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DR. BILL JUNIOR HACKER M.D.
NPI 1558715169
Internal Medicine in Berea, KY

Active since April 20, 2016PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
305 ESTILL ST FL 4, BEREA, KY 40403(859) 986-2343(859) 986-2344 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 23, 2026, Jul 21, 2022, Dec 3, 2020 and 2 more (5 updates tracked since 2017).

About Dr. Bill Junior Hacker M.d. NPPES

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

DR. BILL JUNIOR HACKER M.D. (NPI 1558715169) is an individual internal medicine provider in Berea, Kentucky, licensed in Kentucky (52643) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Corbin, and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1558715169
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. BILL JUNIOR HACKERCredential: M.D.
Location Address305 ESTILL ST FL 4Berea, KY 40403-1909
Mailing AddressPo Box 936London, KY 40743-0936 · (606) 330-7835 · Fax (859) 986-2344
Phone(859) 986-2343
Fax(859) 986-2344
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2016
Enumeration DateApril 20, 2016
Last NPPES UpdateApril 23, 20265 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
✔ NPI 1558715169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KY · 52643
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.
305 ESTILL ST FL 4, Berea, KY 40403
Open in Google Maps ↗

Secondary Practice Location 1

Location 1University Of Kentucky 800 Rose StLexington, KY 40536-0293 · Phone (859) 323-6762

Other Identifiers 1

Medicaid7100501920KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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. Bill Junior Hacker M.d. 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 ID5698049732
PECOS Enrollment IDI20190625001711
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 5

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.
212 services97 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.
151 services71 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
116 services60 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.
111 services108 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.
48 services47 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180080
LocationOne Trillium WayCorbin, KY 40701 · Whitley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40403 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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers25 claims26 services$72.11 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
3 suppliers48 claims48 services$18.96 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
4 suppliers66 claims66 services$104.13 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier13 claims13 services$25.92 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 4

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

TRINA R. MATTINGLY APRN
Nurse Practitioner (Pediatrics)
305 ESTILL ST FL 4
BEREA, KY 40403
Madison County (859) 986-2343
JENNIFER MICHELE SHELTON APRN
Nurse Practitioner (Family)
305 ESTILL ST FL 4
BEREA, KY 40403
Madison County (859) 983-2343
FLYING EYE PLLC
Ophthalmology
305 ESTILL ST FL 4
BEREA, KY 40403
Madison County (606) 666-9393
COMMONWEALTH PAIN ASSOCIATES PLLC
Durable Medical Equipment & Medical Supplies
305 ESTILL ST FL 4
BEREA, KY 40403
Madison County (859) 275-5229

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 Bill Hacker's NPI number?

The NPI number for Bill Hacker is 1558715169. It was assigned to this individual provider in the NPPES registry on April 20, 2016.

Where is Bill Hacker located?

Bill Hacker practices at 305 Estill St Fl 4, Berea, KY 40403. The listed phone number is (859) 986-2343.

What is Bill Hacker's specialty?

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

Is Bill Hacker enrolled in Medicare?

Yes. Bill Hacker 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 Bill Hacker accept?

Health plans from CareSource list Bill Hacker 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 Bill Hacker affiliated with any hospitals?

According to CMS data, Bill Hacker is affiliated with Baptist Health Corbin.

When was this NPI record last updated?

The NPPES record for Bill Hacker was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.