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DR. GUSTAVO VINCENT HUERTA M.D.
NPI 1134501679
Surgery in Lexington, KY

Active since June 21, 2015PECOS EnrolledAccepts Medicare Assignment
94.21/100
CMS Quality Rating
1760 NICHOLASVILLE RD STE 202, LEXINGTON, KY 40503(859) 277-5711 Get Directions Write a Review

NPPES record last updated: August 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 14, 2020, Jun 29, 2016, Jun 24, 2016 (3 updates tracked since 2016).

About Dr. Gustavo Vincent Huerta M.d. NPPES

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

DR. GUSTAVO VINCENT HUERTA M.D. (NPI 1134501679) is an individual surgery provider in Lexington, Kentucky, licensed in Kentucky (54021) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and is a graduate of University Of Kentucky College Of Medicine (2015).

NPPES Registry Identity

NPI1134501679
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. GUSTAVO VINCENT HUERTACredential: M.D.
Location Address1760 NICHOLASVILLE RD STE 202Lexington, KY 40503-1472
Mailing Address1760 Nicholasville Rd Ste 202Lexington, KY 40503-1472 · (859) 323-6162
Phone(859) 277-5711
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2015
Enumeration DateJune 21, 2015
Last NPPES UpdateAugust 14, 20203 updates tracked since enumeration
NPPES CertifiedAugust 14, 2020
✔ NPI 1134501679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in KY · 54021
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1760 NICHOLASVILLE RD STE 202, Lexington, KY 40503
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Other Identifiers 1

OtherR3798KY · Kentucky Medical License

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

Dr. Gustavo Vincent Huerta 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 ID5991092504
PECOS Enrollment IDI20200619001519
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 8

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
39 services39 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
36 services15 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
29 services25 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
22 services22 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.
21 services21 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
17 services17 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
$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.

94.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.28
Improvement Activities40
Cost93.67

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. WILLIAM SAVAGE WITT
Surgery
1760 NICHOLASVILLE RD STE 202
LEXINGTON, KY 40503
Fayette County (859) 277-5711
SEAN STOKES MD
Surgery (Surgical Oncology)
1760 NICHOLASVILLE RD STE 202
LEXINGTON, KY 40503
Fayette County (859) 277-5711
LEXINGTON SURGICAL SPECIALISTS
Surgery
1760 NICHOLASVILLE RD STE 202
LEXINGTON, KY 40503
Fayette County (859) 277-5711
ANDREA MAE MARCHYN
Physician Assistant
1760 NICHOLASVILLE RD STE 202
LEXINGTON, KY 40503
Fayette County (859) 277-5711

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 Gustavo Huerta's NPI number?

The NPI number for Gustavo Huerta is 1134501679. It was assigned to this individual provider in the NPPES registry on June 21, 2015.

Where is Gustavo Huerta located?

Gustavo Huerta practices at 1760 Nicholasville Rd Ste 202, Lexington, KY 40503. The listed phone number is (859) 277-5711.

What is Gustavo Huerta's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Gustavo Huerta enrolled in Medicare?

Yes. Gustavo Huerta 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 Gustavo Huerta accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Gustavo Huerta 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 Gustavo Huerta affiliated with any hospitals?

According to CMS data, Gustavo Huerta is affiliated with Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Gustavo Huerta was last updated on August 14, 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.