE A MEARSIndividualDietitian, Registered650 NEWTOWN PIKE
LEXINGTON, KY 40508
(859) 252-2371
Non-Participating ProviderNO
1578984878NICOLE MARIE CUGINIIndividualDietitian, Registered2250 LEESTOWN RD 120 LD
LEXINGTON, KY 40511
(614) 824-0532
Non-Participating ProviderNO
1588108609BODY STRUCTURE CLINICOrganizationDietitian, Registered2600 GRIBBIN DR.
LEXINGTON, KY 40517
(859) 268-8190
Non-Participating ProviderNO
1588170260DANIEL SCOTT STINNETTIndividualDietitian, Registered1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
(859) 260-5122
Accepts MedicareNO
1588189054EMILY ASHTONIndividualDietitian, Registered535 W SECOND ST STE 207
LEXINGTON, KY 40508
(859) 388-9152
Non-Participating ProviderNO
1588614440SANDRA L RICEIndividualDietitian, Registered1101 VETERANS DR VA MEDICAL CENTER (120 CDD)
LEXINGTON, KY 40502
(859) 381-5935
Non-Participating ProviderNO
1609171404MELISSA SMITHIndividualDietitian, Registered3412 SCOTTISH TRCE
LEXINGTON, KY 40509
(859) 619-7458
Non-Participating ProviderNO
1609267624ERICA RHORERIndividualDietitian, Registered1101 VETERANS DR
LEXINGTON, KY 40502
(859) 582-6441
Non-Participating ProviderNO
1609454222WILLAOrganizationDietitian, Registered2324 LIBERTY STATION CT
LEXINGTON, KY 40509
(859) 582-6441
Non-Participating ProviderNO
1609829928DONNA RILEYIndividualDietitian, Registered1101 VETERANS DR
LEXINGTON, KY 40502
(859) 233-4511
Non-Participating ProviderNO
1609995315ANGELA R HEPNERIndividualDietitian, Registered2195 HARRODSBURG RD STE 125
LEXINGTON, KY 40504
(859) 323-2232
Non-Participating ProviderNO
1619313772CAROLYN HOFEIndividualDietitian, Registered710 E MAIN ST
LEXINGTON, KY 40502
(859) 321-8312
Non-Participating ProviderNO
1619910205CLAUDIA LYNN BURNETTIndividualDietitian, Registered150 N EAGLE CREEK DR
LEXINGTON, KY 40509
(859) 967-5653
Non-Participating ProviderNO
1649314196NGOHIDE GLADYS OKPOKHOIndividualDietitian, Registered1450 N BROADWAY
LEXINGTON, KY 40505
(859) 977-0125
Non-Participating ProviderNO
1659674836REBECCA PASKIEVICHIndividualDietitian, Registered2250 LEESTOWN RD
LEXINGTON, KY 40511
(859) 233-4511
Non-Participating ProviderNO
1659993830DAVID TRAVIS THOMASIndividualDietitian, Registered
(Nutrition, Sports Dietetics)
836 TIFFANIE CT
LEXINGTON, KY 40514
(859) 218-0863
Non-Participating ProviderNO
1669093282KAREN KAY KLEFOTIndividualDietitian, Registered1401 HARRODSBURG RD STE A410
LEXINGTON, KY 40504
(859) 313-1000
Non-Participating ProviderNO
1679958672ANDREA FRANCISIndividualDietitian, Registered2195 HARRODSBURG RD STE 125
LEXINGTON, KY 40504
(859) 323-2232
Non-Participating ProviderNO
1679990246AMY LORRAINE CAMENISCHIndividualDietitian, Registered2620 WILHITE DR
LEXINGTON, KY 40503
(859) 278-6031
Non-Participating ProviderNO
1699007096JANELLE M SCHNAKEIndividualDietitian, Registered1 SAINT JOSEPH DR
LEXINGTON, KY 40504
(859) 313-2595
Non-Participating ProviderNO
1730179458KARA FRICKE PENDERGRASSIndividualDietitian, Registered
(Nutrition, Renal)
1101 WINCHESTER RD SUITE 200
LEXINGTON, KY 40505
(859) 225-4595
Non-Participating ProviderNO
1750526307KARRI ANNE HARDINGIndividualDietitian, Registered169 GREENWAY LN
LEXINGTON, KY 40511
(606) 205-1132
Non-Participating ProviderNO
1750536371MARLENE RENAE GOODLETTIndividualDietitian, Registered650 NEWTOWN PIKE
LEXINGTON, KY 40508
(859) 288-2395
Non-Participating ProviderNO
1750897054LAURA MITCHELLIndividualDietitian, Registered1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
(859) 260-5122
Non-Participating ProviderNO
1770945560BETHANY BORDERSIndividualDietitian, Registered1221 S BROADWAY
LEXINGTON, KY 40504
(859) 258-4032
Accepts MedicareNO
1780717470DORIS M. REESIndividualDietitian, Registered
(Nutrition, Renal)
1451 HARRODSBURG RD SUITED304
LEXINGTON, KY 40504
(859) 977-4000
Non-Participating ProviderNO
1801490354ANDREA CAMPBELLIndividualDietitian, Registered100 N EAGLE CREEK DR
LEXINGTON, KY 40509
(859) 258-5340
Accepts MedicareNO
1811002314BETTE KYLEEN WARDIndividualDietitian, Registered
(Nutrition, Renal)
1101 WINCHESTER RD SUITE 200
LEXINGTON, KY 40505
(859) 225-4595
Non-Participating ProviderNO
1821661141BRITT ELIZABETH FUGMANNIndividualDietitian, Registered1078 WELLINGTON WAY
LEXINGTON, KY 40513
(859) 429-8935
Non-Participating ProviderNO
1841388923TAMARA A ROSSIndividualDietitian, Registered2195 HARRODSBURG RD STE 125
LEXINGTON, KY 40504
(859) 323-2232
Non-Participating ProviderNO
1861073934LAUREN FRANCES POTTERIndividualDietitian, Registered239 SIMBA WAY
LEXINGTON, KY 40509
(859) 327-9600
Non-Participating ProviderNO
1871777458LINDA SUE BROOKSIndividualDietitian, Registered2195 HARRODSBURG RD STE 125
LEXINGTON, KY 40504
(859) 323-2232
Non-Participating ProviderNO
1881261451ERIN KATHLEEN PETERSIndividualDietitian, Registered4057 MOONCOIN WAY APT 15303
LEXINGTON, KY 40515
(734) 709-5263
Non-Participating ProviderNO
1902312630JENNIFER KRASCHNEWSKIIndividualDietitian, Registered1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
(859) 260-5122
Non-Participating ProviderNO
1902352016MILKONTAPOrganizationDietitian, Registered449 MANITOBA LN
LEXINGTON, KY 40515
(859) 327-2549
Non-Participating ProviderNO
1902958515AMY L CAMPBELLIndividualDietitian, Registered650 NEWTOWN PIKE
LEXINGTON, KY 40508
(859) 252-2371
Non-Participating ProviderNO
1922357037CHRISTINE MARIE BARILLEAUXIndividualDietitian, Registered1101 VETERANS DRIVE 120 LD
LEXINGTON, KY 40511
(859) 233-4511
Non-Participating ProviderNO
1942462213MELODY JONESIndividualDietitian, Registered2050 VERSAILLES RD
LEXINGTON, KY 40504
(859) 254-5701
Non-Participating ProviderNO
1942715776LEXSTART NUTRITION, LLCOrganizationDietitian, Registered90 SOUTHPORT DR
LEXINGTON, KY 40503
(859) 429-8935
Non-Participating ProviderNO
1952938805HANNAH MARIE HOFFMANNIndividualDietitian, Registered310 S LIMESTONE
LEXINGTON, KY 40508
(859) 226-7418
Non-Participating ProviderNO
1972017663AMY LORRAINE NUTRITIONOrganizationDietitian, Registered2620 WILHITE DR
LEXINGTON, KY 40503
(859) 278-6031
Non-Participating ProviderNO
1982888715BARBARA FELTON BAUMGARDNERIndividualDietitian, Registered1590 HARRODSBURG RD OUTREACH OFFICE
LEXINGTON, KY 40504
(859) 313-4447
Non-Participating ProviderNO

Medicare Participation

  • Participating providers are registered with Medicare and accept claims assignment. Taking claims assignment means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or co-payment amount for a visit or service.
  • Non-Participating providers do not agree to take Medicare claims assignment. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.
  • Opt-out providers signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so.

What is PECOS?

PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals eligible to order or refer healthcare services for Medicare patients.