SCOTT ERPELDING
NPI 1225444029
Urology in Lexington, KY

Q: What is Scott Erpelding's NPI number?

The NPI number for Scott Erpelding is 1225444029. It was assigned to this individual provider in the NPPES registry on July 1, 2014.

Q: What is Scott Erpelding's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Scott Erpelding was last updated on June 30, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 01, 2014PECOS EnrolledAccepts Medicare Assignment

83.32/100

CMS Quality Rating

UNIVERSITY OF KENTUCKY, 800 ROSE STREET, ROOM MN-283, LEXINGTON, KY 40536(859) 323-5057(859) 257-6024 Get Directions Write a Review

NPPES record last updated: June 30, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Scott Erpelding NPPES

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

SCOTT ERPELDING (NPI 1225444029) is an individual urology provider in Lexington, Kentucky, licensed in Kentucky (R3474) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Eastern Idaho Regional Medical Center, and is a graduate of University Of North Dakota School Of Medicine (2014).

NPPES Registry Identity

NPI1225444029

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameSCOTT ERPELDING

Location AddressUNIVERSITY OF KENTUCKY, 800 ROSE STREET, ROOM MN-283Lexington, KY 40536-0001

Mailing AddressUniversity Of Kentucky, 800 Rose StreetLexington, KY 40536-0001

Phone(859) 323-5057

Fax(859) 257-6024

Sole ProprietorNo

Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2014

Enumeration DateJuly 1, 2014

Last NPPES UpdateJune 30, 2015

✔ NPI 1225444029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in KY · R3474

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

UNIVERSITY OF KENTUCKY, Lexington, KY 40536

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Select Health, University of Utah Health Plans.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

Scott Erpelding 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 ID7416260336

PECOS Enrollment IDI20191021001932

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 12

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 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.

124 services89 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.

94 services94 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.

90 services71 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.

50 services50 patients

Imaging of urinary tract following injection of a contrast agent 74420

This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.

36 services30 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

33 services30 patients

Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope 52310

This is a procedure to remove an object, stone, or tube from your urinary tract. An endoscope, a thin, flexible tube with a light and camera, is used to locate and remove the object. It is a safe and effective way to address the issue.

24 services22 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

21 services21 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

19 services19 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

16 services15 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

15 services15 patients

Simple bladder irrigation and/or instillation 51700

Bladder irrigation and/or instillation is a process where a sterile solution is introduced into the bladder to cleanse it or deliver medication. This procedure helps manage certain bladder conditions, ensuring optimal bladder health.

14 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Eastern Idaho Regional Medical Center

Acute Care Hospitals · Idaho Falls, ID

3/5 CMS rating

OwnershipProprietary

CMS Certification Number130018

Location3100 Channing WayIdaho Falls, ID 83404 · Bonneville County

Emergency services Birthing friendly

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID

1/5 CMS rating

OwnershipPhysician

CMS Certification Number130065

Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville County

Emergency services Birthing friendly

Idaho Falls Community Hospital, LLC

Acute Care Hospitals · Idaho Falls, ID

3/5 CMS rating

OwnershipProprietary

CMS Certification Number130074

Location2327 Coronado StIdaho Falls, ID 83404 · Bonneville County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

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.

83.32/100

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

Scored as part of a group practice

Quality

79.51

Promoting Interoperability

100

Improvement Activities

Cost

64.88

Referred Medical Equipment & Supplies CMS DME claims 6

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

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314

DME-Orthotic Devices · category DF000N

2 suppliers12 claims16 services$18.10 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

2 suppliers20 claims3,550 services$1.49 avg. paid by Medicare

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

3 suppliers36 claims4,980 services$6.09 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

4 suppliers16 claims34 services$7.64 avg. paid by Medicare

Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358

DME-Orthotic Devices · category DF000N

3 suppliers15 claims30 services$5.07 avg. paid by Medicare

Lubricant, per ounce A4402

DME-Orthotic Devices · category DF010N

2 suppliers18 claims136 services$1.15 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

INDU ELIZABETH MATHEW MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

UNIVERSITY OF KENTUCKY, 800 ROSE STREET
LEXINGTON, KY 40536

Fayette County (859) 323-1786

DR. MEGAN HOFMEISTER M.D.

Preventive Medicine (Public Health & General Preventive Medicine)

UNIVERSITY OF KENTUCKY, 800 ROSE STREET
LEXINGTON, KY 40536

Fayette County (859) 218-2100

DR. JEREMIAH PHELPS MD PHD

Emergency Medicine

UNIVERSITY OF KENTUCKY, 800 ROSE ST
LEXINGTON, KY 40536

Fayette County (859) 323-6762

ASHLEY ROLLINS MD

Internal Medicine

UNIVERSITY OF KENTUCKY, 800 ROSE STREET
LEXINGTON, KY 40536

Fayette County (859) 323-2636

DR. JANELLE LOUISE REED M.D./PH.D

Emergency Medicine

UNIVERSITY OF KENTUCKY, 800 ROSE ST.
LEXINGTON, KY 40536

Fayette County (859) 323-5083

DR. PAUL JAMES SPICER MD

Radiology (Diagnostic Radiology)

UNIVERSITY OF KENTUCKY, 800 ROSE STREET, HX-311
LEXINGTON, KY 40536

Fayette County (859) 323-8570

ANTHONY ZACHARIAS

Orthopaedic Surgery

UNIVERSITY OF KENTUCKY, 800 ROSE ST.
LEXINGTON, KY 40536

Fayette County (859) 218-3044

LAURA H REYNOLDS M.D.

Psychiatry & Neurology (Psychiatry)

UNIVERSITY OF KENTUCKY, 800 ROSE ST
LEXINGTON, KY 40536

Fayette County (859) 323-6021

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 Scott Erpelding's NPI number?

The NPI number for Scott Erpelding is 1225444029. It was assigned to this individual provider in the NPPES registry on July 1, 2014.

Where is Scott Erpelding located?

Scott Erpelding practices at University Of Kentucky 800 Rose Street, Room Mn-283, Lexington, KY 40536. The listed phone number is (859) 323-5057.

What is Scott Erpelding's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Scott Erpelding enrolled in Medicare?

Yes. Scott Erpelding 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 Scott Erpelding accept?

Health plans from Moda Health Plan, Inc., Select Health and University of Utah Health Plans list Scott Erpelding 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 Scott Erpelding affiliated with any hospitals?

According to CMS data, Scott Erpelding is affiliated with Eastern Idaho Regional Medical Center, Mountain View Hospital and Idaho Falls Community Hospital, LLC.

When was this NPI record last updated?

The NPPES record for Scott Erpelding was last updated on June 30, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.