GERALD W. ELLIOTT M.D.
NPI 1225063175
Dermatology in Lexington, KY

Q: What is Gerald Elliott's NPI number?

The NPI number for Gerald Elliott is 1225063175. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Q: What is Gerald Elliott's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Gerald Elliott was last updated on November 2, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment

88.24/100

CMS Quality Rating

120 N EAGLE CREEK DR, SUITE 360, LEXINGTON, KY 40509(859) 258-5270(859) 258-5202 Get Directions Write a Review

NPPES record last updated: November 2, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Gerald W. Elliott M.d. NPPES

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

GERALD W. ELLIOTT M.D. (NPI 1225063175) is an individual dermatology provider in Lexington, Kentucky, licensed in Kentucky (26524) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Louisville School Of Medicine (1985).

NPPES Registry Identity

NPI1225063175

Entity TypeIndividualMale

Primary Taxonomy207N00000X

Provider Legal NameGERALD W. ELLIOTTCredential: M.D.

Location Address120 N EAGLE CREEK DR, SUITE 360Lexington, KY 40509-1827

Mailing Address120 N Eagle Creek Dr, Suite 360Lexington, KY 40509-1827 · (859) 258-5270 · Fax (859) 258-5202

Phone(859) 258-5270

Fax(859) 258-5202

Sole ProprietorNo

Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1985

Enumeration DateJuly 11, 2006

Last NPPES UpdateNovember 2, 2007

✔ NPI 1225063175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in KY · 26524

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X · License 26524 (KY)

Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License 26524 (KY)

120 N EAGLE CREEK DR, Lexington, KY 40509

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Other Identifiers 8

Other4000501KY · Medicare Lab Group

Other37903705KY · Medicaid Lab Group

OtherCB5773KY · Railroad Medicare Group

Medicare UPINE07384

Medicaid64265242KY

OtherASC1019KY · Asc Medicare Group

Medicare ID-Type Unspecified0954601KY

Other36000818KY · Asc Medicaid Lab Group

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

Gerald W. Elliott 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 ID5698662161

PECOS Enrollment IDI20040301000298

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 19

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.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

1,209 services244 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.

812 services602 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

456 services346 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

285 services247 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.

260 services184 patients

Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm 17262

This procedure involves removing a cancerous skin growth on the trunk, arms, or legs that is between 1.1 and 2.0 cm in size. The growth is destroyed using methods like surgery, laser, or freezing, aiming to eliminate cancer and prevent its spread.

66 services46 patients

Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm 17281

This procedure involves the removal of cancerous skin growths on the face, ears, eyelids, nose, lips, or mouth that are between 0.6-1.0 cm in size. The goal is to eliminate cancer cells, preventing further spread and promoting health.

52 services37 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

50 services45 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

46 services46 patients

Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm 17261

This procedure involves the removal of a cancerous skin growth on the trunk, arms, or legs that is between 0.6 and 1.0 cm in size. The goal is to eliminate the cancerous cells and prevent further spread. The method of destruction may vary, including methods such as surgery, laser, or cryotherapy.

31 services25 patients

Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm 17282

This procedure involves the removal of a cancerous skin growth on the face, ears, eyelids, nose, lips, or mouth that measures between 1.1 to 2.0 cm. It's done to prevent the spread of cancer and improve health.

29 services24 patients

Destruction of precancer skin growth, 15 or more growths 17004

This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.

21 services18 patients

Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less 17280

This is a procedure where a small cancerous skin growth on the face, ears, eyelids, nose, lips, or mouth is removed. The growth is 0.5 cm or less. The aim is to eliminate the cancer and prevent it from spreading. It's a common, safe method to treat skin cancer.

20 services18 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

18 services11 patients

Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm 17272

This procedure involves the removal of a cancerous skin growth measuring 1.1-2.0 cm, located on the scalp, neck, hands, or feet. The process may involve techniques like surgery, laser, or cryotherapy. The aim is to eliminate the cancer cells and prevent further spread.

17 services13 patients

Destruction of skin growth, 15 or more growths 17111

"Destruction of skin growth" refers to a procedure where unwanted skin growths, such as warts or moles, are removed. In this case, 15 or more growths are treated. Techniques may include freezing, burning, or laser therapy. It's a safe, quick process to improve skin health.

16 services16 patients

Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm 17271

This procedure involves the removal of a small cancerous skin growth, between 0.6 to 1.0 cm, located on the scalp, neck, hands, or feet. The aim is to eliminate the cancerous cells and prevent their spread. The treatment is done in a safe, controlled environment.

16 services13 patients

Simple or single drainage of skin abscess 10060

A simple or single drainage of skin abscess is a procedure to remove pus from a skin infection. A small cut is made on the abscess, the pus is drained out, and the area is cleaned. This helps to reduce pain, speed up recovery, and prevent the spread of infection.

14 services13 patients

Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm 11301

This procedure involves the careful removal of a small skin growth on the body, arms, or legs. It's done by shaving off the growth that's 0.6-1.0 cm in size. It's a common, safe method to treat non-cancerous skin growths and improve skin appearance.

12 services11 patients

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

$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

$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.

88.24/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

79.71

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Breast Cancer Screening

56%734 patients3/55-star benchmark: 93%

Cervical Cancer Screening

35%643 patients2/55-star benchmark: 98%

Colorectal Cancer Screening

59%1,953 patients3/55-star benchmark: 88%

Controlling High Blood Pressure

77%916 patients4/55-star benchmark: 91%

Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)

73%26 patients3/55-star benchmark: 99%

Diabetes: Eye Exam

52%288 patients3/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

17%288 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

90%4,742 patients4/55-star benchmark: 100%

e-Prescribing

96%571 patients3/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

46%1,966 patients2/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

35%3,397 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

35%2,965 patients2/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 68% · 2,716 patients

Patients screened: 70% · 2,716 patients

65%140 patients3/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

74%1,137 patients3/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

82%758 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 1% · 1,967 patients

Patients totalRate: 10% · 2,031 patients

11%2,031 patients3/55-star benchmark: 100%

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.

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.

PALAK B WALL MD PLLC

Ophthalmology

120 N EAGLE CREEK DR
LEXINGTON, KY 40509

Fayette County (614) 565-6088

M2K INTERNAL MEDICINE, PSC

Internal Medicine

120 N EAGLE CREEK DR, SUITE 321
LEXINGTON, KY 40509

Fayette County (859) 233-1490

DR. KACI M WATHEN AUD

Audiologist-Hearing Aid Fitter

120 N EAGLE CREEK DR
LEXINGTON, KY 40509

Fayette County (859) 629-7140

SAINT JOSEPH MEDICAL FOUNDATION, INC

Internal Medicine (Pulmonary Disease)

120 N EAGLE CREEK DR, SUITE 350
LEXINGTON, KY 40509

Fayette County (859) 967-5648

MARY RACHEL MCGUFFEY M.D.

Pediatrics

120 N EAGLE CREEK DR, SUITE 250
LEXINGTON, KY 40509

Fayette County (859) 258-5141

BELINDA L SHIRKEY M.D.

Ophthalmology (Retina Specialist)

120 N EAGLE CREEK DR, STE 500
LEXINGTON, KY 40509

Fayette County (859) 263-3900

DR. WILLIAM J. WOOD M.D.

Ophthalmology (Retina Specialist)

120 N EAGLE CREEK DR, STE 500
LEXINGTON, KY 40509

Fayette County (859) 263-3900

DR. ROBERT ALLEN BUSCH PHARMD

Pharmacist

120 N EAGLE CREEK DR
LEXINGTON, KY 40509

Fayette County (859) 967-5923

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 Gerald Elliott's NPI number?

The NPI number for Gerald Elliott is 1225063175. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Gerald Elliott located?

Gerald Elliott practices at 120 N Eagle Creek Dr Suite 360, Lexington, KY 40509. The listed phone number is (859) 258-5270.

What is Gerald Elliott's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Gerald Elliott enrolled in Medicare?

Yes. Gerald Elliott 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.

When was this NPI record last updated?

The NPPES record for Gerald Elliott was last updated on November 2, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.