DR. GLENN R PROUDFOOT MD
NPI 1225068109
Emergency Medicine in Lexington, KY

Active since July 04, 2006PECOS EnrolledAccepts Medicare Assignment
80.89/100
CMS Quality Rating
1221 S BROADWAY, LEXINGTON, KY 40504(859) 258-4000(859) 258-6203 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Glenn R Proudfoot Md NPPES

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

DR. GLENN R PROUDFOOT MD (NPI 1225068109) is an individual emergency medicine provider in Lexington, Kentucky, licensed in Kentucky (24423) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Manchester Memorial Hospital, and maintains a secondary practice location in Somerset.

NPPES Registry Identity

NPI1225068109
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. GLENN R PROUDFOOTCredential: MD
Location Address1221 S BROADWAYLexington, KY 40504-2701
Mailing Address1221 S BroadwayLexington, KY 40504-2701 · (859) 258-6200 · Fax (859) 258-6203
Fax(859) 258-6203
Sole ProprietorYes
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1983
Enumeration DateJuly 4, 2006
Last NPPES UpdateJune 15, 2023
NPPES CertifiedJune 15, 2023
NPI 1225068109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in KY · 24423
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 24423 (KY)
1221 S BROADWAY, Lexington, KY 40504

Secondary Practice Location 1

Location 1305 Langdon StSomerset, KY 42503-2750 · Phone (606) 679-7441

Other Identifiers 1

Medicaid64244239KY

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. Glenn R Proudfoot 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 ID5395738876
PECOS Enrollment IDI20040408000628
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 6

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit for life threatening or functioning severity 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
120 services117 patients
Emergency department visit for problem of high severity 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
112 services106 patients
Emergency department visit for problem of moderate severity 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
104 services102 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
50 services49 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
31 services31 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Manchester Memorial Hospital

Acute Care Hospitals · Manchester, KY
OwnershipVoluntary non-profit - Church
CMS Certification Number180043
Location210 Marie Langdon DriveManchester, KY 40962 · Clay County
Emergency services Birthing friendly

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180080
LocationOne Trillium WayCorbin, KY 40701 · Whitley County
Emergency services Birthing friendly

Wayne County Hospital

Critical Access Hospitals · Monticello, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181321
Location166 Hospital StreetMonticello, KY 42633 · Wayne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40504 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.

80.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.29
Promoting Interoperability100
Improvement Activities40
Cost74

Referred Medical Equipment & Supplies CMS DME claims 3

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
2 suppliers17 claims17 services$21.25 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers13 claims13 services$7.80 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
2 suppliers17 claims17 services$119.14 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.

Internal Medicine
1221 S BROADWAY, SB-5
LEXINGTON, KY 40504
Otolaryngology
1221 S BROADWAY
LEXINGTON, KY 40504
Specialist/Technologist (Athletic Trainer)
1221 S BROADWAY
LEXINGTON, KY 40504
Radiology (Diagnostic Radiology)
1221 S BROADWAY
LEXINGTON, KY 40504
Internal Medicine (Cardiovascular Disease)
1221 S BROADWAY
LEXINGTON, KY 40504
Radiology (Body Imaging)
1221 S BROADWAY
LEXINGTON, KY 40504
Internal Medicine
1221 S BROADWAY
LEXINGTON, KY 40504
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1221 S BROADWAY
LEXINGTON, KY 40504

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225068109, enumerated as an "individual" on July 04, 2006.

The provider is located at 1221 S BROADWAY LEXINGTON, KY 40504 and the phone number is (859) 258-4000.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Glenn Proudfoot is affiliated with: MANCHESTER MEMORIAL HOSPITAL, BAPTIST HEALTH CORBIN and WAYNE COUNTY HOSPITAL.