MALESHEA Y HOPKINS DO
NPI 1164604831
Family Medicine in Pikeville, KY

Active since December 04, 2007PECOS EnrolledAccepts Medicare Assignment
86.86/100
CMS Quality Rating
184 S MAYO TRL, PIKEVILLE, KY 41501(606) 430-2213(606) 432-4365 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 22, 2022, Mar 12, 2021, Dec 11, 2020 and 1 more (4 updates tracked since 2017).

About Maleshea Y Hopkins Do NPPES

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

MALESHEA Y HOPKINS DO (NPI 1164604831) is an individual family medicine provider in Pikeville, Kentucky, licensed in Kentucky (03078) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS, is affiliated with Pikeville Medical Center, and is a graduate of University Of Pikeville, Kentucky College Of Osteopathic Med (2005).

NPPES Registry Identity

NPI1164604831
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMALESHEA Y HOPKINSCredential: DO
Location Address184 S MAYO TRLPikeville, KY 41501-1518
Mailing AddressPo Box 432Pikeville, KY 41502-0432 · (606) 430-2213 · Fax (606) 432-4365
Fax(606) 432-4365
Sole ProprietorNo
Medical School CMSUniversity Of Pikeville, Kentucky College Of Osteopathic MedGraduated 2005
Enumeration DateDecember 4, 2007
Last NPPES UpdateSeptember 22, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2022
NPI 1164604831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in KY · 03078
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
184 S MAYO TRL, Pikeville, KY 41501

Other Names 1

Former Name (1)Maleshea Y Dunning Do

Other Identifiers 1

Medicaid7100022580KY

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

Maleshea Y Hopkins Do 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 ID446345755
PECOS Enrollment IDI20080104000587
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 2

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.
74 services29 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.
21 services13 patients

Hospital Affiliations CMS Care Compare

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

Pikeville Medical Center

Acute Care Hospitals · Pikeville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180044
Location911 Bypass RoadPikeville, KY 41501 · Pike County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41501 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.

86.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.39
Promoting Interoperability100
Improvement Activities40
Cost70.65

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers17 claims28 services$6.61 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers15 claims15 services$1.13 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers13 claims13 services$21.14 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$8.52 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers28 claims28 services$114.64 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 20

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

Student in an Organized Health Care Education/Training Program
184 S MAYO TRL
PIKEVILLE, KY 41501
Family Medicine
184 S MAYO TRL
PIKEVILLE, KY 41501
Family Medicine
184 S MAYO TRL
PIKEVILLE, KY 41501
Family Medicine
184 S MAYO TRL
PIKEVILLE, KY 41501
Internal Medicine (Nephrology)
184 S MAYO TRL
PIKEVILLE, KY 41501
Family Medicine
184 S MAYO TRL
PIKEVILLE, KY 41501
Family Medicine
184 S MAYO TRL
PIKEVILLE, KY 41501
Family Medicine
184 S MAYO TRL
PIKEVILLE, KY 41501

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 Maleshea Hopkins's NPI number?

The NPI number for Maleshea Hopkins is 1164604831. It was assigned to this individual provider in the NPPES registry on December 4, 2007. The provider is also known as Maleshea Y Dunning Do.

Where is Maleshea Hopkins located?

Maleshea Hopkins practices at 184 S Mayo Trl, Pikeville, KY 41501. The listed phone number is (606) 430-2213.

What is Maleshea Hopkins's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Maleshea Hopkins enrolled in Medicare?

Yes. Maleshea Hopkins 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 Maleshea Hopkins accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Maleshea Hopkins 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 Maleshea Hopkins affiliated with any hospitals?

According to CMS data, Maleshea Hopkins is affiliated with Pikeville Medical Center.

When was this NPI record last updated?

The NPPES record for Maleshea Hopkins was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.