DAWN ELAINE PINGLETON D.O.
NPI 1013100767
Hospitalist in Paducah, KY

Active since August 24, 2007PECOS EnrolledAccepts Medicare Assignment
69.85/100
CMS Quality Rating
1530 LONE OAK RD, PADUCAH, KY 42003(270) 444-2394(270) 444-2972 Get Directions Write a Review

NPPES record last updated: December 17, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dawn Elaine Pingleton D.o. NPPES

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

DAWN ELAINE PINGLETON D.O. (NPI 1013100767) is an individual hospitalist provider in Paducah, Kentucky, licensed in Kentucky (03176) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with Spring View Hospital, and is a graduate of University Of Pikeville, Kentucky College Of Osteopathic Med (2005).

NPPES Registry Identity

NPI1013100767
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDAWN ELAINE PINGLETONCredential: D.O.
Location Address1530 LONE OAK RDPaducah, KY 42003-7901
Mailing AddressPo Box 636961Cincinnati, OH 45263-6961 · (513) 981-5130 · Fax (513) 981-5015
Fax(270) 444-2972
Sole ProprietorNo
Medical School CMSUniversity Of Pikeville, Kentucky College Of Osteopathic MedGraduated 2005
Enumeration DateAugust 24, 2007
Last NPPES UpdateDecember 17, 2014
NPI 1013100767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in KY · 03176
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 03176 (KY)
1530 LONE OAK RD, Paducah, KY 42003

Other Identifiers 2

Medicaid7100082910KY
Medicare PINK011443KY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dawn Elaine Pingleton D.o. 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 ID4587714027
PECOS Enrollment IDI20090604000175
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.

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
359 services172 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
149 services145 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
70 services66 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
32 services31 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Spring View Hospital

Acute Care Hospitals · Lebanon, KY
4/5 CMS rating
OwnershipProprietary
CMS Certification Number180024
Location320 Loretto RoadLebanon, KY 40033 · Marion County
Emergency services Birthing friendly

Ephraim Mcdowell Regional Medical Center

Acute Care Hospitals · Danville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180048
Location217 South Third StreetDanville, KY 40422 · Boyle County
Emergency services Birthing friendly

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180080
LocationOne Trillium WayCorbin, KY 40701 · Whitley County
Emergency services Birthing friendly

The James B. Haggin Memorial Hospital

Critical Access Hospitals · Harrodsburg, KY
OwnershipVoluntary non-profit - Other
CMS Certification Number181302
Location464 Linden AvenueHarrodsburg, KY 40330 · Mercer County
Emergency services

Ephraim Mcdowell Fort Logan Hospital

Critical Access Hospitals · Stanford, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181315
Location110 Metker TrailStanford, KY 40484 · Lincoln County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42003 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
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.

69.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.55
Cost68.12

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers60 claims60 services$19.87 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
3 suppliers19 claims19 services$911.30 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers73 claims73 services$110.53 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier13 claims13 services$35.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
1530 LONE OAK RD
PADUCAH, KY 42003
Emergency Medicine
1530 LONE OAK RD
PADUCAH, KY 42003
Hospitalist
1530 LONE OAK RD
PADUCAH, KY 42003
Nurse Anesthetist, Certified Registered
1530 LONE OAK RD
PADUCAH, KY 42003
Pharmacist (Pharmacotherapy)
1530 LONE OAK RD
PADUCAH, KY 42003
Emergency Medicine
1530 LONE OAK RD
PADUCAH, KY 42003
Nurse Practitioner (Acute Care)
1530 LONE OAK RD
PADUCAH, KY 42003
Emergency Medicine
1530 LONE OAK RD
PADUCAH, KY 42003

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dawn Pingleton's NPI number?

The NPI number for Dawn Pingleton is 1013100767. It was assigned to this individual provider in the NPPES registry on August 24, 2007.

Where is Dawn Pingleton located?

Dawn Pingleton practices at 1530 Lone Oak Rd, Paducah, KY 42003. The listed phone number is (270) 444-2394.

What is Dawn Pingleton's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Dawn Pingleton enrolled in Medicare?

Yes. Dawn Pingleton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Dawn Pingleton affiliated with any hospitals?

According to CMS data, Dawn Pingleton is affiliated with Spring View Hospital, Ephraim Mcdowell Regional Medical Center, Baptist Health Corbin, The James B. Haggin Memorial Hospital and Ephraim Mcdowell Fort Logan Hospital.

When was this NPI record last updated?

The NPPES record for Dawn Pingleton was last updated on December 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.