DR. LAWRENCE ANDREW SHIRLEY M.D.
NPI 1205046620
Surgery - Surgical Oncology in Lexington, KY

Active since May 23, 2007PECOS EnrolledAccepts Medicare Assignment
94.21/100
CMS Quality Rating
1760 NICHOLASVILLE RD, STE 202, LEXINGTON, KY 40503(859) 277-5711(859) 967-1770 Get Directions Write a Review

NPPES record last updated: July 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2020, May 5, 2020 (2 updates tracked since 2020).

About Dr. Lawrence Andrew Shirley M.d. NPPES

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

DR. LAWRENCE ANDREW SHIRLEY M.D. (NPI 1205046620) is an individual surgical oncology provider in Lexington, Kentucky, licensed in Kentucky (53721) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Corbin, and is a graduate of University Of Kentucky College Of Medicine (2004).

NPPES Registry Identity

NPI1205046620
Entity TypeIndividualMale
Primary Taxonomy2086X0206X
Provider Legal NameDR. LAWRENCE ANDREW SHIRLEYCredential: M.D.
Location Address1760 NICHOLASVILLE RD, STE 202Lexington, KY 40503-1472
Mailing Address1760 Nicholasville Rd, Ste 202Lexington, KY 40503-1472 · (859) 277-5711 · Fax (859) 967-1770
Fax(859) 967-1770
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2004
Enumeration DateMay 23, 2007
Last NPPES UpdateJuly 8, 20202 updates tracked since enumeration
NPPES CertifiedJuly 8, 2020
NPI 1205046620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License Licensed in KY · 53721
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Also ListedSurgeryTaxonomy 208600000X · License 53721 (KY)
1760 NICHOLASVILLE RD, Lexington, KY 40503

Other Identifiers 1

Medicaid0074540OH

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. Lawrence Andrew Shirley 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 ID840441069
PECOS Enrollment IDI20200512003691
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 8

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 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.
53 services42 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.
45 services45 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
29 services15 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
25 services25 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.
20 services20 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180080
LocationOne Trillium WayCorbin, KY 40701 · Whitley 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 40503 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
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
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.

94.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.28
Improvement Activities40
Cost93.67

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 (Neonatal-Perinatal Medicine)
1760 NICHOLASVILLE RD, SUITE 406
LEXINGTON, KY 40503
Anesthesiology (Pain Medicine)
1760 NICHOLASVILLE RD, STE 301
LEXINGTON, KY 40503
Neurological Surgery
1760 NICHOLASVILLE RD, SUITE 301
LEXINGTON, KY 40503
Radiology (Diagnostic Radiology)
1760 NICHOLASVILLE RD, SUITE 401
LEXINGTON, KY 40503
Orthopaedic Surgery
1760 NICHOLASVILLE RD, SUITE 604
LEXINGTON, KY 40503
Urology
1760 NICHOLASVILLE RD, SUITE 301
LEXINGTON, KY 40503
Physician Assistant (Medical)
1760 NICHOLASVILLE RD, STE 603
LEXINGTON, KY 40503
Surgery
1760 NICHOLASVILLE RD, SUITE 202
LEXINGTON, KY 40503

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 Lawrence Shirley's NPI number?

The NPI number for Lawrence Shirley is 1205046620. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Lawrence Shirley located?

Lawrence Shirley practices at 1760 Nicholasville Rd Ste 202, Lexington, KY 40503. The listed phone number is (859) 277-5711.

What is Lawrence Shirley's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Lawrence Shirley enrolled in Medicare?

Yes. Lawrence Shirley 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 Lawrence Shirley accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list Lawrence Shirley 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 Lawrence Shirley affiliated with any hospitals?

According to CMS data, Lawrence Shirley is affiliated with Baptist Health Corbin and Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Lawrence Shirley was last updated on July 8, 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.