1. Home
  2. Directory
  3. Kentucky
  4. Lexington
  5. Hospitalist
  6. NPI Profile

MAYURI REDDY M.D.
NPI 1114210697
Hospitalist in Lexington, KY

Active since May 17, 2011PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
1740 NICHOLASVILLE RD, LEXINGTON, KY 40503(859) 260-6348(859) 260-4350 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mayuri Reddy M.d. NPPES

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

MAYURI REDDY M.D. (NPI 1114210697) is an individual hospitalist provider in Lexington, Kentucky, licensed in Kentucky (TP039) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and is a graduate of Northeastern Ohio University College Of Medicine (2011).

NPPES Registry Identity

NPI1114210697
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameMAYURI REDDYCredential: M.D.
Location Address1740 NICHOLASVILLE RDLexington, KY 40503-1431
Mailing Address4071 Tates Creek Centre Dr, Suite 202Lexington, KY 40517-3062 · (859) 260-6348 · Fax (859) 260-4350
Phone(859) 260-6348
Fax(859) 260-4350
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2011
Enumeration DateMay 17, 2011
Last NPPES UpdateDecember 8, 2020
NPPES CertifiedDecember 8, 2020
✔ NPI 1114210697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in KY · TP039
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
1740 NICHOLASVILLE RD, Lexington, KY 40503
Open in Google Maps ↗

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mayuri Reddy 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 ID840410049
PECOS Enrollment IDI20141010001834
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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
440 services196 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
90 services87 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
34 services34 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
20 services20 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
16 services15 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

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
$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
$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.

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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers38 claims38 services$17.36 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers44 claims44 services$89.98 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.

MR. JAMES RANSOM ADAIR PA-C
Physician Assistant
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Fayette County (859) 277-8179
MR. DANNY LEE PERRY
Pharmacist
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Fayette County (859) 260-6659
TYLER BENNETT MCLAURINE
Hospitalist
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Fayette County (859) 260-6348
KENTUCKY BREAST IMAGING PLLC
Radiology (Diagnostic Radiology)
1740 NICHOLASVILLE RD, CENTRAL BAPTIST HOSPITAL
LEXINGTON, KY 40503
Fayette County (877) 459-2290
BAPTIST PHYSICIANS LEXINGTON, INC
Internal Medicine
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Fayette County (859) 260-6104
JOSHUA ADAM WIRTH
Nurse Practitioner (Family)
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Fayette County (859) 260-6348
DR. LAYLA MAREFAT PHARMD
Pharmacist
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Fayette County (859) 260-6100
DR. THOMAS L BROSTER M.D.
Anesthesiology
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Fayette County (859) 260-6100

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 Mayuri Reddy's NPI number?

The NPI number for Mayuri Reddy is 1114210697. It was assigned to this individual provider in the NPPES registry on May 17, 2011.

Where is Mayuri Reddy located?

Mayuri Reddy practices at 1740 Nicholasville Rd, Lexington, KY 40503. The listed phone number is (859) 260-6348.

What is Mayuri Reddy's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Mayuri Reddy enrolled in Medicare?

Yes. Mayuri Reddy 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 Mayuri Reddy accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Mayuri Reddy 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 Mayuri Reddy affiliated with any hospitals?

According to CMS data, Mayuri Reddy is affiliated with Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Mayuri Reddy was last updated on December 8, 2020. 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.