MARGARET NAPOLITANO M.D.
NPI 1144214404
Orthopaedic Surgery - Hand Surgery in Lexington, KY

Active since September 01, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
211 FOUNTAIN CT, LEXINGTON, KY 40509(859) 264-9820(859) 543-0994 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Margaret Napolitano M.d. NPPES

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

MARGARET NAPOLITANO M.D. (NPI 1144214404) is an individual hand surgery provider in Lexington, Kentucky, licensed in Kentucky (35924) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph East, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1144214404
Entity TypeIndividualFemale
Primary Taxonomy207XS0106X
Provider Legal NameMARGARET NAPOLITANOCredential: M.D.
Location Address211 FOUNTAIN CTLexington, KY 40509-2694
Mailing AddressPo Box 936London, KY 40743-0936 · (606) 330-7835 · Fax (859) 543-0994
Fax(859) 543-0994
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 1993
Enumeration DateSeptember 1, 2005
Last NPPES UpdateFebruary 17, 2025
NPPES CertifiedFebruary 17, 2025
NPI 1144214404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
Licenses Licensed in KY · 35924 Licensed in IN · 01055479A
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
211 FOUNTAIN CT, Lexington, KY 40509

Secondary Practice Locations 2

Location 1230 Fountain Ct Ste 375Lexington, KY 40509-2171 · Phone (859) 264-9606 · Fax (859) 263-5592
Location 2225 Abraham Flexner Way, Ste 700Louisville, KY 40202-1846 · Phone (502) 561-4263 · Fax (502) 561-4221

Other Identifiers 2

Medicaid200337320AIN
Medicaid64039936KY

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

Margaret Napolitano 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 ID4688640758
PECOS Enrollment IDI20110317000302
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 21

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,548 services526 patients
Aspiration and/or injection of fluid from small joint 20600
This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.
957 services275 patients
Injection into tendon at attachment to bone or muscle 20551
This procedure involves injecting medicine into a tendon where it attaches to bone or muscle. It's done to alleviate pain or inflammation. The injection may contain a local anesthetic or a corticosteroid to reduce swelling. It's a common treatment for various orthopedic conditions.
685 services220 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.
427 services307 patients
Injection of carpal tunnel 20526
An injection for carpal tunnel is a treatment to reduce inflammation and swelling in your wrist, which can alleviate pain and numbness. The doctor injects a steroid medication into your wrist area to provide relief.
366 services158 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.
236 services234 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

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

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
Individually scored

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,914 patients5/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
88%891 patients4/55-star benchmark: 100%
Osteoarthritis (OA): Function and Pain Assessment
Percentage of patient visits for patients aged 21 years and older with a diagnosis of osteoarthritis (OA) with assessment for function and pain
100%528 patients5/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
100%2,897 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 100% · 823 patients
100%824 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
49%891 patients2/55-star benchmark: 100%
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

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

Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment L3808
DME-Orthotic Devices · category DF000N
1 supplier14 claims15 services$232.76 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 11

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

Internal Medicine (Rheumatology)
211 FOUNTAIN CT, STE 210
LEXINGTON, KY 40509
Nurse Practitioner
211 FOUNTAIN CT
LEXINGTON, KY 40509
Family Medicine (Sports Medicine)
211 FOUNTAIN CT
LEXINGTON, KY 40509
Radiology (Diagnostic Radiology)
211 FOUNTAIN CT, SUITE 140
LEXINGTON, KY 40509
Nurse Practitioner (Family)
211 FOUNTAIN CT
LEXINGTON, KY 40509
Physician Assistant
211 FOUNTAIN CT
LEXINGTON, KY 40509
Internal Medicine
211 FOUNTAIN CT, SUITE 120
LEXINGTON, KY 40509
Nurse Practitioner
211 FOUNTAIN CT
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 Margaret Napolitano's NPI number?

The NPI number for Margaret Napolitano is 1144214404. It was assigned to this individual provider in the NPPES registry on September 1, 2005.

Where is Margaret Napolitano located?

Margaret Napolitano practices at 211 Fountain Ct, Lexington, KY 40509. The listed phone number is (859) 264-9820.

What is Margaret Napolitano's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Margaret Napolitano enrolled in Medicare?

Yes. Margaret Napolitano 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 Margaret Napolitano accept?

Health plans from CareSource list Margaret Napolitano 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 Margaret Napolitano affiliated with any hospitals?

According to CMS data, Margaret Napolitano is affiliated with Saint Joseph East.

When was this NPI record last updated?

The NPPES record for Margaret Napolitano was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.