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RACHAEL KELSEY MD
NPI 1679070460
Obstetrics & Gynecology in Lexington, KY

Active since April 09, 2018PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
170 N EAGLE CREEK DR STE 104, LEXINGTON, KY 40509(859) 967-5848(859) 967-5473 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 25, 2025, Apr 9, 2018 (2 updates tracked since 2018).

About Rachael Kelsey Md NPPES

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

RACHAEL KELSEY MD (NPI 1679070460) is an individual obstetrics & gynecology provider in Lexington, Kentucky, licensed in Kentucky (56764) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Kentucky College Of Medicine (2018).

NPPES Registry Identity

NPI1679070460
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameRACHAEL KELSEYCredential: MD
Location Address170 N EAGLE CREEK DR STE 104Lexington, KY 40509-9087
Mailing AddressPo Box 936London, KY 40743-0936 · (606) 330-7835 · Fax (859) 967-5473
Phone(859) 967-5848
Fax(859) 967-5473
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2018
Enumeration DateApril 9, 2018
Last NPPES UpdateJune 25, 20252 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
✔ NPI 1679070460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in KY · 56764
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
170 N EAGLE CREEK DR STE 104, Lexington, KY 40509
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1375 Dixmyth AveCincinnati, OH 45220-2475 · Phone (513) 862-1400
Location 2245 Flemingsburg Rd Ste A340Morehead, KY 40351-1015 · Phone (606) 207-2931 · Fax (606) 783-0964

Other Identifiers 1

Medicaid7100824620KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Rachael Kelsey 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.

PECOS PAC ID8921356247
PECOS Enrollment IDI20220706003079
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

5

Medicare enrollment records show Rachael Kelsey reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Magdalene Karon, M.D., P.S.C.
Same address
Obstetrics & Gynecology
160 N EAGLE CREEK DR STE 205
Lexington, KY 40509
  • Reassigned Medicare billing, Kentucky enrollment
  • 17 clinicians in this Medicare group
NPI 1235324690 (859) 277-3135
Kentucky Medical Services Foundation, Inc
1.5 mi
Internal Medicine
2333 ALUMNI PARK PLZ, SUITE 200
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,502 clinicians in this Medicare group
NPI 1326091448 (859) 257-7910
University Of Kentucky
4.2 mi
Adult Medicine
217 ELM TREE LN
Lexington, KY 40507
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,761 clinicians in this Medicare group
NPI 1881641769 (859) 257-7920
Kentuckyone Health Medical Group, Inc.
5.2 mi
Family Medicine
1401 HARRODSBURG RD
Lexington, KY 40504
  • Reassigned Medicare billing, Kentucky enrollment
  • 250 clinicians in this Medicare group
NPI 1104875970 (606) 330-7835
Obhg Kentucky, P.S.C.
103 mi
Obstetrics & Gynecology
2201 LEXINGTON AVE
Ashland, KY 41101
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Obhg Kentucky Psc
  • 123 clinicians in this Medicare group
NPI 1457644122 (864) 908-3530

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

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.

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.
18 services13 patients

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
$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
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

RANDI JACOBS APRN
Nurse Practitioner (Family)
170 N EAGLE CREEK DR STE 104
LEXINGTON, KY 40509
Fayette County (859) 967-5848
JOHN F. GREENE III M.D.
Obstetrics & Gynecology
170 N EAGLE CREEK DR STE 104
LEXINGTON, KY 40509
Fayette County (859) 967-5848
CHRISTOPHER LEE ARVIN PA-C
Physician Assistant (Surgical)
170 N EAGLE CREEK DR STE 104
LEXINGTON, KY 40509
Fayette County (859) 967-5848
DR. SEAMUS O'BROIN M.D.
Obstetrics & Gynecology
170 N EAGLE CREEK DR STE 104
LEXINGTON, KY 40509
Fayette County (859) 967-5848
MRS. SONIA N CRUMP PA-C
Physician Assistant (Surgical)
170 N EAGLE CREEK DR STE 104
LEXINGTON, KY 40509
Fayette County (859) 967-5848
KATHERINE ISABELLE FOSTER MD
Obstetrics & Gynecology
170 N EAGLE CREEK DR STE 104
LEXINGTON, KY 40509
Fayette County (859) 967-5848
ELISE MARIE GARRETT MD
Obstetrics & Gynecology
170 N EAGLE CREEK DR STE 104
LEXINGTON, KY 40509
Fayette County (859) 967-5848
LISA MALLARD APRN, CNM
Advanced Practice Midwife
170 N EAGLE CREEK DR STE 104
LEXINGTON, KY 40509
Fayette County (859) 967-5848

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 Rachael Kelsey's NPI number?

The NPI number for Rachael Kelsey is 1679070460. It was assigned to this individual provider in the NPPES registry on April 9, 2018.

Where is Rachael Kelsey located?

Rachael Kelsey practices at 170 N Eagle Creek Dr Ste 104, Lexington, KY 40509. The listed phone number is (859) 967-5848.

What is Rachael Kelsey's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Rachael Kelsey enrolled in Medicare?

Yes. Rachael Kelsey 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 Rachael Kelsey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachael Kelsey reassigns Medicare benefits to 5 organizations: Magdalene Karon, M.D., P.S.C. (Lexington, KY), Kentucky Medical Services Foundation, Inc (Lexington, KY), University Of Kentucky (Lexington, KY), Kentuckyone Health Medical Group, Inc. (Lexington, KY) and Obhg Kentucky, P.S.C. (Ashland, 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 Rachael Kelsey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachael Kelsey accept?

Health plans from Anthem Blue Cross and Blue Shield list Rachael Kelsey 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 Rachael Kelsey was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.