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KIMONE LIGHTFORD
NPI 1194145953
Internal Medicine in Cleveland, OH

Active since April 21, 2014PECOS EnrolledAccepts Medicare Assignment
79.48/100
CMS Quality Rating
10701 EAST BLVD, CLEVELAND, OH 44106(216) 791-3800 Get Directions Write a Review

NPPES record last updated: March 25, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kimone Lightford NPPES

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

KIMONE LIGHTFORD (NPI 1194145953) is an individual internal medicine provider in Cleveland, Ohio, licensed in Ohio (35.131392) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Uh St John Medical Center, and is a graduate of Meharry Medical College School Of Medicine (2014).

NPPES Registry Identity

NPI1194145953
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKIMONE LIGHTFORD
Location Address10701 EAST BLVDCleveland, OH 44106-1702
Mailing Address10701 East BlvdCleveland, OH 44106-1702
Phone(216) 791-3800
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 2014
Enumeration DateApril 21, 2014
Last NPPES UpdateMarch 25, 2020
NPPES CertifiedMarch 25, 2020
✔ NPI 1194145953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35.131392
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
10701 EAST BLVD, Cleveland, OH 44106
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Other Names 1

Former Name (1)Kimone Smith Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Kimone Lightford 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 ID5698998946
PECOS Enrollment IDI20220718002269
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
400 services154 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
157 services150 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
116 services113 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Uh St John Medical Center

Acute Care Hospitals · Westlake, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360123
Location29000 Center Ridge RoadWestlake, OH 44145 · Cuyahoga County
Emergency services

University Hospitals - Elyria Medical Center

Acute Care Hospitals · Elyria, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360145
Location630 East River StreetElyria, OH 44035 · Lorain County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44106 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

79.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.51
Promoting Interoperability100
Improvement Activities40
Cost63.09

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.

MRS. RACHEL MICHELLE HERNANDEZ R.N.
Registered Nurse
10701 EAST BLVD
CLEVELAND, OH 44106
Cuyahoga County (216) 791-3800
MATTHEW BENICK
Recreation Therapist
10701 EAST BLVD, 5M-690E EUL
CLEVELAND, OH 44106
Cuyahoga County (216) 791-3800
RONALD LEE DENNEY JR. CNP
Nurse Practitioner (Primary Care)
10701 EAST BLVD
CLEVELAND, OH 44106
Cuyahoga County (216) 791-3800
ANTHONY ROSSO MBA, RRT
Respiratory Therapist, Registered
10701 EAST BLVD
CLEVELAND, OH 44106
Cuyahoga County (216) 791-3800
SARA ELIZABETH LYNCH RN
Registered Nurse (Emergency)
10701 EAST BLVD
CLEVELAND, OH 44106
Cuyahoga County (216) 791-3800
ZOE ROBERS
Student in an Organized Health Care Education/Training Program
10701 EAST BLVD
CLEVELAND, OH 44106
Cuyahoga County (216) 791-3800
DR. SUSAN KIRSH MD
Internal Medicine
10701 EAST BLVD
CLEVELAND, OH 44106
Cuyahoga County (216) 701-0519
DEBORAH KELLER-CATANIA NP
Nurse Practitioner (Adult Health)
10701 EAST BLVD, (W)111
CLEVELAND, OH 44106
Cuyahoga County (216) 791-3800

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 Kimone Lightford's NPI number?

The NPI number for Kimone Lightford is 1194145953. It was assigned to this individual provider in the NPPES registry on April 21, 2014. The provider is also known as Kimone Smith MD.

Where is Kimone Lightford located?

Kimone Lightford practices at 10701 East Blvd, Cleveland, OH 44106. The listed phone number is (216) 791-3800.

What is Kimone Lightford's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kimone Lightford enrolled in Medicare?

Yes. Kimone Lightford 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 Kimone Lightford accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource list Kimone Lightford 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 Kimone Lightford affiliated with any hospitals?

According to CMS data, Kimone Lightford is affiliated with Uh St John Medical Center and University Hospitals - Elyria Medical Center.

When was this NPI record last updated?

The NPPES record for Kimone Lightford was last updated on March 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.