GRETCHEN SANTANA CEPERO MD
NPI 1215424221
Internal Medicine - Rheumatology in Lexington, KY
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 Harrison Memorial Hospital, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 3
Accepted 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
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.
Medicare Billing Reassignment
Medicare enrollment records show Gretchen Santana Cepero reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Somerset, KY 42501
- Reassigned Medicare billing, Kentucky enrollment
- 14 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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Harrison Memorial Hospital
Acute Care Hospitals · Cynthiana, KYClark Regional Medical Center
Acute Care Hospitals · Winchester, KYBaptist Health Lexington
Acute Care Hospitals · Lexington, KYSaint Joseph East
Acute Care Hospitals · Lexington, KYPhysician 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.
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.
Which organization bills Medicare for Gretchen Santana Cepero's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gretchen Santana Cepero reassigns Medicare benefits to Lake Cumberland Rheumatology, PLLC (Somerset, KY). The 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 Gretchen Santana Cepero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gretchen Santana Cepero accept?
Health plans from Anthem Blue Cross and Blue Shield and 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 Harrison Memorial Hospital, 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 15 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.
# Gretchen Santana Cepero, MD · NPI 1215424221
Rheumatology physician in Lexington, Kentucky. Individual provider, active in the CMS NPPES registry since April 16, 2018.
## Identity
- **NPI:** 1215424221 (Entity type: Individual)
- **Enumerated:** April 16, 2018
- **Primary specialty:** Internal Medicine - Rheumatology · taxonomy 207RR0500X
- **State license:** 61072 (Kentucky)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 101 PROSPEROUS PL FL 3, Lexington, KY 40509-1882
- **Phone:** (234) 279-1609
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lake Cumberland Rheumatology, PLLC (NPI 1225991177, Somerset, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Louisville School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** July 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1215424221) · Data from the CMS NPPES public registry.