1. Home
  2. Directory
  3. Kentucky
  4. Richmond
  5. Internal Medicine
  6. NPI Profile

DR. ERICA LOUISE GREGONIS MD
NPI 1326242991
Internal Medicine - Pulmonary Disease in Richmond, KY

Active since June 14, 2007PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
793 EASTERN BYP STE 216, RICHMOND, KY 40475(859) 624-6540 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 9, 2020, Jan 22, 2020, Sep 19, 2017 (3 updates tracked since 2017).

About Dr. Erica Louise Gregonis Md NPPES

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

DR. ERICA LOUISE GREGONIS MD (NPI 1326242991) is an individual pulmonary disease provider in Richmond, Kentucky, licensed in Kentucky (45164) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Richmond, and maintains a secondary practice location in Georgetown.

NPPES Registry Identity

NPI1326242991
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameDR. ERICA LOUISE GREGONISCredential: MD
Location Address793 EASTERN BYP STE 216Richmond, KY 40475-2443
Mailing Address225 Hospital Drive, Suite 300aWinchester, KY 40391-7676 · (859) 737-6499 · Fax (859) 737-6651
Phone(859) 624-6540
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2005
Enumeration DateJune 14, 2007
Last NPPES UpdateDecember 9, 20203 updates tracked since enumeration
NPPES CertifiedDecember 9, 2020
✔ NPI 1326242991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in KY · 45164
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License M8688 (TX)
793 EASTERN BYP STE 216, Richmond, KY 40475
Open in Google Maps ↗

Secondary Practice Location 1

Location 11140 Lexington RdGeorgetown, KY 40324-9330 · Phone (502) 868-1100

Other Identifiers 1

Other2775947229Myutmb 2775947229-commercial Number

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

Dr. Erica Louise Gregonis Md 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 ID2365512019
PECOS Enrollment IDI20121113000521
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 Reassignments

4

Medicare enrollment records show Erica Gregonis reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clark Regional Physician Practices LLC
18 mi
Rural Health
1520 BOONESBORO RD
Winchester, KY 40391
  • Reassigned Medicare billing, Kentucky enrollment
  • 88 clinicians in this Medicare group
NPI 1831852771 (859) 744-0067
Baptist Health Medical Group Inc
20 mi
Nurse Practitioner
100 PROVIDENCE WAY STE 200
Nicholasville, KY 40356
  • Reassigned Medicare billing, Kentucky enrollment
  • 999 clinicians in this Medicare group
NPI 1255805586 (859) 260-5370
Kentucky Mso LLC
33 mi
Family Medicine
360 AMSDEN AVE, SUITE 302
Versailles, KY 40383
  • Reassigned Medicare billing, Kentucky enrollment
  • 92 clinicians in this Medicare group
NPI 1710232400 (859) 879-2419
Owensboro Health Medical Group Inc
98 mi
Otolaryngology
1501 S DIXIE ST
Horse Cave, KY 42749
  • Reassigned Medicare billing, Kentucky enrollment
  • 643 clinicians in this Medicare group
NPI 1891177556 (270) 786-2191

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 7

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.
49 services33 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
48 services47 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
44 services43 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
42 services41 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.
34 services28 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
21 services20 patients

Hospital Affiliations CMS Care Compare 2

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40475 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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
19%345 patients1/55-star benchmark: 96%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%1,304 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%420 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
17%432 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
98%432 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
28%432 patients2/55-star benchmark: 79%
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.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
6 suppliers37 claims37 services$17.86 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
3 suppliers21 claims21 services$45.95 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
4 suppliers40 claims40 services$911.94 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
2 suppliers11 claims11 services$18.76 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$6.19 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
6 suppliers18 claims18 services$46.86 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Erica Gregonis's NPI number?

The NPI number for Erica Gregonis is 1326242991. It was assigned to this individual provider in the NPPES registry on June 14, 2007.

Where is Erica Gregonis located?

Erica Gregonis practices at 793 Eastern Byp Ste 216, Richmond, KY 40475. The listed phone number is (859) 624-6540.

What is Erica Gregonis's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Erica Gregonis enrolled in Medicare?

Yes. Erica Gregonis 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 organizations bill Medicare for Erica Gregonis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erica Gregonis reassigns Medicare benefits to 4 organizations: Clark Regional Physician Practices LLC (Winchester, KY), Baptist Health Medical Group Inc (Nicholasville, KY), Kentucky Mso LLC (Versailles, KY) and Owensboro Health Medical Group Inc (Horse Cave, KY). Each 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 Erica Gregonis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erica Gregonis accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and CareSource list Erica Gregonis 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 Erica Gregonis affiliated with any hospitals?

According to CMS data, Erica Gregonis is affiliated with Baptist Health Richmond and Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Erica Gregonis was last updated on December 9, 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.