DR. EDWARD CLARKE STANDIFORD M.D.
NPI 1346248697
Family Medicine in Lexington, KY

Q: What is Edward Standiford's NPI number?

The NPI number for Edward Standiford is 1346248697. It was assigned to this individual provider in the NPPES registry on July 11, 2005.

Q: What is Edward Standiford's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Edward Standiford was last updated on December 3, 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.

Active since July 11, 2005PECOS EnrolledAccepts Medicare Assignment

95.5/100

CMS Quality Rating

4071 TATES CREEK CENTRE DR, SUITE 100, LEXINGTON, KY 40517(859) 273-3888(859) 272-3256 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Edward Clarke Standiford M.d. NPPES

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

DR. EDWARD CLARKE STANDIFORD M.D. (NPI 1346248697) is an individual family medicine provider in Lexington, Kentucky, licensed in Kentucky (20895) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and is a graduate of University Of Louisville School Of Medicine (1979).

NPPES Registry Identity

NPI1346248697

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. EDWARD CLARKE STANDIFORDCredential: M.D.

Location Address4071 TATES CREEK CENTRE DR, SUITE 100Lexington, KY 40517-3062

Mailing AddressPo Box 910670Lexington, KY 40591-0670 · (859) 971-4685 · Fax (859) 971-4602

Phone(859) 273-3888

Fax(859) 272-3256

Sole ProprietorNo

Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1979

Enumeration DateJuly 11, 2005

Last NPPES UpdateDecember 3, 2020

NPPES CertifiedDecember 3, 2020

✔ NPI 1346248697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in KY · 20895

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4071 TATES CREEK CENTRE DR, Lexington, KY 40517

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Other Identifiers 1

Medicaid64208952KY

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. Edward Clarke Standiford 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 ID8527950872

PECOS Enrollment IDI20040413001391

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 Edward Standiford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baptist Health Medical Group Inc

Same address

Nurse Practitioner

4071 TATES CREEK CENTRE DR, STE 202
Lexington, KY 40517

Reassigned Medicare billing, Kentucky enrollment
Also billed through NPI 1255805586 (Kentucky)
999 clinicians in this Medicare group

NPI 1518360296 (859) 260-4390

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 5

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 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.

95 services95 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

21 services21 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

21 services21 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

20 services20 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

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 40517 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

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

Quality

89.59

Promoting Interoperability

100

Improvement Activities

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. JEFFREY WAYNE KING DMD

Dentist (General Practice)

4071 TATES CREEK CENTRE DR, STE 210
LEXINGTON, KY 40517

Fayette County (859) 273-3139

EDGAR EMERIC, M.D, PSC

Family Medicine

4071 TATES CREEK CENTRE DR, SUITE 100
LEXINGTON, KY 40517

Fayette County (859) 273-3888

HMR MANAGEMENT CORPORATION

Clinic/Center

4071 TATES CREEK CENTRE DR, SUITE 300
LEXINGTON, KY 40517

Fayette County (859) 422-4671

ALLAN D. HALBERT, M.D.

Family Medicine

4071 TATES CREEK CENTRE DR, SUITE 100
LEXINGTON, KY 40517

Fayette County (858) 273-3888

ALLAN DUANE HALBERT M.D.

Family Medicine

4071 TATES CREEK CENTRE DR, SUITE 100
LEXINGTON, KY 40517

Fayette County (859) 273-3888

BAPTIST PHYSICIANS LEXINGTON, INC

Nurse Practitioner

4071 TATES CREEK CENTRE DR, SUITE 202
LEXINGTON, KY 40517

Fayette County (859) 260-4385

TIMOTHY R SCOTT M.D.

Family Medicine

4071 TATES CREEK CENTRE DR, SUITE 100
LEXINGTON, KY 40517

Fayette County (859) 273-3888

MR. THOMAS J GARRISON PA C

Physician Assistant

4071 TATES CREEK CENTRE DR, SUITE 202
LEXINGTON, KY 40517

Fayette County (859) 277-7129

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 Edward Standiford's NPI number?

The NPI number for Edward Standiford is 1346248697. It was assigned to this individual provider in the NPPES registry on July 11, 2005.

Where is Edward Standiford located?

Edward Standiford practices at 4071 Tates Creek Centre Dr Suite 100, Lexington, KY 40517. The listed phone number is (859) 273-3888.

What is Edward Standiford's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Edward Standiford enrolled in Medicare?

Yes. Edward Standiford 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 Edward Standiford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Standiford reassigns Medicare benefits to Baptist Health Medical Group Inc (Lexington, 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 Edward Standiford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edward Standiford accept?

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

According to CMS data, Edward Standiford is affiliated with Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Edward Standiford was last updated on December 3, 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.