DR. JOHN THOMAS MIDDEN MD
NPI 1154827939
Emergency Medicine in London, KY

Active since April 02, 2018PECOS EnrolledAccepts Medicare Assignment
80.89/100
CMS Quality Rating
1001 SAINT JOSEPH LN, LONDON, KY 40741(606) 330-6000 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 7, 2023, Jun 30, 2021 (2 updates tracked since 2021).

About Dr. John Thomas Midden Md NPPES

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

DR. JOHN THOMAS MIDDEN MD (NPI 1154827939) is an individual emergency medicine provider in London, Kentucky, licensed in Kentucky (55327) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph London, and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1154827939
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JOHN THOMAS MIDDENCredential: MD
Location Address1001 SAINT JOSEPH LNLondon, KY 40741-8345
Mailing Address1221 S BroadwayLexington, KY 40504-2701 · (859) 258-6200 · Fax (859) 258-6203
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2018
Enumeration DateApril 2, 2018
Last NPPES UpdateJune 7, 20232 updates tracked since enumeration
NPPES CertifiedJune 7, 2023
NPI 1154827939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in KY · 55327
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1001 SAINT JOSEPH LN, London, KY 40741

Secondary Practice Location 1

Location 11221 S BroadwayLexington, KY 40504-2701 · Phone (859) 258-4000 · Fax (859) 258-6203

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. John Thomas Midden 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 ID9830448752
PECOS Enrollment IDI20210818000682
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
179 services167 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
64 services61 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Saint Joseph London

Acute Care Hospitals · London, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180011
Location1001 Saint Joseph LaneLondon, KY 40741 · Laurel County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40741 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
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
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.

80.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.29
Promoting Interoperability100
Improvement Activities40
Cost74

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.

Nurse Anesthetist, Certified Registered
1001 SAINT JOSEPH LN
LONDON, KY 40741
Internal Medicine (Infectious Disease)
1001 SAINT JOSEPH LN
LONDON, KY 40741
Nurse Anesthetist, Certified Registered
1001 SAINT JOSEPH LN
LONDON, KY 40741
Nurse Anesthetist, Certified Registered
1001 SAINT JOSEPH LN
LONDON, KY 40741
Anesthesiology
1001 SAINT JOSEPH LN
LONDON, KY 40741
Nurse Anesthetist, Certified Registered
1001 SAINT JOSEPH LN
LONDON, KY 40741
Nurse Anesthetist, Certified Registered
1001 SAINT JOSEPH LN
LONDON, KY 40741
Nurse Anesthetist, Certified Registered
1001 SAINT JOSEPH LN
LONDON, KY 40741

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 John Midden's NPI number?

The NPI number for John Midden is 1154827939. It was assigned to this individual provider in the NPPES registry on April 2, 2018.

Where is John Midden located?

John Midden practices at 1001 Saint Joseph Ln, London, KY 40741. The listed phone number is (606) 330-6000.

What is John Midden's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is John Midden enrolled in Medicare?

Yes. John Midden 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.

Is John Midden affiliated with any hospitals?

According to CMS data, John Midden is affiliated with Saint Joseph London.

When was this NPI record last updated?

The NPPES record for John Midden was last updated on June 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.