DR. TINA DENISE FAWNS MD
NPI 1417904293
Family Medicine in Lexington, KY

Active since May 27, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2195 HARRODSBURG RD STE 125, LEXINGTON, KY 40504(859) 323-6371(859) 323-6661 Get Directions Write a Review

NPPES record last updated: June 22, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 22, 2017, Mar 4, 2016 (2 updates tracked since 2016).

About Dr. Tina Denise Fawns Md NPPES

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

DR. TINA DENISE FAWNS MD (NPI 1417904293) is an individual family medicine provider in Lexington, Kentucky, licensed in Kentucky (37312) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and is a graduate of University Of Louisville School Of Medicine (2000).

NPPES Registry Identity

NPI1417904293
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TINA DENISE FAWNSCredential: MD
Location Address2195 HARRODSBURG RD STE 125Lexington, KY 40504-3504
Mailing Address2195 Harrodsburg Rd, Suite 125Lexington, KY 40504 · (859) 323-6712 · Fax (859) 323-6661
Fax(859) 323-6661
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2000
Enumeration DateMay 27, 2006
Last NPPES UpdateJune 22, 20172 updates tracked since enumeration
NPI 1417904293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in KY · 37312
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2195 HARRODSBURG RD STE 125, Lexington, KY 40504

Other Identifiers 11

Medicare ID-Type UnspecifiedP00236231Rail Road Medicare
Medicaid64068117KY
Medicare ID-Type Unspecified0351451KY
Medicare ID-Type Unspecified0307653KY
Medicare ID-Type Unspecified3400335KY
Medicare ID-Type Unspecified0264259KY
Medicare ID-Type Unspecified0632949KY
Medicaid2619152OH
Medicare UPINH91126
Medicare ID-Type Unspecified0586624KY
Medicaid3810003773WV

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. Tina Denise Fawns 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 ID9436131158
PECOS Enrollment IDI20040604000774
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 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
256 services184 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.
144 services27 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
63 services63 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.
44 services39 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

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
$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.

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

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers15 claims44 services$5.10 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
1 supplier12 claims120 services$7.75 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier12 claims120 services$5.50 avg. paid by Medicare
Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each A4432
DME-Orthotic Devices · category DF010N
1 supplier12 claims120 services$3.18 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers22 claims22 services$7.92 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.

Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
2195 HARRODSBURG RD STE 125, UK HEATHCARE AT TURFLAND
LEXINGTON, KY 40504
Family Medicine
2195 HARRODSBURG RD STE 125
LEXINGTON, KY 40504
Nurse Practitioner (Family)
2195 HARRODSBURG RD STE 125, UK HEALTHCARE-TURFLAND
LEXINGTON, KY 40504
Social Worker (Clinical)
2195 HARRODSBURG RD STE 125, UK HEALTHCARE-TURFLAND
LEXINGTON, KY 40504
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2195 HARRODSBURG RD STE 125
LEXINGTON, KY 40504
Health Educator
2195 HARRODSBURG RD STE 125
LEXINGTON, KY 40504
Dietitian, Registered
2195 HARRODSBURG RD STE 125
LEXINGTON, KY 40504
Dietitian, Registered
2195 HARRODSBURG RD STE 125
LEXINGTON, KY 40504

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417904293, enumerated as an "individual" on May 27, 2006.

The provider is located at 2195 HARRODSBURG RD STE 125 LEXINGTON, KY 40504 and the phone number is (859) 323-6371.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Tina Fawns is affiliated with: UNIVERSITY OF KENTUCKY HOSPITAL.