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DR. SUSAN ERICA NEIL MD
NPI 1225026826
Family Medicine in Lexington, KY

Active since October 10, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 18D0962807 · Waiver
2101 NICHOLASVILLE RD, 206, LEXINGTON, KY 40503(859) 278-6345(859) 278-1677 Get Directions Write a Review

NPPES record last updated: October 1, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Susan Erica Neil Md NPPES

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

DR. SUSAN ERICA NEIL MD (NPI 1225026826) is an individual family medicine provider in Lexington, Kentucky, licensed in Kentucky (26109) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through February 27, 2027, and is affiliated with Baptist Health Lexington.

NPPES Registry Identity

NPI1225026826
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SUSAN ERICA NEILCredential: MD
Location Address2101 NICHOLASVILLE RD, 206Lexington, KY 40503-2518
Mailing Address2101 Nicholasville Rd, 206Lexington, KY 40503-2518 · (859) 278-6345 · Fax (859) 278-1677
Phone(859) 278-6345
Fax(859) 278-1677
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1987
Enumeration DateOctober 10, 2005
Last NPPES UpdateOctober 1, 2008
✔ NPI 1225026826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 26109
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2101 NICHOLASVILLE RD, Lexington, KY 40503
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Other Identifiers 5

Medicare UPINE46543
Other18D0962807KY · Clia
Medicaid64261092KY
Medicare ID-Type Unspecified1796901
Other080144961Rr Medicare

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. Susan Erica Neil 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 ID7719174754
PECOS Enrollment IDI20101203000183
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D0962807

Susan E Neil MD Psc · Lexington, KY
Active · expires Feb 27, 2027
CLIA Number18D0962807
Laboratory TypePhysician Office
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorSusan E. Neil
Laboratory Phone(606) 278-6345
Laboratory LocationSusan E Neil MD Psc2101 Nicholasville Rd Suite 206, Lexington, KY 40503
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

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.

Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
222 services74 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
82 services49 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
66 services66 patients
Annual depression screening, 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
58 services58 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
43 services37 patients
Established patient office or other outpatient visit, 40-54 minutes 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
24 services18 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%73 patients5/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%56 patients5/55-star benchmark: 100%
Elder Maltreatment Screen and Follow-Up Plan
Percentage of patients aged 65 years and older with a documented elder maltreatment screen using an Elder Maltreatment Screening Tool on the date of encounter AND a documented follow-up plan on the date of the positive screen
100%74 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
77%1,636 patients1/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
95%22 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
1%388 patients1/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
97%67 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%76 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%62 patients5/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
92%388 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
59%388 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
11%388 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
1 supplier11 claims11 services$17.15 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$53.41 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.

LAWRENCE C MAGUIRE MD
Internal Medicine
2101 NICHOLASVILLE RD, SUITE 106
LEXINGTON, KY 40503
Fayette County (859) 278-5926
WALTER A SHANK JR. MD
Internal Medicine
2101 NICHOLASVILLE RD, STE 106
LEXINGTON, KY 40503
Fayette County (859) 278-5926
JOHN VIRGIL BORDERS MD
Internal Medicine
2101 NICHOLASVILLE RD, STE 106
LEXINGTON, KY 40503
Fayette County (859) 278-5926
GREGORY A. HOOD MD
Internal Medicine
2101 NICHOLASVILLE RD, SUITE 106
LEXINGTON, KY 40503
Fayette County (859) 278-5926
DR. WILLIAM M PARELL MD
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
2101 NICHOLASVILLE RD, STE. 103
LEXINGTON, KY 40503
Fayette County (859) 278-0494
CENTRAL INTERNAL MEDICINE PSC
Internal Medicine
2101 NICHOLASVILLE RD, SUITE 304
LEXINGTON, KY 40503
Fayette County (859) 277-5771
BAPTIST PHYSICIANS LEXINGTON, INC
Psychiatry & Neurology (Neurology)
2101 NICHOLASVILLE RD, SUITE 204
LEXINGTON, KY 40503
Fayette County (859) 260-4330
MRS. CHARMAINE GILB PFISTER
Nurse Practitioner (Family)
2101 NICHOLASVILLE RD, SUITE 208
LEXINGTON, KY 40503
Fayette County (859) 276-5454

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 Susan Neil's NPI number?

The NPI number for Susan Neil is 1225026826. It was assigned to this individual provider in the NPPES registry on October 10, 2005.

Where is Susan Neil located?

Susan Neil practices at 2101 Nicholasville Rd 206, Lexington, KY 40503. The listed phone number is (859) 278-6345.

What is Susan Neil's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Susan Neil enrolled in Medicare?

Yes. Susan Neil 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.

Does Susan Neil hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D0962807) is associated with this NPI, valid through February 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Susan Neil affiliated with any hospitals?

According to CMS data, Susan Neil is affiliated with Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Susan Neil was last updated on October 1, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.