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TERENCE W O'NEILL M.D.
NPI 1275560666
Internal Medicine in Lexington, KY

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
UNIVERSITY OF KENTUCKY GENERAL INTERNAL MED, 830 S. LIMESTONE, LEXINGTON, KY 40536(859) 257-1000 Get Directions Write a Review

NPPES record last updated: January 10, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 10, 2017, Jul 12, 2016 (2 updates tracked since 2016).

About Terence W O'neill M.d. NPPES

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

TERENCE W O'NEILL M.D. (NPI 1275560666) is an individual internal medicine provider in Lexington, Kentucky, licensed in Kentucky (27683) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and is a graduate of University Of Kentucky College Of Medicine (1989).

NPPES Registry Identity

NPI1275560666
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTERENCE W O'NEILLCredential: M.D.
Location AddressUNIVERSITY OF KENTUCKY GENERAL INTERNAL MED, 830 S. LIMESTONELexington, KY 40536-0001
Mailing AddressUniversity Of Kentucky General Internal Med, 830 S. LimestoneLexington, KY 40536-0001
Phone(859) 257-1000
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1989
Enumeration DateJune 28, 2006
Last NPPES UpdateJanuary 10, 20172 updates tracked since enumeration
✔ NPI 1275560666 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 · 27683
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.
UNIVERSITY OF KENTUCKY GENERAL INTERNAL MED, Lexington, KY 40536
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Other Identifiers 5

Other022092900KY · Black Lung Insurance
Medicaid64276835KY
Medicare PIN0169KY
Other1283881KY · United Mine Workers Assoc
Other110110155KY · Railroad Medicare

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

Terence W O'neill 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 ID3971519901
PECOS Enrollment IDI20060301000215
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 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.

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.
132 services75 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.
96 services53 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
53 services53 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

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

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
$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.

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

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 Terence O'neill's NPI number?

The NPI number for Terence O'neill is 1275560666. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Terence O'neill located?

Terence O'neill practices at University Of Kentucky General Internal Med 830 S. Limestone, Lexington, KY 40536. The listed phone number is (859) 257-1000.

What is Terence O'neill's specialty?

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

Is Terence O'neill enrolled in Medicare?

Yes. Terence O'neill 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 Terence O'neill affiliated with any hospitals?

According to CMS data, Terence O'neill is affiliated with University Of Kentucky Hospital, Baptist Health Lexington and Saint Joseph East.

When was this NPI record last updated?

The NPPES record for Terence O'neill was last updated on January 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.