DR. KEISA FALLIN-BENNETT MD, MPH
NPI 1184830358
Family Medicine in Lexington, KY

Active since May 15, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2195 HARRODSBURG RD STE 125, LEXINGTON, KY 40504(859) 323-6711 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jun 19, 2017 (2 updates tracked since 2017).

About Dr. Keisa Fallin-bennett Md, Mph NPPES

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

DR. KEISA FALLIN-BENNETT MD, MPH (NPI 1184830358) is an individual family medicine provider in Lexington, Kentucky, licensed in Kentucky (43048) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and is a graduate of University Of Kentucky College Of Medicine (2005).

NPPES Registry Identity

NPI1184830358
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KEISA FALLIN-BENNETTCredential: MD, MPH
Location Address2195 HARRODSBURG RD STE 125Lexington, KY 40504-3504
Mailing Address2195 Harrodsburg Rd Ste 125Lexington, KY 40504-0001 · (859) 323-6711
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2005
Enumeration DateMay 15, 2007
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1184830358 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 · 43048
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.

2195 HARRODSBURG RD STE 125, Lexington, KY 40504

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

Dr. Keisa Fallin-bennett Md, Mph 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 ID6103986336
PECOS Enrollment IDI20090903000088
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 4

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.

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.
97 services16 patients
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.
71 services60 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.
25 services12 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
24 services24 patients

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 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
$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.

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

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.

Pediatrics (Pediatric Endocrinology)
2195 HARRODSBURG RD STE 125
LEXINGTON, KY 40504
Student in an Organized Health Care Education/Training Program
2195 HARRODSBURG RD STE 125
LEXINGTON, KY 40504
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2195 HARRODSBURG RD STE 125
LEXINGTON, KY 40504
Nurse Practitioner (Family)
2195 HARRODSBURG RD STE 125
LEXINGTON, KY 40504
Dietitian, Registered
2195 HARRODSBURG RD STE 125
LEXINGTON, KY 40504
Social Worker (Clinical)
2195 HARRODSBURG RD STE 125
LEXINGTON, KY 40504
Dietitian, Registered
2195 HARRODSBURG RD STE 125
LEXINGTON, KY 40504
Registered Nurse (Diabetes Educator)
2195 HARRODSBURG RD STE 125
LEXINGTON, KY 40504

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 Keisa Fallin-bennett's NPI number?

The NPI number for Keisa Fallin-bennett is 1184830358. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Keisa Fallin-bennett located?

Keisa Fallin-bennett practices at 2195 Harrodsburg Rd Ste 125, Lexington, KY 40504. The listed phone number is (859) 323-6711.

What is Keisa Fallin-bennett's specialty?

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

Is Keisa Fallin-bennett enrolled in Medicare?

Yes. Keisa Fallin-bennett 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 Keisa Fallin-bennett accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Keisa Fallin-bennett 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 Keisa Fallin-bennett affiliated with any hospitals?

According to CMS data, Keisa Fallin-bennett is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Keisa Fallin-bennett was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.