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

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: October 18, 2026.

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

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
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.
1221 S BROADWAY, Lexington, KY 40504

Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

11

Medicare enrollment records show Philip Oliver reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
1221 S BROADWAY
Lexington, KY 40504
  • Reassigned Medicare billing, Kentucky enrollment
  • 338 clinicians in this Medicare group
Nurse Practitioner
100 PROVIDENCE WAY STE 200
Nicholasville, KY 40356
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,441 clinicians in this Medicare group
Emergency Medicine
60 MERCY CT
Irvine, KY 40336
  • Reassigned Medicare billing, Kentucky enrollment
  • 54 clinicians in this Medicare group
Emergency Medicine
989 MEDICAL PARK DR
Maysville, KY 41056
  • Reassigned Medicare billing, Kentucky enrollment
  • 828 clinicians in this Medicare group
Emergency Medicine
130 KATE IRELAND DR
Hyden, KY 41749
  • Reassigned Medicare billing, Kentucky enrollment
  • 45 clinicians in this Medicare group
Emergency Medicine
100 MEDICAL CENTER DRIVE
Hazard, KY 41701
  • Reassigned Medicare billing, Kentucky enrollment
  • 153 clinicians in this Medicare group
Emergency Medicine
5000 KY ROUTE 321
Prestonsburg, KY 41653
  • Reassigned Medicare billing, Kentucky enrollment
  • 57 clinicians in this Medicare group
Emergency Medicine
3600 CUMBERLAND AVE
Middlesboro, KY 40965
  • Reassigned Medicare billing, Kentucky enrollment
  • 57 clinicians in this Medicare group
Family Medicine
601 20TH ST
Huntington, WV 25703
  • Reassigned Medicare billing, Virginia enrollment
  • 44 clinicians in this Medicare group
Emergency Medicine
260 HOSPITAL DR
South Williamson, KY 41503
  • Reassigned Medicare billing, Kentucky enrollment
  • 65 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
Quality62.29
Promoting Interoperability100
Improvement Activities40
Cost74

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.

Radiology (Body Imaging)
1221 S BROADWAY
LEXINGTON, KY 40504
Nurse Practitioner
1221 S BROADWAY
LEXINGTON, KY 40504
Nurse Practitioner
1221 S BROADWAY
LEXINGTON, KY 40504
Internal Medicine
1221 S BROADWAY
LEXINGTON, KY 40504
Physician Assistant
1221 S BROADWAY
LEXINGTON, KY 40504
Radiology (Diagnostic Radiology)
1221 S BROADWAY
LEXINGTON, KY 40504
Nurse Practitioner (Family)
1221 S BROADWAY
LEXINGTON, KY 40504
Nurse Practitioner
1221 S BROADWAY
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 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.

Where is Philip Oliver located?

Philip Oliver practices at 1221 S Broadway, Lexington, KY 40504. The listed phone number is (859) 258-4000.

What is Philip Oliver's specialty?

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

Is Philip Oliver enrolled in Medicare?

Yes. Philip Oliver is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Philip Oliver's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Philip Oliver reassigns Medicare benefits to 11 organizations: New Lexington Clinic, Psc (Lexington, KY), Baptist Health Medical Group Inc (Nicholasville, KY), Emergency Medicine Physicians Of Estill County,pllc (Irvine, KY), Southeastern Emergency Physicians LLC (Maysville, KY), Hyden Emergency Physicians, LLC (Hyden, KY) and 6 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Philip Oliver's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.