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MEGAN LODEIRO MD
NPI 1518348911
Surgery in Lexington, KY

Active since June 11, 2015PECOS EnrolledAccepts Medicare Assignment
89.63/100
CMS Quality Rating
160 N EAGLE CREEK DR STE 201, LEXINGTON, KY 40509(859) 967-5520(859) 967-5444 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 20, 2026, Jul 17, 2023, Jun 23, 2020 (3 updates tracked since 2020).

About Megan Lodeiro Md NPPES

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

MEGAN LODEIRO MD (NPI 1518348911) is an individual surgery provider in Lexington, Kentucky, licensed in Kentucky (61757) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Physicians Regional Medical Center, and is a graduate of University Of Kentucky College Of Medicine (2015).

NPPES Registry Identity

NPI1518348911
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameMEGAN LODEIROCredential: MD
Location Address160 N EAGLE CREEK DR STE 201Lexington, KY 40509-2125
Mailing AddressPo Box 936London, KY 40743-0936 · (606) 330-7835 · Fax (859) 967-5520
Phone(859) 967-5520
Fax(859) 967-5444
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2015
Enumeration DateJune 11, 2015
Last NPPES UpdateMay 20, 20263 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
✔ NPI 1518348911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in KY · 61757✔ Licensed in TN · MD63486
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.
160 N EAGLE CREEK DR STE 201, Lexington, KY 40509
Open in Google Maps ↗

Other Identifiers 1

MedicaidQ043338TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia 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

Megan Lodeiro 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 ID5799037651
PECOS Enrollment IDI20211025000358, I20260604003085
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.

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.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Physicians Regional Medical Center

Acute Care Hospitals · Powell, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440120
Location7565 Dannaher Way PowellPowell, TN 37849 · Knox 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
$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.

89.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.66
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

HEATHER LYNN BISHOP APRN
Nurse Practitioner (Family)
160 N EAGLE CREEK DR STE 201
LEXINGTON, KY 40509
Fayette County (859) 967-5520
DR. DAVID S. SWEDLER DO
Surgery
160 N EAGLE CREEK DR STE 201
LEXINGTON, KY 40509
Fayette County (859) 967-5520
MALLORY CLAIR POYNTER PA-C
Physician Assistant (Surgical)
160 N EAGLE CREEK DR STE 201
LEXINGTON, KY 40509
Fayette County (859) 967-5520
MRS. KAREN M. HILLENMEYER P.A.-C.
Physician Assistant (Surgical)
160 N EAGLE CREEK DR STE 201
LEXINGTON, KY 40509
Fayette County (859) 967-5520

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 Megan Lodeiro's NPI number?

The NPI number for Megan Lodeiro is 1518348911. It was assigned to this individual provider in the NPPES registry on June 11, 2015.

Where is Megan Lodeiro located?

Megan Lodeiro practices at 160 N Eagle Creek Dr Ste 201, Lexington, KY 40509. The listed phone number is (859) 967-5520.

What is Megan Lodeiro's specialty?

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

Is Megan Lodeiro enrolled in Medicare?

Yes. Megan Lodeiro 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 Megan Lodeiro accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Megan Lodeiro 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 Megan Lodeiro affiliated with any hospitals?

According to CMS data, Megan Lodeiro is affiliated with Physicians Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Megan Lodeiro was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.