DR. JOHN P TUTTLE JR. MD
NPI 1396728358
Urology in Lexington, KY

Active since November 23, 2005PECOS EnrolledAccepts Medicare Assignment
83.31/100
CMS Quality Rating
160 N EAGLE CREEK, STE 301, LEXINGTON, KY 40509(859) 263-1300(859) 263-4395 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John P Tuttle Jr. Md NPPES

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

DR. JOHN P TUTTLE JR. MD (NPI 1396728358) is an individual urology provider in Lexington, Kentucky, licensed in Kentucky (19237) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Harrison Memorial Hospital, and is a graduate of University Of Kentucky College Of Medicine (1973).

NPPES Registry Identity

NPI1396728358
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. JOHN P TUTTLE JR.Credential: MD
Location Address160 N EAGLE CREEK, STE 301Lexington, KY 40509
Mailing Address160 N Eagle Creek, Ste 301Lexington, KY 40509 · (859) 263-1300 · Fax (859) 263-4395
Fax(859) 263-4395
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1973
Enumeration DateNovember 23, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1396728358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in KY · 19237
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
160 N EAGLE CREEK, Lexington, KY 40509

Other Identifiers 6

Other106698KY · Umwa
Medicare ID-Type Unspecified1297201KY
Medicaid64192370KY
Medicare ID-Type Unspecified0544801KY
Other000000047525KY · Bcbs
Medicare UPINC74117

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. John P Tuttle Jr. 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 ID4688571102
PECOS Enrollment IDI20101122000839
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 6

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.

Manual urinalysis test with examination using microscope, non-automated 81000
A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.
74 services45 patients
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.
63 services37 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.
54 services36 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.
34 services34 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.
13 services12 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Harrison Memorial Hospital

Acute Care Hospitals · Cynthiana, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180079
Location1210 Ky Hwy 36 ECynthiana, KY 41031 · Harrison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40509 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
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
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.

83.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85
Promoting Interoperability100
Improvement Activities40
Cost52.71

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 John Tuttle's NPI number?

The NPI number for John Tuttle is 1396728358. It was assigned to this individual provider in the NPPES registry on November 23, 2005.

Where is John Tuttle located?

John Tuttle practices at 160 N Eagle Creek Ste 301, Lexington, KY 40509. The listed phone number is (859) 263-1300.

What is John Tuttle's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is John Tuttle enrolled in Medicare?

Yes. John Tuttle 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 John Tuttle affiliated with any hospitals?

According to CMS data, John Tuttle is affiliated with Harrison Memorial Hospital.

When was this NPI record last updated?

The NPPES record for John Tuttle was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.