EDGAR EMERIC M.D.
NPI 1619978566
Family Medicine in Lexington, KY

Active since August 02, 2005PECOS EnrolledAccepts Medicare Assignment
4071 TATES CREEK CENTRE DR, SUITE 100, LEXINGTON, KY 40517(859) 273-3888(859) 977-0170 Get Directions Write a Review

NPPES record last updated: May 29, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Edgar Emeric M.d. NPPES

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

EDGAR EMERIC M.D. (NPI 1619978566) is an individual family medicine provider in Lexington, Kentucky, licensed in Kentucky (35734) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Hospital, and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (1994).

NPPES Registry Identity

NPI1619978566
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameEDGAR EMERICCredential: M.D.
Location Address4071 TATES CREEK CENTRE DR, SUITE 100Lexington, KY 40517-3062
Mailing AddressPo Box 910670Lexington, KY 40591-0670 · (859) 971-4685 · Fax (859) 971-4602
Fax(859) 977-0170
Sole ProprietorNo
Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 1994
Enumeration DateAugust 2, 2005
Last NPPES UpdateMay 29, 2013
NPI 1619978566 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 · 35734
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.

4071 TATES CREEK CENTRE DR, Lexington, KY 40517

Other Identifiers 3

Medicaid64013329KY
Medicare PINK051430KY
Medicare UPING18215

Accepted 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

Edgar Emeric 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 ID1759372477
PECOS Enrollment IDI20040521000109
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 8

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.

Follow-up hospital inpatient care per day, typically 35 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.
332 services143 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.
107 services106 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.
95 services31 patients
Follow-up hospital inpatient care per day, typically 25 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.
63 services38 patients
Initial hospital inpatient care per day, typically 70 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.
46 services46 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
35 services35 patients

Hospital Affiliations CMS Care Compare 2

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 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 40517 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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers53 claims53 services$19.46 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier19 claims19 services$6.26 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
7 suppliers104 claims104 services$107.61 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
4 suppliers39 claims39 services$36.20 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$35.00 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 20

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

Dentist (General Practice)
4071 TATES CREEK CENTRE DR, STE 210
LEXINGTON, KY 40517
Dentist (General Practice)
4071 TATES CREEK CENTRE DR, SUITE 201
LEXINGTON, KY 40517
Dentist (Orthodontics and Dentofacial Orthopedics)
4071 TATES CREEK CENTRE DR, SUITE 306
LEXINGTON, KY 40517
Dentist
4071 TATES CREEK CENTRE DR, SUITE 201
LEXINGTON, KY 40517
Nurse Practitioner
4071 TATES CREEK CENTRE DR, SUITE 202
LEXINGTON, KY 40517
Nurse Practitioner
4071 TATES CREEK CENTRE DR, SUITE 202
LEXINGTON, KY 40517
Internal Medicine (Gastroenterology)
4071 TATES CREEK CENTRE DR, SUITE 202
LEXINGTON, KY 40517
Clinic/Center
4071 TATES CREEK CENTRE DR, SUITE 300
LEXINGTON, KY 40517

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 Edgar Emeric's NPI number?

The NPI number for Edgar Emeric is 1619978566. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Edgar Emeric located?

Edgar Emeric practices at 4071 Tates Creek Centre Dr Suite 100, Lexington, KY 40517. The listed phone number is (859) 273-3888.

What is Edgar Emeric's specialty?

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

Is Edgar Emeric enrolled in Medicare?

Yes. Edgar Emeric 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 Edgar Emeric accept?

Health plans from Blue Cross and Blue Shield of Texas list Edgar Emeric 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 Edgar Emeric affiliated with any hospitals?

According to CMS data, Edgar Emeric is affiliated with Saint Joseph Hospital and Saint Joseph East.

When was this NPI record last updated?

The NPPES record for Edgar Emeric was last updated on May 29, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.