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DR. KEVIN PETTUS MD
NPI 1679641609
Family Medicine in Lancaster, KY

Active since November 30, 2006PECOS EnrolledAccepts Medicare Assignment
7786 LEXINGTON RD, LANCASTER, KY 40444(859) 548-4114(859) 548-2718 Get Directions Write a Review

NPPES record last updated: July 31, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kevin Pettus Md NPPES

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

DR. KEVIN PETTUS MD (NPI 1679641609) is an individual family medicine provider in Lancaster, Kentucky, licensed in Kentucky (41148) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2000).

NPPES Registry Identity

NPI1679641609
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KEVIN PETTUSCredential: MD
Location Address7786 LEXINGTON RDLancaster, KY 40444-9119
Mailing AddressPo Box 2185Danville, KY 40423-2185 · (859) 548-4114 · Fax (859) 548-2718
Phone(859) 548-4114
Fax(859) 548-2718
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2000
Enumeration DateNovember 30, 2006
Last NPPES UpdateJuly 31, 2009
✔ NPI 1679641609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in KY · 41148✔ Licensed in IN · 01056257A
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.
Also ListedLegal MedicineTaxonomy 173000000X · License 41148 (KY)
7786 LEXINGTON RD, Lancaster, KY 40444
Open in Google Maps ↗

Other Identifiers 7

Other000000536458KY · Bcbs-bgc Liberty, Pllc
Other000000536456KY · Bcbs-stanford Family Med
Medicare PIN00991KY
Medicare PIN0649506KY
Medicare PIN0988505KY
Medicare PIN00376004KY
Other000000536447KY · Bcbs-bgc Stanford Pllc

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

Dr. Kevin Pettus 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 ID4385738582
PECOS Enrollment IDI20070919000343
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40444 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.

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%377 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

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
1 supplier18 claims18 services$112.99 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier18 claims18 services$31.87 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

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

4SEEDS MEDICAL CLINIC, PLLC
Clinic/Center (Primary Care)
7786 LEXINGTON RD
LANCASTER, KY 40444
Garrard County (859) 324-1434

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 Kevin Pettus's NPI number?

The NPI number for Kevin Pettus is 1679641609. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is Kevin Pettus located?

Kevin Pettus practices at 7786 Lexington Rd, Lancaster, KY 40444. The listed phone number is (859) 548-4114.

What is Kevin Pettus's specialty?

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

Is Kevin Pettus enrolled in Medicare?

Yes. Kevin Pettus 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.

When was this NPI record last updated?

The NPPES record for Kevin Pettus was last updated on July 31, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.