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DR. MATTHEW MICHAEL MCINTOSH M.D.
NPI 1427187889
Internal Medicine - Pulmonary Disease in Lexington, KY

Active since March 03, 2007PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
166 PASADENA DR, SUITE 100, LEXINGTON, KY 40503(859) 278-0319(859) 278-9699 Get Directions Write a Review

NPPES record last updated: December 11, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 11, 2020, Dec 26, 2019 (2 updates tracked since 2019).

About Dr. Matthew Michael Mcintosh M.d. NPPES

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

DR. MATTHEW MICHAEL MCINTOSH M.D. (NPI 1427187889) is an individual pulmonary disease provider in Lexington, Kentucky, licensed in Kentucky (40479) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and is a graduate of West Virginia University School Of Medicine (2004).

NPPES Registry Identity

NPI1427187889
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. MATTHEW MICHAEL MCINTOSHCredential: M.D.
Location Address166 PASADENA DR, SUITE 100Lexington, KY 40503-2973
Mailing Address5200 Commerce Crossings Dr Fl 3Louisville, KY 40229-2182 · (502) 253-4900 · Fax (502) 489-5751
Phone(859) 278-0319
Fax(859) 278-9699
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2004
Enumeration DateMarch 3, 2007
Last NPPES UpdateDecember 11, 20202 updates tracked since enumeration
NPPES CertifiedDecember 11, 2020
✔ NPI 1427187889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in KY · 40479
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 40479 (KY)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 40479 (KY)
166 PASADENA DR, Lexington, KY 40503
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Other Identifiers 1

Medicaid7100108990KY

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 and more.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

Dr. Matthew Michael Mcintosh M.d. 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 ID648371922
PECOS Enrollment IDI20100817000593
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 Reassignment

Medicare enrollment records show Matthew Mcintosh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baptist Health Medical Group Inc
2.4 mi
Nurse Practitioner
4071 TATES CREEK CENTRE DR, STE 202
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • 999 clinicians in this Medicare group
NPI 1518360296 (859) 260-4390

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 5

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 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.
275 services141 patients
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.
141 services67 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
49 services40 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.
36 services36 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
28 services28 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 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.

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

Referred Medical Equipment & Supplies CMS DME claims 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers43 claims43 services$17.16 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$922.57 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers11 claims11 services$6.87 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 suppliers47 claims47 services$90.62 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.

JOSEPH CONRAD MUELLER MD
Internal Medicine (Pulmonary Disease)
166 PASADENA DR, SUITE 100
LEXINGTON, KY 40503
Fayette County (859) 278-0319
JULIE ABNEY APRN
Nurse Practitioner (Family)
166 PASADENA DR, SUITE 100
LEXINGTON, KY 40503
Fayette County (859) 278-0319
MARLANA LYNN KEETON APRN
Nurse Practitioner (Family)
166 PASADENA DR, SUITE 100
LEXINGTON, KY 40503
Fayette County (859) 278-0319
MELANIE HARDIN-PIERCE APRN
Nurse Practitioner (Family)
166 PASADENA DR, SUITE 100
LEXINGTON, KY 40503
Fayette County (859) 278-0319
DONNA CLAY GERHARDSTEIN MD
Internal Medicine (Pulmonary Disease)
166 PASADENA DR
LEXINGTON, KY 40503
Fayette County (859) 278-0319
BAPTIST PHYSICIANS LEXINGTON, INC
Internal Medicine (Pulmonary Disease)
166 PASADENA DR, SUITE 100
LEXINGTON, KY 40503
Fayette County (859) 278-0319
JOHN SYLVESTER HILL MD
Allergy & Immunology
166 PASADENA DR, STE 150
LEXINGTON, KY 40503
Fayette County (859) 276-1452
ALLERGY & ASTHMA PHYSICIANS OF CENTRAL KENTUCKY, PSC
Allergy & Immunology
166 PASADENA DR, SUITE 150
LEXINGTON, KY 40503
Fayette County (859) 276-1452

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 Matthew Mcintosh's NPI number?

The NPI number for Matthew Mcintosh is 1427187889. It was assigned to this individual provider in the NPPES registry on March 3, 2007.

Where is Matthew Mcintosh located?

Matthew Mcintosh practices at 166 Pasadena Dr Suite 100, Lexington, KY 40503. The listed phone number is (859) 278-0319.

What is Matthew Mcintosh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Matthew Mcintosh enrolled in Medicare?

Yes. Matthew Mcintosh 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 organization bills Medicare for Matthew Mcintosh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Mcintosh reassigns Medicare benefits to Baptist Health Medical Group Inc (Lexington, KY). The 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 Matthew Mcintosh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Mcintosh accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and CareSource list Matthew Mcintosh 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 Matthew Mcintosh affiliated with any hospitals?

According to CMS data, Matthew Mcintosh is affiliated with Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Matthew Mcintosh was last updated on December 11, 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.