DR. SONYA K DUSSEAULT DO
NPI 1063994382
Family Medicine in Lexington, KY

Active since September 04, 2018PECOS EnrolledAccepts Medicare Assignment
100 N EAGLE CREEK DR, LEXINGTON, KY 40509(859) 258-5027(859) 258-5177 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 2, 2025, Oct 18, 2022, May 10, 2019 and 1 more (4 updates tracked since 2018).

About Dr. Sonya K Dusseault Do NPPES

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

DR. SONYA K DUSSEAULT DO (NPI 1063994382) is an individual family medicine provider in Lexington, Kentucky, licensed in Kentucky (06084) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph East, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1063994382
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SONYA K DUSSEAULTCredential: DO
Location Address100 N EAGLE CREEK DRLexington, KY 40509-1805
Mailing Address1221 S BroadwayLexington, KY 40504-2701 · (859) 258-6200 · Fax (859) 258-6203
Fax(859) 258-5177
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 4, 2018
Last NPPES UpdateJuly 2, 20254 updates tracked since enumeration
NPPES CertifiedJune 12, 2025
✔ NPI 1063994382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in KY · 06084✔ Licensed in FL · UO6338
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
100 N EAGLE CREEK DR, Lexington, KY 40509

Accepted 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. Sonya K Dusseault Do 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 ID1850789918
PECOS Enrollment IDI20250625003505
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 Sonya Dusseault reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Podiatrist
100 N EAGLE CREEK DR
Lexington, KY 40509
  • Reassigned Medicare billing, Kentucky enrollment
  • 338 clinicians in this Medicare group

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

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.

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.
22 services17 patients

Hospital Affiliations CMS Care Compare

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

Saint Joseph East

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180143
Location150 North Eagle Creek DriveLexington, KY 40509 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40509 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.

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.

Ophthalmology
100 N EAGLE CREEK DR
LEXINGTON, KY 40509
Ophthalmology
100 N EAGLE CREEK DR
LEXINGTON, KY 40509
Physical Therapist
100 N EAGLE CREEK DR
LEXINGTON, KY 40509
Nurse Practitioner
100 N EAGLE CREEK DR
LEXINGTON, KY 40509
Family Medicine
100 N EAGLE CREEK DR
LEXINGTON, KY 40509
Ophthalmology
100 N EAGLE CREEK DR
LEXINGTON, KY 40509
Pharmacist
100 N EAGLE CREEK DR
LEXINGTON, KY 40509
Nurse Practitioner (Primary Care)
100 N EAGLE CREEK DR
LEXINGTON, KY 40509

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 Sonya Dusseault's NPI number?

The NPI number for Sonya Dusseault is 1063994382. It was assigned to this individual provider in the NPPES registry on September 4, 2018.

Where is Sonya Dusseault located?

Sonya Dusseault practices at 100 N Eagle Creek Dr, Lexington, KY 40509. The listed phone number is (859) 258-5027.

What is Sonya Dusseault's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sonya Dusseault enrolled in Medicare?

Yes. Sonya Dusseault 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 organization bills Medicare for Sonya Dusseault's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sonya Dusseault reassigns Medicare benefits to New Lexington Clinic, Psc (Lexington, KY). The 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 Sonya Dusseault's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sonya Dusseault accept?

Health plans from Anthem Blue Cross and Blue Shield list Sonya Dusseault 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 Sonya Dusseault affiliated with any hospitals?

According to CMS data, Sonya Dusseault is affiliated with Saint Joseph East.

When was this NPI record last updated?

The NPPES record for Sonya Dusseault was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.