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BUFORD HALL P.A.-C.
NPI 1407940026
Physician Assistant in Lexington, KY

Active since October 03, 2006PECOS Enrolled
95.5/100
CMS Quality Rating
1401 HARRODSBURG ROAD, SUITE A-540, LEXINGTON, KY 40504(859) 258-6760(859) 258-6512 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Buford Hall P.a.-c. NPPES

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

BUFORD HALL P.A.-C. (NPI 1407940026) is an individual physician assistant in Lexington, Kentucky, licensed in Kentucky (PA218) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407940026
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBUFORD HALLCredential: P.A.-C.
Location Address1401 HARRODSBURG ROAD, SUITE A-540Lexington, KY 40504
Mailing Address1401 Harrodsburg Road, Suite A-540Lexington, KY 40504 · (859) 258-6760 · Fax (859) 258-6512
Phone(859) 258-6760
Fax(859) 258-6512
Sole ProprietorNo
Enumeration DateOctober 3, 2006
Last NPPES UpdateDecember 9, 2020
NPPES CertifiedDecember 9, 2020
✔ NPI 1407940026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in KY · PA218
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedSpecialist/Technologist, Other · Surgical AssistantTaxonomy 246ZC0007X · License PA218 (KY)
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA218 (KY)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA218 (KY)
1401 HARRODSBURG ROAD, Lexington, KY 40504
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Other Identifiers 7

Other37903705KY · Medicaid Lab Group
Other970008315KY · Rr Medicare Pin No
OtherASC1019KY · Asc Medicare Group
OtherCB5773KY · Medicare Rr Group
Other4000501KY · Medicare Group Lab
Other36000818KY · Asc Medicaid Group
Medicaid95002184KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Buford Hall P.a.-c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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
$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
$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.

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

Other Providers at the Same Location NPPES 4

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

MR. JOSEPH PAUL BARK M.D.
Dermatology
1401 HARRODSBURG ROAD, C415
LEXINGTON, KY 40504
Fayette County (859) 278-9492
PATRICK K LEUNG MD PLLC
Psychiatry & Neurology (Neurology)
1401 HARRODSBURG ROAD, C-225
LEXINGTON, KY 40504
Fayette County (859) 373-0700
C. CRAIG STAFFORD, MD PSC
Internal Medicine (Nephrology)
1401 HARRODSBURG ROAD, A-450
LEXINGTON, KY 40504
Fayette County (859) 373-0215
BLUEGRASS ORAL & MAXILLOFACIAL SURGERY PSC
Oral & Maxillofacial Surgery
1401 HARRODSBURG ROAD, SUITE B395
LEXINGTON, KY 40504
Fayette County (859) 278-5377

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 Buford Hall's NPI number?

The NPI number for Buford Hall is 1407940026. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Buford Hall located?

Buford Hall practices at 1401 Harrodsburg Road Suite A-540, Lexington, KY 40504. The listed phone number is (859) 258-6760.

What is Buford Hall's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Buford Hall enrolled in Medicare?

Yes. Buford Hall is registered in the Medicare PECOS enrollment system.

What insurance does Buford Hall accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Buford Hall 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.

When was this NPI record last updated?

The NPPES record for Buford Hall was last updated on December 9, 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.