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MR. DONALD RAY AVERY JR. NURSE PRACTITIONER
NPI 1669974119
Nurse Practitioner - Primary Care in Lexington, KY

Active since March 01, 2018PECOS EnrolledAccepts Medicare Assignment
1050 CHINOE RD STE 350, LEXINGTON, KY 40502(859) 255-0075 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 5, 2022, Mar 1, 2018 (2 updates tracked since 2018).

About Mr. Donald Ray Avery Jr. Nurse Practitioner NPPES

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

MR. DONALD RAY AVERY JR. NURSE PRACTITIONER (NPI 1669974119) is an individual primary care provider in Lexington, Kentucky, licensed in Kentucky (3012133) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1669974119
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameMR. DONALD RAY AVERY JR.Credential: NURSE PRACTITIONER
Location Address1050 CHINOE RD STE 350Lexington, KY 40502-6571
Mailing Address611 Park Ave, LouisvilleLouisville, KY 40208 · (502) 338-8884
Phone(859) 255-0075
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 1, 2018
Last NPPES UpdateJanuary 5, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2022
✔ NPI 1669974119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in KY · 3012133
1050 CHINOE RD STE 350, Lexington, KY 40502
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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

Mr. Donald Ray Avery Jr. Nurse Practitioner 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 ID4183979412
PECOS Enrollment IDI20180608002376, I20201105002795, I20221019003317, I20221123002723, I20230516002466
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 2

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
57 services37 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
20 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40502 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.

EXCEPTIONAL CARE SERVICES LLC
Clinic/Center (Primary Care)
1050 CHINOE RD STE 350
LEXINGTON, KY 40502
Fayette County (859) 255-0075
KATHERINE E SCALES OT
Occupational Therapist
1050 CHINOE RD STE 350
LEXINGTON, KY 40502
Fayette County (502) 558-3861
EXCEPTIONAL CARE SERVICES LLC
Nurse Practitioner
1050 CHINOE RD STE 350
LEXINGTON, KY 40502
Fayette County (859) 255-0075
EXCEPTIONAL THERAPY LLC
Physical Therapist
1050 CHINOE RD STE 350
LEXINGTON, KY 40502
Fayette County (859) 255-0075

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 Donald Avery's NPI number?

The NPI number for Donald Avery is 1669974119. It was assigned to this individual provider in the NPPES registry on March 1, 2018.

Where is Donald Avery located?

Donald Avery practices at 1050 Chinoe Rd Ste 350, Lexington, KY 40502. The listed phone number is (859) 255-0075.

What is Donald Avery's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Donald Avery enrolled in Medicare?

Yes. Donald Avery 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 Donald Avery accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Donald Avery 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 Donald Avery was last updated on January 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.