DR. PAUL WILLARD HENLEY JR. MD
NPI 1477088730
Emergency Medicine in Lexington, KY

Q: What is Paul Henley's NPI number?

The NPI number for Paul Henley is 1477088730. It was assigned to this individual provider in the NPPES registry on April 25, 2017.

Q: What is Paul Henley's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Henley was last updated on December 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 25, 2017PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

1401 HARRODSBURG RD STE A120, LEXINGTON, KY 40504(859) 258-6784(859) 258-6796 Get Directions Write a Review

NPPES record last updated: December 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 9, 2023, Nov 1, 2023, Jun 8, 2023 and 5 more (8 updates tracked since 2017).

On this page

About Dr. Paul Willard Henley Jr. Md NPPES

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

DR. PAUL WILLARD HENLEY JR. MD (NPI 1477088730) is an individual emergency medicine provider in Lexington, Kentucky, licensed in Kentucky (57032) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1477088730

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. PAUL WILLARD HENLEY JR.Credential: MD

Location Address1401 HARRODSBURG RD STE A120Lexington, KY 40504-3779

Mailing Address157 Shelby CourtRichmond, KY 40475 · (865) 255-3777

Phone(859) 258-6784

Fax(859) 258-6796

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 25, 2017

Last NPPES UpdateDecember 27, 20238 updates tracked since enumeration

NPPES CertifiedDecember 27, 2023

✔ NPI 1477088730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in KY · 57032

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedInternal MedicineTaxonomy 207R00000X · License 57032 (KY)

Also ListedHospitalistTaxonomy 208M00000X · License 57032 (KY)

1401 HARRODSBURG RD STE A120, Lexington, KY 40504

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Secondary Practice Locations 4

Location 1500 S Preston St, Room 305Louisville, KY 40202-1702 · Phone (502) 852-8696

Location 2822 Belle StLouisville, KY 40245-2915 · Phone (865) 255-3777

Location 3157 Shelby CourtRichmond, KY 40475 · Phone (865) 255-3777

Location 41221 S BroadwayLexington, KY 40504-2701 · Phone (859) 258-4000

Other Identifiers 1

Medicaid7100789960KY

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

Dr. Paul Willard Henley 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 ID6204228091

PECOS Enrollment IDI20220128001823

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 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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

262 services246 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.

110 services107 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.

82 services81 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

82 services80 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.

72 services50 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.

15 services15 patients

Hospital Affiliations CMS Care Compare 5

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 London

Acute Care Hospitals · London, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180011

Location1001 Saint Joseph LaneLondon, KY 40741 · Laurel County

Emergency services Birthing friendly

Middlesboro Arh Hospital

Acute Care Hospitals · Middlesboro, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180020

Location3600 West Cumberland AvenueMiddlesboro, KY 40965 · Bell County

Emergency services Birthing friendly

Saint Joseph Mount Sterling

Acute Care Hospitals · Mount Sterling, KY

OwnershipVoluntary non-profit - Private

CMS Certification Number180064

Location225 Falcon DriveMount Sterling, KY 40353 · Montgomery County

Emergency services Birthing friendly

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

$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

Quality

100

Improvement Activities

Cost

89.05

Other Providers at the Same Location NPPES 9

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

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