DR. WILLIAM CLAYTON HARTLEY MD
NPI 1003315227
Family Medicine - Sports Medicine in Lexington, KY

Q: What is William Hartley's NPI number?

The NPI number for William Hartley is 1003315227. It was assigned to this individual provider in the NPPES registry on February 2, 2018.

Q: What is William Hartley's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for William Hartley was last updated on December 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 02, 2018PECOS EnrolledAccepts Medicare Assignment

95.5/100

CMS Quality Rating

1760 NICHOLASVILLE RD STE 101, LEXINGTON, KY 40503(859) 899-7950 Get Directions Write a Review

NPPES record last updated: December 5, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 5, 2022, Oct 20, 2022, May 26, 2021 (3 updates tracked since 2021).

On this page

About Dr. William Clayton Hartley Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WILLIAM CLAYTON HARTLEY MD (NPI 1003315227) is an individual sports medicine provider in Lexington, Kentucky, licensed in Kentucky (54253) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1003315227

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameDR. WILLIAM CLAYTON HARTLEYCredential: MD

Location Address1760 NICHOLASVILLE RD STE 101Lexington, KY 40503-1410

Mailing Address1760 Nicholasville Rd Ste 101Lexington, KY 40503-1410 · (859) 899-7950 · Fax (859) 260-5150

Phone(859) 899-7950

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateFebruary 2, 2018

Last NPPES UpdateDecember 5, 20223 updates tracked since enumeration

NPPES CertifiedDecember 5, 2022

✔ NPI 1003315227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in KY · 54253

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

1760 NICHOLASVILLE RD STE 101, Lexington, KY 40503

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. William Clayton Hartley Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315341229

PECOS Enrollment IDI20210813000971, I20220923002953

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show William Hartley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baptist Health Medical Group Inc

3.2 mi

Nurse Practitioner

4071 TATES CREEK CENTRE DR, STE 202
Lexington, KY 40517

Reassigned Medicare billing, Kentucky enrollment
Also billed through NPI 1255805586 (Kentucky)
999 clinicians in this Medicare group

NPI 1518360296 (859) 260-4390

Hughston Medical Group, PC

383 mi

Otolaryngology

1900 10TH AVE STE 211
Columbus, GA 31901

Reassigned Medicare billing, Georgia enrollment
13 clinicians in this Medicare group

NPI 1962964833 (706) 570-2307

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

1,939 services156 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

216 services135 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

208 services125 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

137 services137 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

79 services71 patients

Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose J7324

Orthovisc is a treatment involving injections of a substance called hyaluronan into your joints. Hyaluronan is a natural substance in your joint fluid that aids in movement and reduces pain. The Orthovisc injections help replenish this substance, relieving joint pain.

61 services16 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number180103

Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County

Emergency services Birthing friendly

Frankfort Regional Medical Center

Acute Care Hospitals · Frankfort, KY

1/5 CMS rating

OwnershipProprietary

CMS Certification Number180127

Location299 Kings Daughters DriveFrankfort, KY 40601 · Franklin County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

89.59

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEREMY KALMA MD

Orthopaedic Surgery (Foot and Ankle Surgery)