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DORIS WHITNEY ADAMS APRN
NPI 1427501295
Nurse Practitioner - Family in Lexington, KY

Active since July 28, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1775 ALYSHEBA WAY, SUITE 201, LEXINGTON, KY 40509(859) 278-5007(859) 278-6867 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2023, Nov 17, 2020 (2 updates tracked since 2020).

About Doris Whitney Adams Aprn NPPES

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

DORIS WHITNEY ADAMS APRN (NPI 1427501295) is an individual family provider in Lexington, Kentucky, licensed in Kentucky (3010390) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1427501295
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDORIS WHITNEY ADAMSCredential: APRN
Location Address1775 ALYSHEBA WAY, SUITE 201Lexington, KY 40509-9023
Mailing Address1775 Alysheba Way, Suite 201Lexington, KY 40509-9023 · (859) 278-5007 · Fax (859) 278-6867
Phone(859) 278-5007
Fax(859) 278-6867
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 28, 2016
Last NPPES UpdateJuly 7, 20232 updates tracked since enumeration
NPPES CertifiedJuly 7, 2023
✔ NPI 1427501295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3010390
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 3010390 (KY)
1775 ALYSHEBA WAY, Lexington, KY 40509
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1800 Rose StLexington, KY 40536-0293 · Phone (859) 323-0295
Location 2402 Cumberland AveWilliamsburg, KY 40769-1238 · Phone (606) 549-2656

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 and accepts Medicare assignment

Doris Whitney Adams Aprn 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 ID2466731682
PECOS Enrollment IDI20161110002243
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 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.

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.
163 services140 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
44 services43 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.
21 services21 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.
12 services12 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 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
$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

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%227 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

FAMILY PRACTICE ASSOCIATES OF LEXINGTON PSC
Family Medicine
1775 ALYSHEBA WAY, STE 201
LEXINGTON, KY 40509
Fayette County (859) 278-5007
BAPTIST PHYSICIANS LEXINGTON, INC.
Internal Medicine
1775 ALYSHEBA WAY, SUITE 201
LEXINGTON, KY 40509
Fayette County (859) 264-0334
DR. ALEXANDER JACOB TIKHTMAN MD
Psychiatry & Neurology (Neurology)
1775 ALYSHEBA WAY, SUITE 160
LEXINGTON, KY 40509
Fayette County (859) 260-5057
DR. KEITH T APPLEGATE M.D.
Family Medicine
1775 ALYSHEBA WAY, STE 201
LEXINGTON, KY 40509
Fayette County (859) 278-5007
MR. LYLE C MYERS MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1775 ALYSHEBA WAY, SUITE 50
LEXINGTON, KY 40509
Fayette County (859) 639-1210
DIANA C HAYSLIP MD
Family Medicine
1775 ALYSHEBA WAY, SUITE 201
LEXINGTON, KY 40509
Fayette County (859) 278-5007
DR. JOHN E REESOR M.D.
Family Medicine
1775 ALYSHEBA WAY, STE 201
LEXINGTON, KY 40509
Fayette County (859) 278-5007
BAPTIST PHYSICIANS LEXINGTON, INC
Psychiatry & Neurology (Neurology)
1775 ALYSHEBA WAY, SUITE 160
LEXINGTON, KY 40509
Fayette County (859) 260-5057

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 Doris Adams's NPI number?

The NPI number for Doris Adams is 1427501295. It was assigned to this individual provider in the NPPES registry on July 28, 2016.

Where is Doris Adams located?

Doris Adams practices at 1775 Alysheba Way Suite 201, Lexington, KY 40509. The listed phone number is (859) 278-5007.

What is Doris Adams's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Doris Adams enrolled in Medicare?

Yes. Doris Adams 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.

What insurance does Doris Adams accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Doris Adams 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 Doris Adams affiliated with any hospitals?

According to CMS data, Doris Adams is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Doris Adams was last updated on July 7, 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.