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MICHELLE LOFWALL M.D.
NPI 1437186863
Psychiatry & Neurology - Psychiatry in Lexington, KY

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
845 ANGLIANA AVE, LEXINGTON, KY 40508(859) 323-9321(859) 257-5232 Get Directions Write a Review

NPPES record last updated: March 26, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michelle Lofwall M.d. NPPES

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

MICHELLE LOFWALL M.D. (NPI 1437186863) is an individual psychiatry provider in Lexington, Kentucky, licensed in Kentucky (39957) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lexington, and is a graduate of Chicago College Of Medicine And Surgery (1999).

NPPES Registry Identity

NPI1437186863
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameMICHELLE LOFWALLCredential: M.D.
Location Address845 ANGLIANA AVELexington, KY 40508-3146
Mailing Address845 Angliana AveLexington, KY 40508-3146 · (859) 323-9321 · Fax (859) 257-5232
Phone(859) 323-9321
Fax(859) 257-5232
Sole ProprietorNo
Medical School CMSChicago College Of Medicine And SurgeryGraduated 1999
Enumeration DateJune 28, 2006
Last NPPES UpdateMarch 26, 2019
✔ NPI 1437186863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in KY · 39957✔ Licensed in MD · D57913
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X · License 39957 (KY)
845 ANGLIANA AVE, Lexington, KY 40508
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Secondary Practice Location 1

Location 1University of Kentucky Department of Psychiatry, 3470 Blazer ParkwayLexington, KY 40509 · Phone (859) 257-9346

Other Identifiers 1

Medicaid405047900MD

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

Michelle Lofwall 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 ID4789663253
PECOS Enrollment IDI20060329000029
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 Michelle Lofwall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kentucky Medical Services Foundation, Inc
4.6 mi
Internal Medicine
2333 ALUMNI PARK PLZ, SUITE 200
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,502 clinicians in this Medicare group
NPI 1326091448 (859) 257-7910

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40508 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
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
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.

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

Other Providers at the Same Location NPPES 5

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

DEANA ANDREWS APRN
Nurse Practitioner (Family)
845 ANGLIANA AVE
LEXINGTON, KY 40508
Fayette County (859) 323-9321
KENTUCKY MEDICAL SERVICES FOUNDATION, INC
Psychiatry & Neurology (Psychiatry)
845 ANGLIANA AVE
LEXINGTON, KY 40508
Fayette County (859) 323-9321
MRS. LISA A.M. INNES CSW
Social Worker (Clinical)
845 ANGLIANA AVE
LEXINGTON, KY 40508
Fayette County (859) 323-9321
SANDRA TRACEY KELLEY NP
Nurse Practitioner (Family)
845 ANGLIANA AVE
LEXINGTON, KY 40508
Fayette County (859) 323-9321
MR. ROBERT IAN MOORE II LCSW
Social Worker (Clinical)
845 ANGLIANA AVE
LEXINGTON, KY 40508
Fayette County (859) 323-9321

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 Michelle Lofwall's NPI number?

The NPI number for Michelle Lofwall is 1437186863. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Michelle Lofwall located?

Michelle Lofwall practices at 845 Angliana Ave, Lexington, KY 40508. The listed phone number is (859) 323-9321.

What is Michelle Lofwall's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Michelle Lofwall enrolled in Medicare?

Yes. Michelle Lofwall 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 Michelle Lofwall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Lofwall reassigns Medicare benefits to Kentucky Medical Services Foundation, 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 Michelle Lofwall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Lofwall accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Michelle Lofwall 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 Michelle Lofwall was last updated on March 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.