MRS. CLAIR ESTHER PALLEY M.D.
NPI 1619935459
Family Medicine in Lexington, KY

Active since May 02, 2006PECOS EnrolledAccepts Medicare Assignment
211 FOUNTAIN CT STE 340, LEXINGTON, KY 40509(859) 263-1280(859) 263-1290 Get Directions Write a Review

NPPES record last updated: August 22, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Clair Esther Palley M.d. NPPES

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

MRS. CLAIR ESTHER PALLEY M.D. (NPI 1619935459) is an individual family medicine provider in Lexington, Kentucky, licensed in Kentucky (40160) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and is a graduate of University Of Kentucky College Of Medicine (2004).

NPPES Registry Identity

NPI1619935459
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMRS. CLAIR ESTHER PALLEYCredential: M.D.
Location Address211 FOUNTAIN CT STE 340Lexington, KY 40509-2957
Mailing AddressPo Box 936London, KY 40743-0936
Fax(859) 263-1290
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2004
Enumeration DateMay 2, 2006
Last NPPES UpdateAugust 22, 2019
✔ NPI 1619935459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 40160
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
211 FOUNTAIN CT STE 340, Lexington, KY 40509

Other Identifiers 1

Medicaid64115819KY

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Clair Esther Palley 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 ID8123039401
PECOS Enrollment IDI20060530000050
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 Reassignments

2

Medicare enrollment records show Clair Palley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
151 N EAGLE CREEK DR STE 410
Lexington, KY 40509
  • Reassigned Medicare billing, Kentucky enrollment
  • 2 clinicians in this Medicare group
Internal Medicine
1042 CENTER DR STE 102
Richmond, KY 40475
  • Reassigned Medicare billing, Kentucky enrollment
  • 9 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.

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
155 services23 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
152 services20 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
88 services21 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
57 services11 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
30 services11 patients
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.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette 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 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
$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.

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.

Pharmacist
211 FOUNTAIN CT STE 340
LEXINGTON, KY 40509
Physician Assistant (Medical)
211 FOUNTAIN CT STE 340
LEXINGTON, KY 40509
Physician Assistant (Medical)
211 FOUNTAIN CT STE 340
LEXINGTON, KY 40509
Internal Medicine
211 FOUNTAIN CT STE 340
LEXINGTON, KY 40509

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 Clair Palley's NPI number?

The NPI number for Clair Palley is 1619935459. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Clair Palley located?

Clair Palley practices at 211 Fountain Ct Ste 340, Lexington, KY 40509. The listed phone number is (859) 263-1280.

What is Clair Palley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Clair Palley enrolled in Medicare?

Yes. Clair Palley 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.

Which organizations bill Medicare for Clair Palley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clair Palley reassigns Medicare benefits to 2 organizations: Alliance Personalized Health Care PLLC (Lexington, KY) and Visium Healthlink LLC (Richmond, KY). Each 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 Clair Palley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clair Palley accept?

Health plans from Anthem Blue Cross and Blue Shield list Clair Palley 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 Clair Palley affiliated with any hospitals?

According to CMS data, Clair Palley is affiliated with Baptist Health Lexington and Saint Joseph East.

When was this NPI record last updated?

The NPPES record for Clair Palley was last updated on August 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.