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MEGHAN CAMPBELL
NPI 1407397342
Internal Medicine in Somerset, KY

Active since March 11, 2017PECOS EnrolledAccepts Medicare Assignment
85.61/100
CMS Quality Rating
305 LANGDON ST, SOMERSET, KY 42503(606) 679-7441 Get Directions Write a Review

NPPES record last updated: October 14, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 14, 2023, Aug 27, 2020 (2 updates tracked since 2020).

About Meghan Campbell NPPES

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

MEGHAN CAMPBELL (NPI 1407397342) is an individual internal medicine provider in Somerset, Kentucky, licensed in Kentucky (04641) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Lake Cumberland Regional Hospital, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2017).

NPPES Registry Identity

NPI1407397342
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMEGHAN CAMPBELL
Location Address305 LANGDON STSomerset, KY 42503-2750
Mailing Address228 W 12th St, Apt 9Elmira Heights, NY 14903-1557 · (814) 598-5607
Phone(606) 679-7441
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2017
Enumeration DateMarch 11, 2017
Last NPPES UpdateOctober 14, 20232 updates tracked since enumeration
NPPES CertifiedOctober 14, 2023
✔ NPI 1407397342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KY · 04641
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
305 LANGDON ST, Somerset, KY 42503
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Other Names 1

Former Name (1)Meghan Ryan Do

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.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

Meghan Campbell 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 ID1850718180
PECOS Enrollment IDI20200901000563
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

2

Medicare enrollment records show Meghan Campbell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lake Cumberland Regional Hospital LLC
Same address
Rural Health
305 LANGDON ST
Somerset, KY 42503
  • Reassigned Medicare billing, Kentucky enrollment
  • 89 clinicians in this Medicare group
NPI 1023155462 (606) 679-7441
Apogee Medical Group Kentucky Psc
30 mi
General Practice
1 TRILLIUM WAY, SUITE 5
Corbin, KY 40701
  • Reassigned Medicare billing, Kentucky enrollment
  • 93 clinicians in this Medicare group
NPI 1356503114 (606) 528-1212

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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
297 services103 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
112 services107 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
87 services86 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.
62 services23 patients

Hospital Affiliations CMS Care Compare

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

Lake Cumberland Regional Hospital

Acute Care Hospitals · Somerset, KY
2/5 CMS rating
OwnershipProprietary
CMS Certification Number180132
Location305 Langdon StreetSomerset, KY 42503 · Pulaski County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42503 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.

85.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.25
Improvement Activities40
Cost73.25

Referred Medical Equipment & Supplies CMS DME claims 3

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers16 claims16 services$74.19 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers53 claims53 services$20.08 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
5 suppliers44 claims44 services$111.45 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.

LAKE CUMBERLAND REGIONAL HOSPITAL LLC
Clinic/Center (Rural Health)
305 LANGDON ST
SOMERSET, KY 42503
Pulaski County (606) 679-7441
CAPITAL ANESTHESIA SOLUTIONS OF KENTUCKY LLC
Anesthesiology
305 LANGDON ST
SOMERSET, KY 42503
Pulaski County (330) 618-9944
GAGE KECK DO
Student in an Organized Health Care Education/Training Program
305 LANGDON ST
SOMERSET, KY 42503
Pulaski County (606) 679-7441
LAKE CUMBERLAND SURGICAL ASSISTANTS LLC
Surgery
305 LANGDON ST, LAKE CUMBERLAND REGIONAL HOSP
SOMERSET, KY 42503
Pulaski County (606) 679-7441
MICHAEL EDWARD HELM PA-C
Physician Assistant
305 LANGDON ST, STE H
SOMERSET, KY 42503
Pulaski County (606) 451-2994
ELIZABETH ANN SLAYTON
Student in an Organized Health Care Education/Training Program
305 LANGDON ST
SOMERSET, KY 42503
Pulaski County (502) 220-8534
ELIZABETH ERIN COMBS FNP-C
Neurological Surgery
305 LANGDON ST
SOMERSET, KY 42503
Pulaski County (606) 425-8893
BERNARD WILLIAMS
Emergency Medicine
305 LANGDON ST
SOMERSET, KY 42503
Pulaski County (606) 679-7441

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 Meghan Campbell's NPI number?

The NPI number for Meghan Campbell is 1407397342. It was assigned to this individual provider in the NPPES registry on March 11, 2017. The provider is also known as Meghan Ryan Do.

Where is Meghan Campbell located?

Meghan Campbell practices at 305 Langdon St, Somerset, KY 42503. The listed phone number is (606) 679-7441.

What is Meghan Campbell's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Meghan Campbell enrolled in Medicare?

Yes. Meghan Campbell 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 Meghan Campbell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Meghan Campbell reassigns Medicare benefits to 2 organizations: Lake Cumberland Regional Hospital LLC (Somerset, KY) and Apogee Medical Group Kentucky Psc (Corbin, 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 Meghan Campbell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Meghan Campbell accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter of Tennessee list Meghan Campbell 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 Meghan Campbell affiliated with any hospitals?

According to CMS data, Meghan Campbell is affiliated with Lake Cumberland Regional Hospital.

When was this NPI record last updated?

The NPPES record for Meghan Campbell was last updated on October 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.