DR. PHILIP WAYNE OLIVER MD
NPI 1205271269
Emergency Medicine in Lexington, KY

Q: What is Philip Oliver's NPI number?

The NPI number for Philip Oliver is 1205271269. It was assigned to this individual provider in the NPPES registry on May 5, 2013.

Q: What is Philip Oliver's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Philip Oliver was last updated on March 28, 2023. 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.

Active since May 05, 2013PECOS Enrolled

80.89/100

CMS Quality Rating

1221 S BROADWAY, LEXINGTON, KY 40504(859) 258-4000(859) 258-6203 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 28, 2023, Aug 19, 2016 (2 updates tracked since 2016).

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About Dr. Philip Wayne Oliver Md NPPES

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

DR. PHILIP WAYNE OLIVER MD (NPI 1205271269) is an individual emergency medicine provider in Lexington, Kentucky, licensed in Kentucky (49599) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS and maintains a secondary practice location in Hazard.

NPPES Registry Identity

NPI1205271269

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. PHILIP WAYNE OLIVERCredential: MD

Location Address1221 S BROADWAYLexington, KY 40504-2701

Mailing Address1221 S BroadwayLexington, KY 40504-2701 · (859) 258-4000 · Fax (859) 258-6203

Phone(859) 258-4000

Fax(859) 258-6203

Sole ProprietorNo

Enumeration DateMay 5, 2013

Last NPPES UpdateMarch 28, 20232 updates tracked since enumeration

NPPES CertifiedMarch 28, 2023

✔ NPI 1205271269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in KY · 49599✔ Licensed in KY · R3291✔ Licensed in WV · 27126

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1221 S BROADWAY, Lexington, KY 40504

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Secondary Practice Location 1

Location 1100 Medical Center DrHazard, KY 41701-9421 · Phone (606) 205-2112

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Philip Wayne Oliver Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

80.89/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

62.29

Promoting Interoperability

100

Improvement Activities

Cost

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.

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