DR. DERMOT P HALPIN M.D.
NPI 1215910898
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Pikeville, KY

Active since November 28, 2005PECOS EnrolledAccepts Medicare Assignment
86.86/100
CMS Quality Rating
911 BYPASS RD BLDG A, PIKEVILLE, KY 41501(606) 430-2201(606) 218-4651 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 26, 2026, Aug 2, 2022, Jul 7, 2021 (3 updates tracked since 2021).

About Dr. Dermot P Halpin M.d. NPPES

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

DR. DERMOT P HALPIN M.D. (NPI 1215910898) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Pikeville, Kentucky, licensed in Kentucky (34129) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Pikeville Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1215910898
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. DERMOT P HALPINCredential: M.D.
Location Address911 BYPASS RD BLDG APikeville, KY 41501-1689
Mailing AddressPo Box 432Pikeville, KY 41502-0432 · (606) 430-2201
Fax(606) 218-4651
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateNovember 28, 2005
Last NPPES UpdateMay 26, 20263 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
NPI 1215910898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses Licensed in KY · 34129 Licensed in MA · 81526 Licensed in AL · 00016388
Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

911 BYPASS RD BLDG A, Pikeville, KY 41501

Secondary Practice Locations 2

Location 1833 Princeton Ave SW Ste 200ABirmingham, AL 35211-1321 · Phone (205) 785-3218
Location 25295 Preserve Pkwy Ste 260Hoover, AL 35244-4703 · Phone (205) 785-3218 · Fax (205) 786-6227

Other Identifiers 1

Medicaid64341290KY

Accepted 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

Dr. Dermot P Halpin 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 ID6901797208
PECOS Enrollment IDI20100826001146, I20240325000454
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.

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.

Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
23 services23 patients
Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
21 services21 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41501 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
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
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.

86.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.39
Promoting Interoperability100
Improvement Activities40
Cost70.65

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers24 claims24 services$21.29 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers27 claims27 services$112.58 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physician Assistant
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Internal Medicine
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Surgery
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Anesthesiology (Critical Care Medicine)
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Nurse Practitioner (Family)
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Nurse Practitioner (Family)
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Hospitalist
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Nurse Anesthetist, Certified Registered
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501

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 Dermot Halpin's NPI number?

The NPI number for Dermot Halpin is 1215910898. It was assigned to this individual provider in the NPPES registry on November 28, 2005.

Where is Dermot Halpin located?

Dermot Halpin practices at 911 Bypass Rd Bldg A, Pikeville, KY 41501. The listed phone number is (606) 430-2201.

What is Dermot Halpin's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Dermot Halpin enrolled in Medicare?

Yes. Dermot Halpin 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 Dermot Halpin accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource and 1 other insurer list Dermot Halpin 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 Dermot Halpin affiliated with any hospitals?

According to CMS data, Dermot Halpin is affiliated with Pikeville Medical Center.

When was this NPI record last updated?

The NPPES record for Dermot Halpin was last updated on May 26, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.