RICHARD KYLE WHEELING DO
NPI 1528402377
Hospitalist in Lexington, KY

Active since April 23, 2013PECOS Enrolled
100/100
CMS Quality Rating
UK DIVISION OF HOSPITAL MEDICINE 800 ROSE ST, LEXINGTON, KY 40536(859) 323-6047 Get Directions Write a Review

NPPES record last updated: August 20, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 20, 2018, Jul 25, 2018, Jun 16, 2017 (3 updates tracked since 2017).

About Richard Kyle Wheeling Do NPPES

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

RICHARD KYLE WHEELING DO (NPI 1528402377) is an individual hospitalist provider in Lexington, Kentucky, licensed in Kentucky (04131) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528402377
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameRICHARD KYLE WHEELINGCredential: DO
Location AddressUK DIVISION OF HOSPITAL MEDICINE 800 ROSE STLexington, KY 40536
Mailing AddressUk Division Of Hospital Medicine 800 Rose St Mn602Lexington, KY 40536-0001 · (859) 323-6047
Sole ProprietorNo
Enumeration DateApril 23, 2013
Last NPPES UpdateAugust 20, 20183 updates tracked since enumeration
✔ NPI 1528402377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in KY · 04131
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 04131 (KY)
Also ListedPediatricsTaxonomy 208000000X · License 04131 (KY), 02005042 (IN)
UK DIVISION OF HOSPITAL MEDICINE 800 ROSE ST, Lexington, KY 40536

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richard Kyle Wheeling Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Internal Medicine
2333 ALUMNI PARK PLZ, SUITE 200
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,502 clinicians in this Medicare group

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 40536 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.

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 2

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

Hospitalist
UK DIVISION OF HOSPITAL MEDICINE 800 ROSE ST
LEXINGTON, KY 40536
Hospitalist
UK DIVISION OF HOSPITAL MEDICINE 800 ROSE ST
LEXINGTON, KY 40536

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 Richard Wheeling's NPI number?

The NPI number for Richard Wheeling is 1528402377. It was assigned to this individual provider in the NPPES registry on April 23, 2013.

Where is Richard Wheeling located?

Richard Wheeling practices at Uk Division Of Hospital Medicine 800 Rose St, Lexington, KY 40536. The listed phone number is (859) 323-6047.

What is Richard Wheeling's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Richard Wheeling enrolled in Medicare?

Yes. Richard Wheeling is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Richard Wheeling's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Wheeling 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 Richard Wheeling's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Wheeling accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter of Tennessee list Richard Wheeling 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 Richard Wheeling was last updated on August 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.