MATTHEW ABEL MD
NPI 1639523236
Family Medicine in Nicholasville, KY
About Matthew Abel Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW ABEL MD (NPI 1639523236) is an individual family medicine provider in Nicholasville, Kentucky, licensed in Kentucky (52966) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Hospital, and is a graduate of West Virginia University School Of Medicine (2016).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Matthew Abel 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.
Medicare Billing Reassignments
2Medicare enrollment records show Matthew Abel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lexington, KY 40513
- Reassigned Medicare billing, Kentucky enrollment
- 338 clinicians in this Medicare group
Lancaster, KY 40444
- Reassigned Medicare billing, Kentucky enrollment
- 247 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.
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, KYSaint Joseph East
Acute Care Hospitals · Lexington, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40356 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Matthew Abel's NPI number?
The NPI number for Matthew Abel is 1639523236. It was assigned to this individual provider in the NPPES registry on April 20, 2016.
Where is Matthew Abel located?
Matthew Abel practices at 110 Village Pkwy, Nicholasville, KY 40356. The listed phone number is (859) 887-8400.
What is Matthew Abel's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Matthew Abel enrolled in Medicare?
Yes. Matthew Abel 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 Matthew Abel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Abel reassigns Medicare benefits to 2 organizations: New Lexington Clinic, Psc (Lexington, KY) and Ephraim Mcdowell Health Resource, Inc. (Lancaster, 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 Matthew Abel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Matthew Abel accept?
Health plans from Anthem Blue Cross and Blue Shield and CareSource list Matthew Abel 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 Matthew Abel affiliated with any hospitals?
According to CMS data, Matthew Abel is affiliated with Saint Joseph Hospital and Saint Joseph East.
When was this NPI record last updated?
The NPPES record for Matthew Abel was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Matthew Abel, MD · NPI 1639523236
Family Medicine physician in Nicholasville, Kentucky. Individual provider, active in the CMS NPPES registry since April 20, 2016.
## Identity
- **NPI:** 1639523236 (Entity type: Individual)
- **Enumerated:** April 20, 2016
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 52966 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 110 VILLAGE PKWY, Nicholasville, KY 40356-2327
- **Phone:** (859) 887-8400 · **Fax:** (859) 885-8448
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): New Lexington Clinic, Psc (NPI 1275639742, Lexington, KY); Ephraim Mcdowell Health Resource, Inc. (NPI 1417002114, Lancaster, KY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** West Virginia University School Of Medicine, class of 2016
## Record status
- **NPPES last updated:** October 10, 2025
- **Other identifiers:** Medicaid 7100620800 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1639523236) · Data from the CMS NPPES public registry.