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CAROLINE R NEFF M.D.
NPI 1215342985
Surgery - Surgical Critical Care in Pikeville, KY

Active since June 21, 2014PECOS EnrolledAccepts Medicare Assignment
911 BYPASS RD BLDG A, PIKEVILLE, KY 41501(606) 430-2202(606) 218-7502 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Caroline R Neff M.d. NPPES

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

CAROLINE R NEFF M.D. (NPI 1215342985) is an individual surgical critical care provider in Pikeville, Kentucky, licensed in Kentucky (54465) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Pikeville Medical Center, and maintains a secondary practice location in Lincoln.

NPPES Registry Identity

NPI1215342985
Entity TypeIndividualFemale
Primary Taxonomy2086S0102X
Provider Legal NameCAROLINE R NEFFCredential: M.D.
Location Address911 BYPASS RD BLDG APikeville, KY 41501-1602
Mailing AddressPo Box 432Pikeville, KY 41502-0432 · (606) 430-2202
Phone(606) 430-2202
Fax(606) 218-7502
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2014
Enumeration DateJune 21, 2014
Last NPPES UpdateAugust 28, 2025
NPPES CertifiedAugust 28, 2025
✔ NPI 1215342985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License✔ Licensed in KY · 54465
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedSurgeryTaxonomy 208600000X · License 36858 (NE)
911 BYPASS RD BLDG A, Pikeville, KY 41501
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Secondary Practice Location 1

Location 12222 S 16th St, Tower B Ste 405Lincoln, NE 68502-3793 · Phone (402) 481-5860

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Caroline R Neff 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 ID5991012072
PECOS Enrollment IDI20210831003811, I20250530001802
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

4

Medicare enrollment records show Caroline Neff reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pikeville Medical Center Inc.
Same address
Multi-Specialty
911 BYPASS RD BLDG A
Pikeville, KY 41501
  • Reassigned Medicare billing, Kentucky enrollment
  • 579 clinicians in this Medicare group
NPI 1528195864 (606) 430-3500
Kentucky Medical Services Foundation, Inc
112 mi
Internal Medicine
2333 ALUMNI PARK PLZ, SUITE 200
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,502 clinicians in this Medicare group
NPI 1326091448 (859) 257-7910
University Of Kentucky
115 mi
Dentist
740 S LIMESTONE ST
Lexington, KY 40536
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,761 clinicians in this Medicare group
NPI 1730225129 (859) 257-3462
Bryan Physician Network
794 mi
Family Medicine
2222 S 16TH ST, SUITE 400A
Lincoln, NE 68502
  • Reassigned Medicare billing, Nebraska enrollment
  • 214 clinicians in this Medicare group
NPI 1679528798 (402) 483-8590

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

Areas of Expertise CMS Part B claims 3

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 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.
66 services36 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
31 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Pikeville Medical Center

Acute Care Hospitals · Pikeville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180044
Location911 Bypass RoadPikeville, KY 41501 · Pike County
Emergency services Birthing friendly

Tug Valley Arh Regional Medical Center

Acute Care Hospitals · South Williamson, KY
1/5 CMS rating
OwnershipProprietary
CMS Certification Number180069
Location260 Hospital DriveSouth Williamson, KY 41503 · Pike County
Emergency services

Bryan Medical Center

Acute Care Hospitals · Lincoln, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280003
Location1600 South 48th StLincoln, NE 68506 · Lancaster County
Emergency services Birthing friendly

Beatrice Community Hospital & Health Center, Inc

Critical Access Hospitals · Beatrice, NE
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number281364
LocationP O Box 278, 4800 Hospital ParkwayBeatrice, NE 68310 · Gage County
Emergency services

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. WHITNEY P. BURTON PA-C
Physician Assistant
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Pike County (606) 430-2201
DR. SHRAVANTI PONGALI MUTHU MD, MPH
Hospitalist
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Pike County (606) 430-3500
AMY O JOHNSON MD
Surgery
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Pike County (606) 430-2205
MATTHEW SEXTON M.D.
Anesthesiology (Critical Care Medicine)
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Pike County (606) 430-3500
CAITLIN VICTORIA BERNIECE COLLIER
Nurse Practitioner (Family)
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Pike County (606) 430-2208
BRIANNA I COLEMAN
Nurse Practitioner (Family)
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Pike County (606) 430-2201
EMUESIRI CATHERINE OVWIGHO MD
Hospitalist
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Pike County (606) 430-3500
TRULENA BENNER CRNA
Nurse Anesthetist, Certified Registered
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Pike County (606) 430-3500

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 Caroline Neff's NPI number?

The NPI number for Caroline Neff is 1215342985. It was assigned to this individual provider in the NPPES registry on June 21, 2014.

Where is Caroline Neff located?

Caroline Neff practices at 911 Bypass Rd Bldg A, Pikeville, KY 41501. The listed phone number is (606) 430-2202.

What is Caroline Neff's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Caroline Neff enrolled in Medicare?

Yes. Caroline Neff 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.

Which organizations bill Medicare for Caroline Neff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caroline Neff reassigns Medicare benefits to 4 organizations: Pikeville Medical Center Inc. (Pikeville, KY), Kentucky Medical Services Foundation, Inc (Lexington, KY), University Of Kentucky (Lexington, KY) and Bryan Physician Network (Lincoln, NE). 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 Caroline Neff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Caroline Neff accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Blue Cross and Blue Shield of Nebraska and CareSource and 1 other insurer list Caroline Neff 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 Caroline Neff affiliated with any hospitals?

According to CMS data, Caroline Neff is affiliated with Pikeville Medical Center, Tug Valley Arh Regional Medical Center, Bryan Medical Center and Beatrice Community Hospital & Health Center, Inc.

When was this NPI record last updated?

The NPPES record for Caroline Neff was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.