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DR. COREY MICHAEL HATFIELD D.O.
NPI 1376631622
Internal Medicine - Rheumatology in Lexington, KY

Active since October 11, 2006PECOS EnrolledAccepts Medicare Assignment
91.02/100
CMS Quality Rating
330 WALLER AVE, STE. 100, LEXINGTON, KY 40504(859) 254-7000(859) 255-4381 Get Directions Write a Review

NPPES record last updated: December 2, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Corey Michael Hatfield D.o. NPPES

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

DR. COREY MICHAEL HATFIELD D.O. (NPI 1376631622) is an individual rheumatology provider in Lexington, Kentucky, licensed in Kentucky (03745) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Ephraim Mcdowell Regional Medical Center, and is a graduate of University Of Pikeville, Kentucky College Of Osteopathic Med (2005).

NPPES Registry Identity

NPI1376631622
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. COREY MICHAEL HATFIELDCredential: D.O.
Location Address330 WALLER AVE, STE. 100Lexington, KY 40504-2931
Mailing Address330 Waller Ave, Ste. 100Lexington, KY 40504-2931 · (859) 254-7000 · Fax (859) 255-4381
Phone(859) 254-7000
Fax(859) 255-4381
Sole ProprietorNo
Medical School CMSUniversity Of Pikeville, Kentucky College Of Osteopathic MedGraduated 2005
Enumeration DateOctober 11, 2006
Last NPPES UpdateDecember 2, 2014
✔ NPI 1376631622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses✔ Licensed in KY · 03745✔ Licensed in SC · 920
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License LL920 (SC), 920 (SC)
330 WALLER AVE, Lexington, KY 40504
Open in Google Maps ↗

Other Identifiers 2

Medicaid7100304620KY
Medicare PINK167340KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.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

Dr. Corey Michael Hatfield D.o. 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 ID4486787280
PECOS Enrollment IDI20141117001413
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 8

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.
488 services308 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
76 services67 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
72 services72 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
38 services34 patients
X-ray of hand, 2 views 73120
An X-ray of the hand, 2 views, is a non-invasive imaging test that uses a small amount of radiation to produce pictures of the bones in your hand. Two different angles are captured to provide a comprehensive view. This helps in diagnosing injuries or conditions affecting your hand.
20 services20 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.
18 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Ephraim Mcdowell Regional Medical Center

Acute Care Hospitals · Danville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180048
Location217 South Third StreetDanville, KY 40422 · Boyle County
Emergency services Birthing friendly

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

Baptist Health Lagrange

Acute Care Hospitals · La Grange, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180138
Location1025 New Moody LaneLa Grange, KY 40031 · Oldham County
Emergency services Birthing friendly

Morgan County Arh Hospital

Critical Access Hospitals · West Liberty, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181307
Location476 Liberty RoadWest Liberty, KY 41472 · Morgan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40504 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.

91.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.86
Improvement Activities40
Cost91.58

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARTHRITIS CENTER OF LEXINGTON
Internal Medicine (Rheumatology)
330 WALLER AVE, SUITE 100
LEXINGTON, KY 40504
Fayette County (859) 254-7000
ALEXANDER D BROWN MD
Internal Medicine (Rheumatology)
330 WALLER AVE, SUITE 100
LEXINGTON, KY 40504
Fayette County (859) 254-7000
DR. KELLY K. COLE M.D.
Internal Medicine (Rheumatology)
330 WALLER AVE, SUITE 100
LEXINGTON, KY 40504
Fayette County (859) 254-7000
JEFFREY S. NEAL M.D.
Internal Medicine (Rheumatology)
330 WALLER AVE, SUITE 100
LEXINGTON, KY 40504
Fayette County (859) 254-7000
DANIEL JOSEPH RYAN DPT
Physical Therapist
330 WALLER AVE
LEXINGTON, KY 40504
Fayette County (859) 447-8600

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 Corey Hatfield's NPI number?

The NPI number for Corey Hatfield is 1376631622. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Corey Hatfield located?

Corey Hatfield practices at 330 Waller Ave Ste. 100, Lexington, KY 40504. The listed phone number is (859) 254-7000.

What is Corey Hatfield's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Corey Hatfield enrolled in Medicare?

Yes. Corey Hatfield 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 Corey Hatfield accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Corey Hatfield 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 Corey Hatfield affiliated with any hospitals?

According to CMS data, Corey Hatfield is affiliated with Ephraim Mcdowell Regional Medical Center, Baptist Health Richmond, Baptist Health Lexington, Baptist Health Lagrange and Morgan County Arh Hospital.

When was this NPI record last updated?

The NPPES record for Corey Hatfield was last updated on December 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.