MATTHEW PFANNENSTIEL MD
NPI 1144807314
Ophthalmology in Lexington, KY

Q: 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.

Q: What is Matthew Pfannenstiel's specialty?

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

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: October 18, 2026.

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

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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, is affiliated with University Of Kentucky Hospital, and maintains 11 additional practice locations.

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

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Secondary Practice Locations 11

Location 1120 N Eagle Creek Dr Ste 500Lexington, KY 40509-1802 · Phone (859) 263-3900

Location 2315 Leonardwood Rd Ste 4Frankfort, KY 40601-6532 · Phone (859) 263-3900

Location 33901 Rainbow Blvd # MS 2027Kansas City, KS 66160-8500 · Phone (913) 588-6050

Location 4713 Broadway St Ste 201Paintsville, KY 41240-1612 · Phone (859) 263-3900

Location 5418 Whirlaway DrDanville, KY 40422-9037 · Phone (859) 263-3900

Location 61700 Winchester AveAshland, KY 41101-7649 · Phone (859) 263-3900

Location 7120 N Eagle Creek Dr Ste 440Lexington, KY 40509-1827 · Phone (859) 263-3900

Location 82935 Dolphin Dr Bldg 300302AElizabethtown, KY 42701-4111 · Phone (270) 769-0099

Location 9120 N Eagle Creek Dr Ste 104Lexington, KY 40509-1827 · Phone (859) 263-3900

Location 10850 Hail Knob Rd Ste ASomerset, KY 42503-3418 · Phone (859) 263-3900

Location 116450 Dutchmans PkwyLouisville, KY 40205-3338 · 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 Health, Ambetter of Tennessee and more.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

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.

Medicare Billing Reassignments

Medicare enrollment records show Matthew Pfannenstiel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Kentucky

0.2 mi

Family

UK COLLEGE OF DENTISTRY, 770 ROSE STREET, MN328
Lexington, KY 40536

Reassigned Medicare billing, Kentucky enrollment
1,761 clinicians in this Medicare group

NPI 1215449590 (859) 323-3368

Kentucky Medical Services Foundation, Inc

3.6 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

Retina And Vitreous Associates Of Kentucky PLLC

4.5 mi

Retina Specialist

120 N EAGLE CREEK DR, STE 500
Lexington, KY 40509

Reassigned Medicare billing, Kentucky enrollment
16 clinicians in this Medicare group

NPI 1619949971 (859) 263-3900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number180067

Location800 Rose StreetLexington, KY 40536 · Fayette County

Emergency services Birthing friendly

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.

Which organizations bill Medicare for Matthew Pfannenstiel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Pfannenstiel reassigns Medicare benefits to 3 organizations: University Of Kentucky (Lexington, KY), Kentucky Medical Services Foundation, Inc (Lexington, KY) and Retina And Vitreous Associates Of Kentucky PLLC (Lexington, KY). 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 Matthew Pfannenstiel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Pfannenstiel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 4 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.

Is Matthew Pfannenstiel affiliated with any hospitals?

According to CMS data, Matthew Pfannenstiel is affiliated with University Of Kentucky Hospital.

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 16 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.