1. Home
  2. Directory
  3. Kentucky
  4. Lexington
  5. Surgery
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. REBECCA DOUGLASS D.O.
NPI 1457702243
Surgery in Lexington, KY

Active since June 23, 2016PECOS EnrolledAccepts Medicare Assignment
88.7/100
CMS Quality Rating
1401 HARRODSBURG RD STE B355, LEXINGTON, KY 40504(859) 276-5262(859) 277-6509 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 5, 2026, Feb 23, 2022, Jun 23, 2016 (3 updates tracked since 2016).

About Dr. Rebecca Douglass D.o. NPPES

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

DR. REBECCA DOUGLASS D.O. (NPI 1457702243) is an individual surgery provider in Lexington, Kentucky, licensed in Kentucky (06045) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph Hospital, and maintains a secondary practice location in Wyoming.

NPPES Registry Identity

NPI1457702243
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. REBECCA DOUGLASSCredential: D.O.
Location Address1401 HARRODSBURG RD STE B355Lexington, KY 40504-3747
Mailing AddressPo Box 936London, KY 40743-0936 · (606) 330-7835
Phone(859) 276-5262
Fax(859) 277-6509
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJune 23, 2016
Last NPPES UpdateAugust 5, 20263 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
✔ NPI 1457702243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in KY · 06045✔ Licensed in KS · 05-45386
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1401 HARRODSBURG RD STE B355, Lexington, KY 40504
Open in Google Maps ↗

Secondary Practice Location 1

Location 15900 Byron Center Ave SWWyoming, MI 49519-9606 · Phone (616) 252-7200 · Fax (616) 252-4953

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Dr. Rebecca Douglass D.o. 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 ID4789976887
PECOS Enrollment IDI20250506002269
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

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.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Saint Joseph Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180010
LocationOne Saint Joseph DriveLexington, KY 40504 · Fayette County
Emergency services

Saint Joseph East

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180143
Location150 North Eagle Creek DriveLexington, KY 40509 · 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
$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.

88.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.47
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.

JOHN M HARRIS M.D.
Surgery
1401 HARRODSBURG RD STE B355
LEXINGTON, KY 40504
Fayette County (859) 276-5262
DR. ANDREI COCIERU M.D.
Surgery (Surgical Oncology)
1401 HARRODSBURG RD STE B355
LEXINGTON, KY 40504
Fayette County (859) 276-5262
RICHARD C. MONTGOMERY M.D.
Surgery
1401 HARRODSBURG RD STE B355
LEXINGTON, KY 40504
Fayette County (859) 276-5262
HELENA DO D.O.
Surgery
1401 HARRODSBURG RD STE B355
LEXINGTON, KY 40504
Fayette County (859) 276-5262
JONATHAN SNYDER PA-C
Physician Assistant
1401 HARRODSBURG RD STE B355
LEXINGTON, KY 40504
Fayette County (859) 276-5262

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 Rebecca Douglass's NPI number?

The NPI number for Rebecca Douglass is 1457702243. It was assigned to this individual provider in the NPPES registry on June 23, 2016.

Where is Rebecca Douglass located?

Rebecca Douglass practices at 1401 Harrodsburg Rd Ste B355, Lexington, KY 40504. The listed phone number is (859) 276-5262.

What is Rebecca Douglass's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Rebecca Douglass enrolled in Medicare?

Yes. Rebecca Douglass 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 Rebecca Douglass accept?

Health plans from Anthem Blue Cross and Blue Shield list Rebecca Douglass 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 Rebecca Douglass affiliated with any hospitals?

According to CMS data, Rebecca Douglass is affiliated with Saint Joseph Hospital and Saint Joseph East.

When was this NPI record last updated?

The NPPES record for Rebecca Douglass was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.