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DAVID MILTON CULPEPPER MD
NPI 1235190018
Internal Medicine in Danville, KY

Active since March 31, 2006PECOS Enrolled
212 S 2ND ST, DANVILLE, KY 40422(859) 209-2269 Get Directions Write a Review

NPPES record last updated: December 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 1, 2020, Nov 1, 2018, May 16, 2016 and 1 more (4 updates tracked since 2016).

About David Milton Culpepper Md NPPES

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

DAVID MILTON CULPEPPER MD (NPI 1235190018) is an individual internal medicine provider in Danville, Kentucky, licensed in Kentucky (53316) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Florence.

NPPES Registry Identity

NPI1235190018
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDAVID MILTON CULPEPPERCredential: MD
Location Address212 S 2ND STDanville, KY 40422-1804
Mailing Address212 S 2nd StDanville, KY 40422-1804 · (859) 209-2269
Phone(859) 209-2269
Sole ProprietorNo
Enumeration DateMarch 31, 2006
Last NPPES UpdateDecember 1, 20204 updates tracked since enumeration
NPPES CertifiedDecember 1, 2020
✔ NPI 1235190018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in KY · 53316✔ Licensed in SC · 12403
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
212 S 2ND ST, Danville, KY 40422
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Secondary Practice Location 1

Location 11594 Freedom Blvd Ste 102AFlorence, SC 29505-6046 · Phone (843) 679-4268 · Fax (843) 679-4268

Other Identifiers 1

Medicaid124038SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Nebraska, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Milton Culpepper Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40422 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
$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

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
44%209 patients2/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
66%454 patients4/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
13%172 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,593 patients5/55-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…
26%815 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 711 patients
Patients tobacco: 12% · 57 patients
93%711 patients4/55-star benchmark: 98%
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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARK I. BRUNNER M.D.
Internal Medicine (Gastroenterology)
212 S 2ND ST
DANVILLE, KY 40422
Boyle County (859) 236-5302
MARK A SPURLIN M.D.
Internal Medicine (Gastroenterology)
212 S 2ND ST
DANVILLE, KY 40422
Boyle County (859) 236-5302
GASTROENTEROLOGY ASSOCIATES OF CENTRAL KY PSC
Internal Medicine (Gastroenterology)
212 S 2ND ST
DANVILLE, KY 40422
Boyle County (859) 236-5302

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 David Culpepper's NPI number?

The NPI number for David Culpepper is 1235190018. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is David Culpepper located?

David Culpepper practices at 212 S 2nd St, Danville, KY 40422. The listed phone number is (859) 209-2269.

What is David Culpepper's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is David Culpepper enrolled in Medicare?

Yes. David Culpepper is registered in the Medicare PECOS enrollment system.

What insurance does David Culpepper accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Nebraska, Blue Cross and Blue Shield of Texas, CareSource and Highmark Blue Cross Blue Shield Delaware list David Culpepper 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.

When was this NPI record last updated?

The NPPES record for David Culpepper was last updated on December 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.