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DR. KYLE THOMAS FLETCHER M.D.
NPI 1699050286
Otolaryngology in Lexington, KY

Active since October 15, 2011PECOS EnrolledAccepts Medicare Assignment
79.11/100
CMS Quality Rating
800 ROSE STREET C 236, LEXINGTON, KY 40536(859) 257-5405(859) 257-5096 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2021, Jan 14, 2016 (2 updates tracked since 2016).

About Dr. Kyle Thomas Fletcher M.d. NPPES

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

DR. KYLE THOMAS FLETCHER M.D. (NPI 1699050286) is an individual otolaryngology provider in Lexington, Kentucky, licensed in Kentucky (52252) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS, is affiliated with Ephraim Mcdowell Regional Medical Center, and is a graduate of University Of Kentucky College Of Medicine (2014).

NPPES Registry Identity

NPI1699050286
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. KYLE THOMAS FLETCHERCredential: M.D.
Location Address800 ROSE STREET C 236Lexington, KY 40536-0001
Mailing Address1250 Ben Ali DrDanville, KY 40422-8937 · (859) 236-0903 · Fax (859) 236-0903
Phone(859) 257-5405
Fax(859) 257-5096
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2014
Enumeration DateOctober 15, 2011
Last NPPES UpdateMarch 17, 20212 updates tracked since enumeration
NPPES CertifiedMarch 17, 2021
✔ NPI 1699050286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in KY · 52252✔ Licensed in KY · R3482
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
800 ROSE STREET C 236, Lexington, KY 40536
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Dr. Kyle Thomas Fletcher M.d. 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 ID3476861907
PECOS Enrollment IDI20190524001390
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 6

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.

Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
137 services102 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
124 services124 patients
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.
115 services90 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
101 services75 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Ephraim Mcdowell Regional Medical Center

Acute Care Hospitals · Danville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180048
Location217 South Third StreetDanville, KY 40422 · Boyle County
Emergency services Birthing friendly

The James B. Haggin Memorial Hospital

Critical Access Hospitals · Harrodsburg, KY
OwnershipVoluntary non-profit - Other
CMS Certification Number181302
Location464 Linden AvenueHarrodsburg, KY 40330 · Mercer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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.

79.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.52
Promoting Interoperability100
Improvement Activities40
Cost44.23

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 Kyle Fletcher's NPI number?

The NPI number for Kyle Fletcher is 1699050286. It was assigned to this individual provider in the NPPES registry on October 15, 2011.

Where is Kyle Fletcher located?

Kyle Fletcher practices at 800 Rose Street C 236, Lexington, KY 40536. The listed phone number is (859) 257-5405.

What is Kyle Fletcher's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Kyle Fletcher enrolled in Medicare?

Yes. Kyle Fletcher 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 Kyle Fletcher accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Kyle Fletcher 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 Kyle Fletcher affiliated with any hospitals?

According to CMS data, Kyle Fletcher is affiliated with Ephraim Mcdowell Regional Medical Center and The James B. Haggin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kyle Fletcher was last updated on March 17, 2021. 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.