LUCAS TAYLOR EDELEN MD
NPI 1093218828
Family Medicine in Danville, KY
About Lucas Taylor Edelen Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LUCAS TAYLOR EDELEN MD (NPI 1093218828) is an individual family medicine provider in Danville, Kentucky, licensed in Kentucky (58308) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Ephraim Mcdowell Regional Medical Center, and maintains a secondary practice location in Louisville.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
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
Lucas Taylor Edelen Md 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.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ephraim Mcdowell Regional Medical Center
Acute Care Hospitals · Danville, KYThe James B. Haggin Memorial Hospital
Critical Access Hospitals · Harrodsburg, KYEphraim Mcdowell Fort Logan Hospital
Critical Access Hospitals · Stanford, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40422 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Lucas Edelen's NPI number?
The NPI number for Lucas Edelen is 1093218828. It was assigned to this individual provider in the NPPES registry on March 18, 2018.
Where is Lucas Edelen located?
Lucas Edelen practices at 109 Daniel Drive, Danville, KY 40422. The listed phone number is (859) 236-3361.
What is Lucas Edelen's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Lucas Edelen enrolled in Medicare?
Yes. Lucas Edelen 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.
What insurance does Lucas Edelen accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Lucas Edelen 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 Lucas Edelen affiliated with any hospitals?
According to CMS data, Lucas Edelen is affiliated with Ephraim Mcdowell Regional Medical Center, The James B. Haggin Memorial Hospital and Ephraim Mcdowell Fort Logan Hospital.
When was this NPI record last updated?
The NPPES record for Lucas Edelen was last updated on June 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.
