MICHELLE MARY ABOU-JAOUDE M.D.
NPI 1063895613
Ophthalmology in Lexington, KY

Q: What is Michelle Abou-jaoude's NPI number?

The NPI number for Michelle Abou-jaoude is 1063895613. It was assigned to this individual provider in the NPPES registry on July 1, 2015.

Q: What is Michelle Abou-jaoude's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since July 01, 2015PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

601 PERIMETER DR STE 200, LEXINGTON, KY 40517(859) 278-9393 Get Directions Write a Review

NPPES record last updated: October 18, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 18, 2021, Oct 13, 2021, Aug 26, 2019 and 5 more (8 updates tracked since 2016).

On this page

About Michelle Mary Abou-jaoude M.d. NPPES

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

MICHELLE MARY ABOU-JAOUDE M.D. (NPI 1063895613) is an individual ophthalmology provider in Lexington, Kentucky, licensed in Kentucky (52488) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1063895613

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameMICHELLE MARY ABOU-JAOUDECredential: M.D.

Location Address601 PERIMETER DR STE 200Lexington, KY 40517-4121

Mailing Address601 Perimeter Dr Ste 200Lexington, KY 40517-4121 · (859) 278-9393

Phone(859) 278-9393

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJuly 1, 2015

Last NPPES UpdateOctober 18, 20218 updates tracked since enumeration

NPPES CertifiedOctober 18, 2021

✔ NPI 1063895613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in KY · 52488

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

601 PERIMETER DR STE 200, Lexington, KY 40517

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1333 Beacon Hill RdMorehead, KY 40351-6178 · Phone (606) 784-3393

Location 265 E City Dam RdCorbin, KY 40701-4620 · Phone (606) 528-9393

Other Identifiers 4

Medicaid0346494OH

Medicaid1063895613WV

Medicaid300025130IN

Medicaid7100424310KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Michelle Mary Abou-jaoude M.d. 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 ID4284928326

PECOS Enrollment IDI20190521002145

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 Michelle Abou-jaoude reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tri-State Centers For Sight Inc

Same address

Ophthalmology

601 PERIMETER DR STE 100
Lexington, KY 40517

Reassigned Medicare billing, Kentucky enrollment
32 clinicians in this Medicare group

NPI 1235942780 (859) 278-9393

Kentucky Medical Services Foundation, Inc

0.1 mi

Internal Medicine

2333 ALUMNI PARK PLZ, SUITE 200
Lexington, KY 40517

Reassigned Medicare billing, Kentucky enrollment
1,502 clinicians in this Medicare group

NPI 1326091448 (859) 257-7910

University Of Kentucky

3.3 mi

General Acute Care Hospital

800 ROSE ST
Lexington, KY 40536

Reassigned Medicare billing, Kentucky enrollment
1,761 clinicians in this Medicare group

NPI 1518911338 (859) 323-5470

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 10

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, faricimab-svoa, 0.1 mg J2777

Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.

4,440 services16 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

709 services286 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

339 services106 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.

306 services190 patients

Unclassified biologics J3590

Unclassified biologics are a type of treatment derived from living organisms. They can include a wide range of substances, such as vaccines, blood components, or genes, used to prevent or treat diseases. Each is specifically designed to interact with the body's natural defenses to promote healing.

209 services65 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.

180 services107 patients

Hospital Affiliations CMS Care Compare

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number180067

Location800 Rose StreetLexington, KY 40536 · Fayette County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40517 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

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

Most-billed visit code 99213

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.

100/100

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

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

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 Michelle Abou-jaoude's NPI number?

The NPI number for Michelle Abou-jaoude is 1063895613. It was assigned to this individual provider in the NPPES registry on July 1, 2015.

Where is Michelle Abou-jaoude located?

Michelle Abou-jaoude practices at 601 Perimeter Dr Ste 200, Lexington, KY 40517. The listed phone number is (859) 278-9393.

What is Michelle Abou-jaoude's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Michelle Abou-jaoude enrolled in Medicare?

Yes. Michelle Abou-jaoude 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.

Which organizations bill Medicare for Michelle Abou-jaoude's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Abou-jaoude reassigns Medicare benefits to 3 organizations: Tri-State Centers For Sight Inc (Lexington, KY), Kentucky Medical Services Foundation, Inc (Lexington, KY) and University Of Kentucky (Lexington, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michelle Abou-jaoude's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Abou-jaoude accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Blue Cross and Blue Shield of Montana and 4 other insurers list Michelle Abou-jaoude as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michelle Abou-jaoude affiliated with any hospitals?

According to CMS data, Michelle Abou-jaoude is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Michelle Abou-jaoude was last updated on October 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.