DR. KEVIN DENEHY M.D.
NPI 1093064586
Orthopaedic Surgery in Lexington, KY

Active since August 30, 2012PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
3480 YORKSHIRE MEDICAL PARK, LEXINGTON, KY 40509(859) 263-5140(859) 263-5141 Get Directions Write a Review

NPPES record last updated: August 6, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kevin Denehy M.d. NPPES

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

DR. KEVIN DENEHY M.D. (NPI 1093064586) is an individual orthopaedic surgery provider in Lexington, Kentucky, licensed in Pennsylvania (MT201369) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1093064586
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. KEVIN DENEHYCredential: M.D.
Location Address3480 YORKSHIRE MEDICAL PARKLexington, KY 40509-1886
Mailing Address3480 Yorkshire Medical ParkLexington, KY 40509-1886 · (859) 263-5140 · Fax (859) 263-5141
Fax(859) 263-5141
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 30, 2012
Last NPPES UpdateAugust 6, 2018
NPI 1093064586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in PA · MT201369
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
3480 YORKSHIRE MEDICAL PARK, Lexington, KY 40509

Secondary Practice Location 1

Location 1245 N 15th StPhiladelphia, PA 19102-1101 · Phone (215) 762-7000

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

Dr. Kevin Denehy 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 ID7416222963
PECOS Enrollment IDI20171009002820
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 18

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.
173 services133 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
147 services109 patients
Principal care management services for a single high-risk disease, first 30 minutes provided personally by qualified health care professional, per calendar month. 99424
Principal Care Management (PCM) services are health care services focused on managing a single high-risk disease. A qualified health professional will personally provide these services for the first 30 minutes each month. This could include monitoring your condition, coordinating your care, and making necessary adjustments to your treatment plan.
97 services93 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
89 services66 patients
Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426
Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.
86 services81 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
79 services56 patients

Hospital Affiliations CMS Care Compare 3

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

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

Marcum And Wallace Memorial Hospital

Critical Access Hospitals · Irvine, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number181301
Location60 Mercy CourtIrvine, KY 40336 · Estill County
Emergency services

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
$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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.03%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Walker, folding (pickup), adjustable or fixed height E0135
DME-Other DME · category DE000N
2 suppliers26 claims26 services$45.88 avg. paid by Medicare
Walker, heavy duty, without wheels, rigid or folding, any type, each E0148
DME-Other DME · category DE000N
3 suppliers16 claims16 services$8.78 avg. paid by Medicare
Dynamic adjustable knee extension / flexion device, includes soft interface material E1810
DME-Other DME · category DE000N
1 supplier34 claims34 services$87.25 avg. paid by Medicare
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf L1830
DME-Orthotic Devices · category DF011N
1 supplier15 claims15 services$68.36 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.

Physician Assistant
3480 YORKSHIRE MEDICAL PARK
LEXINGTON, KY 40509
Physician Assistant
3480 YORKSHIRE MEDICAL PARK
LEXINGTON, KY 40509
Orthopaedic Surgery
3480 YORKSHIRE MEDICAL PARK
LEXINGTON, KY 40509
Orthopaedic Surgery
3480 YORKSHIRE MEDICAL PARK
LEXINGTON, KY 40509
Physical Therapist
3480 YORKSHIRE MEDICAL PARK
LEXINGTON, KY 40509
Orthopaedic Surgery
3480 YORKSHIRE MEDICAL PARK
LEXINGTON, KY 40509
Nurse Anesthetist, Certified Registered
3480 YORKSHIRE MEDICAL PARK
LEXINGTON, KY 40509
Orthopaedic Surgery
3480 YORKSHIRE MEDICAL PARK
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 Kevin Denehy's NPI number?

The NPI number for Kevin Denehy is 1093064586. It was assigned to this individual provider in the NPPES registry on August 30, 2012.

Where is Kevin Denehy located?

Kevin Denehy practices at 3480 Yorkshire Medical Park, Lexington, KY 40509. The listed phone number is (859) 263-5140.

What is Kevin Denehy's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Kevin Denehy enrolled in Medicare?

Yes. Kevin Denehy 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 Kevin Denehy affiliated with any hospitals?

According to CMS data, Kevin Denehy is affiliated with Baptist Health Lexington, Saint Joseph East and Marcum And Wallace Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Denehy was last updated on August 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.