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MATTHEW PFANNENSTIEL MD
NPI 1144807314
Ophthalmology in Lexington, KY

Active since March 25, 2021PECOS EnrolledAccepts Medicare Assignment
110 CONN TER STE 550, LEXINGTON, KY 40508(859) 323-5867(859) 323-8510 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 9, 2025, Apr 10, 2025, Mar 26, 2025 and 1 more (4 updates tracked since 2021).

About Matthew Pfannenstiel Md NPPES

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

MATTHEW PFANNENSTIEL MD (NPI 1144807314) is an individual ophthalmology provider in Lexington, Kentucky, licensed in Kentucky (60380) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, maintains 11 additional practice locations, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2021).

NPPES Registry Identity

NPI1144807314
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMATTHEW PFANNENSTIELCredential: MD
Location Address110 CONN TER STE 550Lexington, KY 40508-3206
Mailing Address3901 Rainbow Blvd # Ms 2027Kansas City, KS 66160-8500
Phone(859) 323-5867
Fax(859) 323-8510
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2021
Enumeration DateMarch 25, 2021
Last NPPES UpdateJune 9, 20254 updates tracked since enumeration
NPPES CertifiedJune 9, 2025
✔ NPI 1144807314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in KY · 60380
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
110 CONN TER STE 550, Lexington, KY 40508
Open in Google Maps ↗

Secondary Practice Locations 11

Location 1120 N Eagle Creek Dr Ste 500Lexington, KY 40509-1802 · Phone (859) 263-3900
Location 23901 Rainbow Blvd # MS 2027Kansas City, KS 66160-8500 · Phone (913) 588-6050
Location 31700 Winchester AveAshland, KY 41101-7649 · Phone (859) 263-3900
Location 4418 Whirlaway DrDanville, KY 40422-9037 · Phone (859) 263-3900
Location 5120 N Eagle Creek Dr Ste 440Lexington, KY 40509-1827 · Phone (859) 263-3900
Location 62935 Dolphin Dr Bldg 300302AElizabethtown, KY 42701-4111 · Phone (270) 769-0099
Location 7120 N Eagle Creek Dr Ste 104Lexington, KY 40509-1827 · Phone (859) 263-3900
Location 8315 Leonardwood Rd Ste 4Frankfort, KY 40601-6532 · Phone (859) 263-3900
Location 9713 Broadway St Ste 201Paintsville, KY 41240-1612 · Phone (859) 263-3900
Location 106450 Dutchmans PkwyLouisville, KY 40205-3338 · Phone (859) 263-3900
Location 11850 Hail Knob Rd Ste ASomerset, KY 42503-3418 · Phone (859) 263-3900

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

Matthew Pfannenstiel 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 ID2365845997
PECOS Enrollment IDI20250422000370
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40508 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
$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.

SHADEN HAMDY FATHY YASSIN MD
Ophthalmology (Retina Specialist)
110 CONN TER STE 550
LEXINGTON, KY 40508
Fayette County (859) 323-5867
KAREN SANTOS MCCLOUD OD
Optometrist
110 CONN TER STE 550
LEXINGTON, KY 40508
Fayette County (859) 323-5867
DR. PETER JOHN TIMONEY MBBCH
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
110 CONN TER STE 550
LEXINGTON, KY 40508
Fayette County (859) 323-5867
DR. CLAIRE ELIZABETH FRASER M.D., PH.D.
Ophthalmology (Retina Specialist)
110 CONN TER STE 550, UNIVERSITY OF KENTUCKY DEPT OF OPHTHALMOLOGY
LEXINGTON, KY 40508
Fayette County (859) 323-5867
MANOKAMNA AGARWAL MD
Ophthalmology (Cornea and External Diseases Specialist)
110 CONN TER STE 550
LEXINGTON, KY 40508
Fayette County (859) 323-5867
ELIZABETH GAMMELTOFT MD
Student in an Organized Health Care Education/Training Program
110 CONN TER STE 550
LEXINGTON, KY 40508
Fayette County (859) 218-2631
AMANDA LIMBAUGH MARZOLF M.D.
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
110 CONN TER STE 550
LEXINGTON, KY 40508
Fayette County (859) 323-5867
GARRETT OBERST MD
Ophthalmology
110 CONN TER STE 550
LEXINGTON, KY 40508
Fayette County (859) 323-5867

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 Matthew Pfannenstiel's NPI number?

The NPI number for Matthew Pfannenstiel is 1144807314. It was assigned to this individual provider in the NPPES registry on March 25, 2021.

Where is Matthew Pfannenstiel located?

Matthew Pfannenstiel practices at 110 Conn Ter Ste 550, Lexington, KY 40508. The listed phone number is (859) 323-5867.

What is Matthew Pfannenstiel's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Matthew Pfannenstiel enrolled in Medicare?

Yes. Matthew Pfannenstiel 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 Matthew Pfannenstiel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Blue Cross and Blue Shield of Montana and 2 other insurers list Matthew Pfannenstiel 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 Matthew Pfannenstiel was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.