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

ANDREA RACHEL WALDMAN MD
NPI 1134461460
Dermatology in Lexington, KY

Active since March 25, 2013PECOS EnrolledAccepts Medicare Assignment
250 FOUNTAIN CT, LEXINGTON, KY 40509(859) 263-4444(859) 263-6781 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 17, 2024, Sep 11, 2024, Aug 13, 2024 and 3 more (6 updates tracked since 2021).

About Andrea Rachel Waldman Md NPPES

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

ANDREA RACHEL WALDMAN MD (NPI 1134461460) is an individual dermatology provider in Lexington, Kentucky, licensed in Kentucky (58021) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of Kentucky College Of Medicine (2013).

NPPES Registry Identity

NPI1134461460
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameANDREA RACHEL WALDMANCredential: MD
Location Address250 FOUNTAIN CTLexington, KY 40509-1888
Mailing Address1221 S BroadwayLexington, KY 40504-2701 · (859) 258-6200 · Fax (859) 258-5202
Phone(859) 263-4444
Fax(859) 263-6781
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2013
Enumeration DateMarch 25, 2013
Last NPPES UpdateDecember 17, 20246 updates tracked since enumeration
NPPES CertifiedDecember 17, 2024
✔ NPI 1134461460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses✔ Licensed in KY · 58021✔ Licensed in NY · 303067
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X · License 58021 (KY)
250 FOUNTAIN CT, Lexington, KY 40509
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11221 S BroadwayLexington, KY 40504-2701 · Phone (859) 258-5270 · Fax (859) 258-5202
Location 2108 Diagnostic Dr Ste AFrankfort, KY 40601-6556 · Phone (859) 263-4444 · Fax (859) 263-6781
Location 3120 N Eagle Creek Dr Ste ALexington, KY 40509-1827 · Phone (859) 258-5270 · Fax (859) 258-5202

Other Identifiers 1

Medicaid7100918860KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Andrea Rachel Waldman 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.

PECOS PAC ID8628315397
PECOS Enrollment IDI20230830001693
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 Reassignments

5

Medicare enrollment records show Andrea Waldman reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New Lexington Clinic, Psc
0.5 mi
Podiatrist
100 N EAGLE CREEK DR
Lexington, KY 40509
  • Reassigned Medicare billing, Kentucky enrollment
  • 338 clinicians in this Medicare group
NPI 1821283011 (859) 258-5200
Kentucky Medical Services Foundation, Inc
1.7 mi
Internal Medicine
2333 ALUMNI PARK PLZ, SUITE 200
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,502 clinicians in this Medicare group
NPI 1326091448 (859) 257-7910
University Of Kentucky
4.0 mi
Adult Medicine
217 ELM TREE LN
Lexington, KY 40507
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,761 clinicians in this Medicare group
NPI 1881641769 (859) 257-7920
Icahn School Of Medicine At Mount Sinai
593 mi
Dermatology
1 GUSTAVE L LEVY PLACE
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • 68 clinicians in this Medicare group
NPI 1922365915 (212) 241-9065
J Matthew Knight M D P A
675 mi
Procedural Dermatology
801 N ORANGE AVE, SUITE 520
Orlando, FL 32801
  • Reassigned Medicare billing, Florida enrollment
  • 12 clinicians in this Medicare group
NPI 1386830263 (407) 992-0660

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 10

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
167 services37 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
107 services107 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
73 services69 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
65 services55 patients
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.
58 services49 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
50 services32 patients

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.

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.

CHARLIE BECKNELL M.D.
Dermatology
250 FOUNTAIN CT
LEXINGTON, KY 40509
Fayette County (859) 263-4444
DR. SEAN A MARZOLF MD
Dermatology
250 FOUNTAIN CT
LEXINGTON, KY 40509
Fayette County (859) 263-4444
NEW LEXINGTON CLINIC PSC
Clinic/Center (Ambulatory Surgical)
250 FOUNTAIN CT
LEXINGTON, KY 40509
Fayette County (859) 263-4444
NEW LEXINGTON CLINIC, PSC
Clinic/Center (Multi-Specialty)
250 FOUNTAIN CT
LEXINGTON, KY 40509
Fayette County (859) 263-4444
DERMATOLOGY ASSOCIATES OF KENTUCKY PSC
Dermatology
250 FOUNTAIN CT
LEXINGTON, KY 40509
Fayette County (859) 263-4444
MARY CLARE GUIGLIA M.D.
Dermatology
250 FOUNTAIN CT
LEXINGTON, KY 40509
Fayette County (859) 263-4444
MRS. CAITLIN ERIN PENNINGTON PA-C
Physician Assistant (Medical)
250 FOUNTAIN CT
LEXINGTON, KY 40509
Fayette County (859) 263-4444
DERMATOLOGY ASSOCIATES OF KENTUCKY, PSC
Clinic/Center (Ambulatory Surgical)
250 FOUNTAIN CT
LEXINGTON, KY 40509
Fayette County (859) 263-4444

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 Andrea Waldman's NPI number?

The NPI number for Andrea Waldman is 1134461460. It was assigned to this individual provider in the NPPES registry on March 25, 2013.

Where is Andrea Waldman located?

Andrea Waldman practices at 250 Fountain Ct, Lexington, KY 40509. The listed phone number is (859) 263-4444.

What is Andrea Waldman's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Andrea Waldman enrolled in Medicare?

Yes. Andrea Waldman 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 organizations bill Medicare for Andrea Waldman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Waldman reassigns Medicare benefits to 5 organizations: New Lexington Clinic, Psc (Lexington, KY), Kentucky Medical Services Foundation, Inc (Lexington, KY), University Of Kentucky (Lexington, KY), Icahn School Of Medicine At Mount Sinai (New York, NY) and J Matthew Knight M D P A (Orlando, FL). Each 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 Andrea Waldman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Waldman accept?

Health plans from Anthem Blue Cross and Blue Shield list Andrea Waldman 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.

When was this NPI record last updated?

The NPPES record for Andrea Waldman was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.