MARY BAYLON
NPI 1679993372
Obstetrics & Gynecology in Lexington, KY

Active since April 21, 2014PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
1700 NICHOLASVILLE RD STE 704, LEXINGTON, KY 40503(859) 278-0363(859) 278-4976 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 9, 2020, May 9, 2018 (2 updates tracked since 2018).

About Mary Baylon NPPES

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

MARY BAYLON (NPI 1679993372) is an individual obstetrics & gynecology provider in Lexington, Kentucky, licensed in Kentucky (TP557) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and is a graduate of University Of Louisville School Of Medicine (2014).

NPPES Registry Identity

NPI1679993372
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMARY BAYLON
Location Address1700 NICHOLASVILLE RD STE 704Lexington, KY 40503-1467
Mailing Address395 W 12th Ave Fl 5, Apt 904Columbus, OH 43210-1267
Fax(859) 278-4976
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2014
Enumeration DateApril 21, 2014
Last NPPES UpdateDecember 9, 20202 updates tracked since enumeration
NPPES CertifiedDecember 9, 2020
NPI 1679993372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in KY · TP557
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.
1700 NICHOLASVILLE RD STE 704, Lexington, KY 40503

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

Mary Baylon 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 ID8628387321
PECOS Enrollment IDI20180614002975
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

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

Obstetrics & Gynecology
1700 NICHOLASVILLE RD STE 704
LEXINGTON, KY 40503

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 Mary Baylon's NPI number?

The NPI number for Mary Baylon is 1679993372. It was assigned to this individual provider in the NPPES registry on April 21, 2014.

Where is Mary Baylon located?

Mary Baylon practices at 1700 Nicholasville Rd Ste 704, Lexington, KY 40503. The listed phone number is (859) 278-0363.

What is Mary Baylon's specialty?

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

Is Mary Baylon enrolled in Medicare?

Yes. Mary Baylon 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 Mary Baylon accept?

Health plans from CareSource list Mary Baylon 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 Mary Baylon affiliated with any hospitals?

According to CMS data, Mary Baylon is affiliated with Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Mary Baylon was last updated on December 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.