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JEFFREY S. NEAL M.D.
NPI 1164496568
Internal Medicine - Rheumatology in Lexington, KY

Active since February 14, 2006PECOS EnrolledAccepts Medicare Assignment
91.02/100
CMS Quality Rating
330 WALLER AVE, SUITE 100, LEXINGTON, KY 40504(859) 254-7000(859) 255-4381 Get Directions Write a Review

NPPES record last updated: May 6, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jeffrey S. Neal M.d. NPPES

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

JEFFREY S. NEAL M.D. (NPI 1164496568) is an individual rheumatology provider in Lexington, Kentucky, licensed in Kentucky (27998) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Ephraim Mcdowell Regional Medical Center, and is a graduate of West Virginia University School Of Medicine (1984).

NPPES Registry Identity

NPI1164496568
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameJEFFREY S. NEALCredential: M.D.
Location Address330 WALLER AVE, SUITE 100Lexington, KY 40504-2931
Mailing Address330 Waller Ave, Suite 100Lexington, KY 40504-2931 · (859) 254-7000 · Fax (859) 255-4381
Phone(859) 254-7000
Fax(859) 255-4381
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 1984
Enumeration DateFebruary 14, 2006
Last NPPES UpdateMay 6, 2016
✔ NPI 1164496568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in KY · 27998
Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

330 WALLER AVE, Lexington, KY 40504
Open in Google Maps ↗

Other Identifiers 4

Other3937KY · Medicare Group Number
Medicare UPIND98020KY
Medicaid64279987KY
Medicare PIN0393704KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.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

Jeffrey S. Neal 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 ID143225789
PECOS Enrollment IDI20100524000132
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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
588 services347 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
51 services48 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
24 services24 patients
X-ray of hand, 2 views 73120
An X-ray of the hand, 2 views, is a non-invasive imaging test that uses a small amount of radiation to produce pictures of the bones in your hand. Two different angles are captured to provide a comprehensive view. This helps in diagnosing injuries or conditions affecting your hand.
23 services19 patients
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.
20 services20 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
19 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Ephraim Mcdowell Regional Medical Center

Acute Care Hospitals · Danville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180048
Location217 South Third StreetDanville, KY 40422 · Boyle County
Emergency services Birthing friendly

Baptist Health Richmond

Acute Care Hospitals · Richmond, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180049
Location801 Eastern BypassRichmond, KY 40475 · Madison County
Emergency services Birthing friendly

Clark Regional Medical Center

Acute Care Hospitals · Winchester, KY
3/5 CMS rating
OwnershipProprietary
CMS Certification Number180092
Location175 Hospital DriveWinchester, KY 40391 · Clark County
Emergency services Birthing friendly

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 40504 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
$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.

91.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.86
Improvement Activities40
Cost91.58

Other Providers at the Same Location NPPES 5

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

ALEXANDER D BROWN MD
Internal Medicine (Rheumatology)
330 WALLER AVE, SUITE 100
LEXINGTON, KY 40504
Fayette County (859) 254-7000
DR. COREY MICHAEL HATFIELD D.O.
Internal Medicine (Rheumatology)
330 WALLER AVE, STE. 100
LEXINGTON, KY 40504
Fayette County (859) 254-7000
DR. KELLY K. COLE M.D.
Internal Medicine (Rheumatology)
330 WALLER AVE, SUITE 100
LEXINGTON, KY 40504
Fayette County (859) 254-7000
ARTHRITIS CENTER OF LEXINGTON
Internal Medicine (Rheumatology)
330 WALLER AVE, SUITE 100
LEXINGTON, KY 40504
Fayette County (859) 254-7000
DANIEL JOSEPH RYAN DPT
Physical Therapist
330 WALLER AVE
LEXINGTON, KY 40504
Fayette County (859) 447-8600

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 Jeffrey Neal's NPI number?

The NPI number for Jeffrey Neal is 1164496568. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is Jeffrey Neal located?

Jeffrey Neal practices at 330 Waller Ave Suite 100, Lexington, KY 40504. The listed phone number is (859) 254-7000.

What is Jeffrey Neal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Jeffrey Neal enrolled in Medicare?

Yes. Jeffrey Neal 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 Jeffrey Neal accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Jeffrey Neal 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 Jeffrey Neal affiliated with any hospitals?

According to CMS data, Jeffrey Neal is affiliated with Ephraim Mcdowell Regional Medical Center, Baptist Health Richmond, Clark Regional Medical Center and Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Jeffrey Neal was last updated on May 6, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.