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MA JOY SANDRA BUENAFE DIONISIO M.D.
NPI 1255317244
Internal Medicine in Berea, KY

Active since December 21, 2005PECOS EnrolledAccepts Medicare Assignment
104 LEGACY DR, BEREA, KY 40403(859) 986-2323(859) 986-7728 Get Directions Write a Review

NPPES record last updated: June 11, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ma Joy Sandra Buenafe Dionisio M.d. NPPES

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

MA JOY SANDRA BUENAFE DIONISIO M.D. (NPI 1255317244) is an individual internal medicine provider in Berea, Kentucky, licensed in Kentucky (33358) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Richmond, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1255317244
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMA JOY SANDRA BUENAFE DIONISIOCredential: M.D.
Location Address104 LEGACY DRBerea, KY 40403-9594
Mailing Address1010 Main St SMc Kee, KY 40447-7089 · (606) 287-7104 · Fax (606) 287-4409
Phone(859) 986-2323
Fax(859) 986-7728
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateDecember 21, 2005
Last NPPES UpdateJune 11, 2014
✔ NPI 1255317244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KY · 33358
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.
104 LEGACY DR, Berea, KY 40403
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Other Identifiers 4

Medicare UPING62888KY
Medicaid64333586KY
Medicare PIN0068113KY
Medicare PIN1276816KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ma Joy Sandra Buenafe Dionisio 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 ID8729158639
PECOS Enrollment IDI20080604000474
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.

Medicare Billing Reassignment

Medicare enrollment records show Ma Joy Sandra Dionisio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Help Incorporated
Same address
Federally Qualified Health Center (FQHC)
104 LEGACY DR
Berea, KY 40403
  • Reassigned Medicare billing, Kentucky enrollment
  • 71 clinicians in this Medicare group
NPI 1023094695 (859) 986-2323

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
91 services54 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
33 services22 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Baptist Health Richmond

Acute Care Hospitals · Richmond, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180049
Location801 Eastern BypassRichmond, KY 40475 · Madison County
Emergency services Birthing friendly

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Rockcastle County Hospital, Inc.

Acute Care Hospitals · Mount Vernon, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180115
Location145 Newcomb AvenueMount Vernon, KY 40456 · Rockcastle County
Emergency services

Saint Joseph East

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180143
Location150 North Eagle Creek DriveLexington, KY 40509 · Fayette County
Emergency services Birthing friendly

Saint Joseph Berea

Critical Access Hospitals · Berea, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181329
Location305 Estill StreetBerea, KY 40403 · Madison County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40403 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.

Referred Medical Equipment & Supplies CMS DME claims 12

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers34 claims111 services$6.18 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers15 claims19 services$1.13 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers11 claims11 services$20.26 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers11 claims61 services$3.23 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
4 suppliers19 claims19 services$80.13 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers38 claims38 services$19.62 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.

AMANDA CLAIRE MOBERLY DMD
Dentist
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323
HEALTH HELP INCORPORATED
Clinic/Center (Federally Qualified Health Center (FQHC))
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323
COLLEEN E AMBROSE NP
Nurse Practitioner
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323
LAURA A CLICK LCSW
Social Worker (Clinical)
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323
AUDREY GRACE TRUETT CSW
Social Worker (Clinical)
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323
MS. ONEIDA SUE HELTON-PECK APRN
Nurse Practitioner (Family)
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323
EMILY LOUISE JONES
Dentist
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323
LESLIE PAIGE ALLEN DEVERS DO
Pediatrics
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323

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 Ma Joy Sandra Dionisio's NPI number?

The NPI number for Ma Joy Sandra Dionisio is 1255317244. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Where is Ma Joy Sandra Dionisio located?

Ma Joy Sandra Dionisio practices at 104 Legacy Dr, Berea, KY 40403. The listed phone number is (859) 986-2323.

What is Ma Joy Sandra Dionisio's specialty?

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

Is Ma Joy Sandra Dionisio enrolled in Medicare?

Yes. Ma Joy Sandra Dionisio 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.

Which organization bills Medicare for Ma Joy Sandra Dionisio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ma Joy Sandra Dionisio reassigns Medicare benefits to Health Help Incorporated (Berea, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ma Joy Sandra Dionisio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ma Joy Sandra Dionisio accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Ma Joy Sandra Dionisio 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 Ma Joy Sandra Dionisio affiliated with any hospitals?

According to CMS data, Ma Joy Sandra Dionisio is affiliated with Baptist Health Richmond, University Of Kentucky Hospital, Rockcastle County Hospital, Inc., Saint Joseph East and Saint Joseph Berea.

When was this NPI record last updated?

The NPPES record for Ma Joy Sandra Dionisio was last updated on June 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.