PAULA W HOLLINGSWORTH MD
NPI 1366471088
Internal Medicine - Interventional Cardiology in Lexington, KY

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
1720 NICHOLASVILLE RD, SUITE 601, LEXINGTON, KY 40503(859) 277-5887(859) 276-7659 Get Directions Write a Review

NPPES record last updated: December 4, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Paula W Hollingsworth Md NPPES

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

PAULA W HOLLINGSWORTH MD (NPI 1366471088) is an individual interventional cardiology provider in Lexington, Kentucky, licensed in Kentucky (28951) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Richmond, and is a graduate of University Of Kentucky College Of Medicine (1991).

NPPES Registry Identity

NPI1366471088
Entity TypeIndividualFemale
Primary Taxonomy207RI0011X
Provider Legal NamePAULA W HOLLINGSWORTHCredential: MD
Location Address1720 NICHOLASVILLE RD, SUITE 601Lexington, KY 40503-1404
Mailing Address4071 Tates Creek Centre Dr, Suite 202Lexington, KY 40517-3062 · (859) 971-4685 · Fax (859) 971-4602
Fax(859) 276-7659
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1991
Enumeration DateJuly 3, 2006
Last NPPES UpdateDecember 4, 2020
NPPES CertifiedDecember 4, 2020
NPI 1366471088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in KY · 28951
Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 28951 (KY)
Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X · License 28951 (KY)
1720 NICHOLASVILLE RD, Lexington, KY 40503

Other Identifiers 1

Medicaid64289515KY

Accepted Insurance

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

Paula W Hollingsworth 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 ID7517938699
PECOS Enrollment IDI20040827000416
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 39

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, 30-39 minutes 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.
417 services364 patients
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.
286 services280 patients
Follow-up hospital inpatient care per day, typically 25 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.
272 services104 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
223 services212 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296
This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.
217 services67 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
210 services62 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

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180080
LocationOne Trillium WayCorbin, KY 40701 · Whitley 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

Marcum And Wallace Memorial Hospital

Critical Access Hospitals · Irvine, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number181301
Location60 Mercy CourtIrvine, KY 40336 · Estill County
Emergency services

The James B. Haggin Memorial Hospital

Critical Access Hospitals · Harrodsburg, KY
OwnershipVoluntary non-profit - Other
CMS Certification Number181302
Location464 Linden AvenueHarrodsburg, KY 40330 · Mercer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 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

Referred Medical Equipment & Supplies CMS DME claims 2

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
3 suppliers14 claims14 services$19.41 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers22 claims22 services$110.15 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.

Internal Medicine (Infectious Disease)
1720 NICHOLASVILLE RD, SUITE 602
LEXINGTON, KY 40503
Internal Medicine (Infectious Disease)
1720 NICHOLASVILLE RD, SUITE 602
LEXINGTON, KY 40503
Internal Medicine (Infectious Disease)
1720 NICHOLASVILLE RD, SUITE 602
LEXINGTON, KY 40503
Internal Medicine (Infectious Disease)
1720 NICHOLASVILLE RD, SUITE 602
LEXINGTON, KY 40503
Internal Medicine (Infectious Disease)
1720 NICHOLASVILLE RD, SUITE 602
LEXINGTON, KY 40503
Nurse Practitioner (Critical Care Medicine)
1720 NICHOLASVILLE RD, SUITE 602
LEXINGTON, KY 40503
Internal Medicine (Infectious Disease)
1720 NICHOLASVILLE RD, SUITE 602
LEXINGTON, KY 40503
Obstetrics & Gynecology (Gynecology)
1720 NICHOLASVILLE RD, SUITE 400
LEXINGTON, KY 40503

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 Paula Hollingsworth's NPI number?

The NPI number for Paula Hollingsworth is 1366471088. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Paula Hollingsworth located?

Paula Hollingsworth practices at 1720 Nicholasville Rd Suite 601, Lexington, KY 40503. The listed phone number is (859) 277-5887.

What is Paula Hollingsworth's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Paula Hollingsworth enrolled in Medicare?

Yes. Paula Hollingsworth 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.

What insurance does Paula Hollingsworth accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Paula Hollingsworth 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 Paula Hollingsworth affiliated with any hospitals?

According to CMS data, Paula Hollingsworth is affiliated with Baptist Health Richmond, Baptist Health Corbin, Baptist Health Lexington, Marcum And Wallace Memorial Hospital and The James B. Haggin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Paula Hollingsworth was last updated on December 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.