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NICHOLAS L BIONDI DO
NPI 1255787040
Internal Medicine - Cardiovascular Disease in Lexington, KY

Active since May 11, 2016PECOS EnrolledAccepts Medicare Assignment
800 ROSE ST, LEXINGTON, KY 40536(859) 323-0295(859) 323-1256 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 25, 2023, Jul 12, 2023, Dec 4, 2019 and 2 more (5 updates tracked since 2016).

About Nicholas L Biondi Do NPPES

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

NICHOLAS L BIONDI DO (NPI 1255787040) is an individual cardiovascular disease provider in Lexington, Kentucky, licensed in Kentucky (05664) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and is a graduate of University Of New England, College Of Osteo Medicine (2016).

NPPES Registry Identity

NPI1255787040
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameNICHOLAS L BIONDICredential: DO
Location Address800 ROSE STLexington, KY 40536-3424
Mailing Address800 Rose StLexington, KY 40536-7001 · (859) 323-0295 · Fax (859) 323-1256
Phone(859) 323-0295
Fax(859) 323-1256
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2016
Enumeration DateMay 11, 2016
Last NPPES UpdateOctober 25, 20235 updates tracked since enumeration
NPPES CertifiedOctober 25, 2023
✔ NPI 1255787040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses✔ Licensed in KY · 05664✔ Licensed in KY · TP680
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2018-01451 (NC)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
800 ROSE ST, Lexington, KY 40536
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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

Nicholas L Biondi Do 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 ID1052685260
PECOS Enrollment IDI20230724000783
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 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
112 services111 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.
76 services63 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
36 services15 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
17 services17 patients
Heart muscle strain imaging 93356
Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.
12 services12 patients
Ultrasound of heart, follow-up 93308
A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

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

Lake Cumberland Regional Hospital

Acute Care Hospitals · Somerset, KY
2/5 CMS rating
OwnershipProprietary
CMS Certification Number180132
Location305 Langdon StreetSomerset, KY 42503 · Pulaski County
Emergency services Birthing friendly

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.

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.

DR. JEREMY WAYNE THACKER M.D.
Radiology (Diagnostic Radiology)
800 ROSE ST, HX-302 UKMC
LEXINGTON, KY 40536
Fayette County (859) 257-4457
DR. KIRK PHILLIP HEITMAN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
800 ROSE ST, MS117
LEXINGTON, KY 40536
Fayette County (859) 257-1446
HARISH RAM MD
Anesthesiology
800 ROSE ST
LEXINGTON, KY 40536
Fayette County (859) 323-5956
MS. YVONNE P RICE APRN NP-C
Nurse Practitioner (Family)
800 ROSE ST
LEXINGTON, KY 40536
Fayette County (859) 218-1779
VANESSA D. SMITH MD
Pathology (Anatomic Pathology)
800 ROSE ST
LEXINGTON, KY 40536
Fayette County (859) 323-6183
JASMINE HOWARD APRN
Nurse Practitioner (Acute Care)
800 ROSE ST, MN604
LEXINGTON, KY 40536
Fayette County (859) 323-6047
MITCHELL ALEXANDER MIGUEL M.D.
Hospitalist
800 ROSE ST
LEXINGTON, KY 40536
Fayette County (859) 323-6047
LEAH RAY YEAGER APRN
Nurse Practitioner (Family)
800 ROSE ST, CC417
LEXINGTON, KY 40536
Fayette County (859) 257-1223

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 Nicholas Biondi's NPI number?

The NPI number for Nicholas Biondi is 1255787040. It was assigned to this individual provider in the NPPES registry on May 11, 2016.

Where is Nicholas Biondi located?

Nicholas Biondi practices at 800 Rose St, Lexington, KY 40536. The listed phone number is (859) 323-0295.

What is Nicholas Biondi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Nicholas Biondi enrolled in Medicare?

Yes. Nicholas Biondi 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.

Is Nicholas Biondi affiliated with any hospitals?

According to CMS data, Nicholas Biondi is affiliated with University Of Kentucky Hospital and Lake Cumberland Regional Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Biondi was last updated on October 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.