HILARY ELIZABETH HALVERSTADT D.M.D.
NPI 1063936631
Dentist - General Practice in Lexington, KY

Q: What is Hilary Halverstadt's NPI number?

The NPI number for Hilary Halverstadt is 1063936631. It was assigned to this individual provider in the NPPES registry on July 26, 2017.

Q: What is Hilary Halverstadt's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since July 26, 2017PECOS Enrolled

496 SOUTHLAND DR, LEXINGTON, KY 40503(859) 288-2425(859) 288-7510 Get Directions Write a Review

NPPES record last updated: May 31, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 27, 2022, Jul 26, 2017 (2 updates tracked since 2017).

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About Hilary Elizabeth Halverstadt D.m.d. NPPES

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

HILARY ELIZABETH HALVERSTADT D.M.D. (NPI 1063936631) is an individual general practice provider in Lexington, Kentucky, licensed in Kentucky (9998) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Florence.

NPPES Registry Identity

NPI1063936631

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameHILARY ELIZABETH HALVERSTADTCredential: D.M.D.

Location Address496 SOUTHLAND DRLexington, KY 40503-1827

Mailing Address496 Southland DrLexington, KY 40503-1827 · (859) 288-2392 · Fax (859) 288-7510

Phone(859) 288-2425

Fax(859) 288-7510

Sole ProprietorNo

Enumeration DateJuly 26, 2017

Last NPPES UpdateMay 31, 20222 updates tracked since enumeration

NPPES CertifiedMay 31, 2022

✔ NPI 1063936631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in KY · 9998

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

496 SOUTHLAND DR, Lexington, KY 40503

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Secondary Practice Location 1

Location 17901 Mall Rd, Suite #500Florence, KY 41042 · Phone (859) 647-7600

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee 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 (PECOS)

Hilary Elizabeth Halverstadt D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Hilary Halverstadt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Healthfirst Bluegrass Inc

Same address

Federally Qualified Health Center (FQHC)

496 SOUTHLAND DR
Lexington, KY 40503

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

NPI 1114932514 (859) 288-2425

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

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

$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.

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.

BHAVINI BHARAT MODY APRN

Nurse Practitioner (Pediatrics)