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GRETCHEN SANTANA CEPERO MD
NPI 1215424221
Internal Medicine - Rheumatology in Lexington, KY

Active since April 16, 2018PECOS EnrolledAccepts Medicare Assignment
101 PROSPEROUS PL FL 3, LEXINGTON, KY 40509(234) 279-1609 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 30, 2025, Jun 30, 2020, Apr 16, 2018 (3 updates tracked since 2018).

About Gretchen Santana Cepero Md NPPES

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

GRETCHEN SANTANA CEPERO MD (NPI 1215424221) is an individual rheumatology provider in Lexington, Kentucky, licensed in Kentucky (61072) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Clark Regional Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1215424221
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameGRETCHEN SANTANA CEPEROCredential: MD
Location Address101 PROSPEROUS PL FL 3Lexington, KY 40509-1882
Mailing Address101 Prosperous Pl Fl 3Lexington, KY 40509-1882 · (234) 279-1609
Phone(234) 279-1609
Sole ProprietorYes
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2020
Enumeration DateApril 16, 2018
Last NPPES UpdateJuly 14, 20253 updates tracked since enumeration
NPPES CertifiedJuly 14, 2025
✔ NPI 1215424221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses✔ Licensed in KY · 61072✔ Licensed in SC · 90217
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License 57.249932 (OH)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
101 PROSPEROUS PL FL 3, Lexington, KY 40509
Open in Google Maps ↗

Secondary Practice Locations 3

Location 19500 Euclid AveCleveland, OH 44195-0001 · Phone (216) 444-2200
Location 2500 S Preston St Rm 305Louisville, KY 40202-1702 · Phone (502) 852-8696
Location 395 Jonathan Lucas St # 912Charleston, SC 29425-0001 · Phone (843) 870-0059

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Gretchen Santana Cepero Md 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 ID244674745
PECOS Enrollment IDI20250808000283
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.

Hospital Affiliations CMS Care Compare 3

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

Clark Regional Medical Center

Acute Care Hospitals · Winchester, KY
3/5 CMS rating
OwnershipProprietary
CMS Certification Number180092
Location175 Hospital DriveWinchester, KY 40391 · Clark 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

Saint Joseph East

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180143
Location150 North Eagle Creek DriveLexington, KY 40509 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40509 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
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.

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 Gretchen Santana Cepero's NPI number?

The NPI number for Gretchen Santana Cepero is 1215424221. It was assigned to this individual provider in the NPPES registry on April 16, 2018.

Where is Gretchen Santana Cepero located?

Gretchen Santana Cepero practices at 101 Prosperous Pl Fl 3, Lexington, KY 40509. The listed phone number is (234) 279-1609.

What is Gretchen Santana Cepero's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Gretchen Santana Cepero enrolled in Medicare?

Yes. Gretchen Santana Cepero 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 Gretchen Santana Cepero accept?

Health plans from CareSource list Gretchen Santana Cepero 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 Gretchen Santana Cepero affiliated with any hospitals?

According to CMS data, Gretchen Santana Cepero is affiliated with Clark Regional Medical Center, Baptist Health Lexington and Saint Joseph East.

When was this NPI record last updated?

The NPPES record for Gretchen Santana Cepero was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.