EMILIO PUNZAL JR. MD
NPI 1457387292
Internal Medicine in Ashland, KY

Q: What is Emilio Punzal's NPI number?

The NPI number for Emilio Punzal is 1457387292. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Q: What is Emilio Punzal's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Emilio Punzal was last updated on August 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 23, 2006PECOS EnrolledAccepts Medicare Assignment

82.94/100

CMS Quality Rating

2201 LEXINGTON AVE, ASHLAND, KY 41101(606) 408-4000(606) 408-6625 Get Directions Write a Review

NPPES record last updated: August 12, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Emilio Punzal Jr. Md NPPES

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

EMILIO PUNZAL JR. MD (NPI 1457387292) is an individual internal medicine provider in Ashland, Kentucky, licensed in Kentucky (37456) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1457387292

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameEMILIO PUNZAL JR.Credential: MD

Location Address2201 LEXINGTON AVEAshland, KY 41101-2843

Mailing Address1000 St ChristopherAshland, KY 41101 · (606) 833-3333

Phone(606) 408-4000

Fax(606) 408-6625

Sole ProprietorNo

Medical School CMSOtherGraduated 1985

Enumeration DateJune 23, 2006

Last NPPES UpdateAugust 12, 2020

NPPES CertifiedAugust 12, 2020

✔ NPI 1457387292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in KY · 37456

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 37456 (KY)

2201 LEXINGTON AVE, Ashland, KY 41101

Open in Google Maps ↗

Other Identifiers 3

Medicaid64056716KY

Other000000577949KY · Anthem Bcbs

Other000000478439KY · Anthem Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Emilio Punzal Jr. 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 ID4486617008

PECOS Enrollment IDI20041104001092

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 Emilio Punzal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kings Daughters Medical Specialties Inc

Same address

Family Medicine

2201 LEXINGTON AVE
Ashland, KY 41101

Reassigned Medicare billing, Kentucky enrollment
531 clinicians in this Medicare group

NPI 1669791323 (606) 408-4000

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 6

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.

340 services198 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.

329 services173 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

209 services198 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.

104 services102 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

39 services39 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

25 services25 patients

Hospital Affiliations CMS Care Compare

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

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180009

Location2201 Lexington AvenueAshland, KY 41101 · Boyd County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41101 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.

82.94/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

70.01

Promoting Interoperability

100

Improvement Activities

Cost

65.57

Referred Medical Equipment & Supplies CMS DME claims 3

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

Walker, heavy duty, wheeled, rigid or folding, any type E0149

DME-Other DME · category DE000N

1 supplier11 claims11 services$11.96 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$21.30 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

1 supplier12 claims12 services$119.41 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.

DALKEITH FITZLAWSON TUCKER D.O.

Emergency Medicine

2201 LEXINGTON AVE
ASHLAND, KY 41101

Boyd County (606) 408-0605

ELIZABETH JEAN LOAN APRN

Nurse Practitioner (Family)

2201 LEXINGTON AVE
ASHLAND, KY 41101

Boyd County (606) 408-4000

DONALD A KRAFT MD

Emergency Medicine

2201 LEXINGTON AVE
ASHLAND, KY 41101

Boyd County (606) 327-4000

DOUGLAS M MOTTLEY M.D.

Specialist

2201 LEXINGTON AVE, SUITE 8B
ASHLAND, KY 41101

Boyd County (606) 327-5190

JASON G. ELLIS CRNA

Nurse Anesthetist, Certified Registered

2201 LEXINGTON AVE
ASHLAND, KY 41101

Boyd County (606) 408-4000

ASHLEY LUSTER

Pharmacist

2201 LEXINGTON AVE
ASHLAND, KY 41101

Boyd County (606) 408-1225

HASSAN R ABUL-KHOUDOUD MD

Hospitalist

2201 LEXINGTON AVE
ASHLAND, KY 41101

Boyd County (606) 408-4000

ASHLAND HOSPITAL CORPORATION

Durable Medical Equipment & Medical Supplies

2201 LEXINGTON AVE
ASHLAND, KY 41101

Boyd County (606) 408-4000

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 Emilio Punzal's NPI number?

The NPI number for Emilio Punzal is 1457387292. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Emilio Punzal located?

Emilio Punzal practices at 2201 Lexington Ave, Ashland, KY 41101. The listed phone number is (606) 408-4000.

What is Emilio Punzal's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Emilio Punzal enrolled in Medicare?

Yes. Emilio Punzal 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 Emilio Punzal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emilio Punzal reassigns Medicare benefits to Kings Daughters Medical Specialties Inc (Ashland, 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 Emilio Punzal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emilio Punzal accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Emilio Punzal 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 Emilio Punzal affiliated with any hospitals?

According to CMS data, Emilio Punzal is affiliated with King's Daughters' Medical Center.

When was this NPI record last updated?

The NPPES record for Emilio Punzal was last updated on August 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.