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CECILIA GAYNOR M.D.
NPI 1699732040
Internal Medicine - Infectious Disease in Ashland, KY

Active since April 28, 2006PECOS EnrolledAccepts Medicare Assignment
82.94/100
CMS Quality Rating
2301 LEXINGTON AVE, SUITE 125, ASHLAND, KY 41101(606) 325-2721(606) 325-2416 Get Directions Write a Review

NPPES record last updated: September 13, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Cecilia Gaynor M.d. NPPES

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

CECILIA GAYNOR M.D. (NPI 1699732040) is an individual infectious disease provider in Ashland, Kentucky, licensed in Kentucky (32929) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and is a graduate of University Of Cincinnati College Of Medicine (1989).

NPPES Registry Identity

NPI1699732040
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameCECILIA GAYNORCredential: M.D.
Location Address2301 LEXINGTON AVE, SUITE 125Ashland, KY 41101-2873
Mailing Address2301 Lexington Ave, Suite 125Ashland, KY 41101-1547 · (606) 325-2721 · Fax (606) 325-2416
Phone(606) 325-2721
Fax(606) 325-2416
Sole ProprietorYes
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1989
Enumeration DateApril 28, 2006
Last NPPES UpdateSeptember 13, 2012
✔ NPI 1699732040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in KY · 32929
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
2301 LEXINGTON AVE, Ashland, KY 41101
Open in Google Maps ↗

Accepted Insurance

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

Cecilia Gaynor 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 ID9931132693
PECOS Enrollment IDI20050921000016
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 Reassignment

Medicare enrollment records show Cecilia Gaynor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kings Daughters Medcial Specialties Inc
Same address
Chiropractor
2301 LEXINGTON AVE STE 310B
Ashland, KY 41101
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Kings Daughters Medical Specialties Inc
  • 531 clinicians in this Medicare group
NPI 1184226698 (606) 408-1321

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 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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
42 services41 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
19 services13 patients

Hospital Affiliations CMS Care Compare

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

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180009
Location2201 Lexington AvenueAshland, KY 41101 · Boyd County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41101 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
$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.

82.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.01
Promoting Interoperability100
Improvement Activities40
Cost65.57

Other Providers at the Same Location NPPES 20

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

DR. NAJI ELIAS HAJJAR MD
Obstetrics & Gynecology
2301 LEXINGTON AVE, SUITE 225
ASHLAND, KY 41101
Boyd County (606) 329-2899
MALCOLM H. KING, PSC
Family Medicine (Adult Medicine)
2301 LEXINGTON AVE, SUITE 205
ASHLAND, KY 41101
Boyd County (606) 325-9633
MALCOLM H KING M.D.P.S.C.
Family Medicine (Adult Medicine)
2301 LEXINGTON AVE, SUITE 205
ASHLAND, KY 41101
Boyd County (606) 325-9633
KENTUCKY HEART CARE, PSC
Specialist
2301 LEXINGTON AVE, SUITE 100
ASHLAND, KY 41101
Boyd County (606) 547-1010
TRI-STATE CARDIOLOGY ASSOCIATES PSC
Internal Medicine
2301 LEXINGTON AVE, STE 320
ASHLAND, KY 41101
Boyd County (740) 646-9049
TRI-STATE DIABETES AND ENDOCRINOLOGY PLLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2301 LEXINGTON AVE, STE 220
ASHLAND, KY 41101
Boyd County (606) 327-0055
INFECTIOUS DISEASES PSC
Internal Medicine (Infectious Disease)
2301 LEXINGTON AVE, SUITE 100
ASHLAND, KY 41101
Boyd County (606) 325-0011
INFECTIOUS DISEASES, PSC
Specialist
2301 LEXINGTON AVE, SUITE 100
ASHLAND, KY 41101
Boyd County (606) 325-2847

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 Cecilia Gaynor's NPI number?

The NPI number for Cecilia Gaynor is 1699732040. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Where is Cecilia Gaynor located?

Cecilia Gaynor practices at 2301 Lexington Ave Suite 125, Ashland, KY 41101. The listed phone number is (606) 325-2721.

What is Cecilia Gaynor's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Cecilia Gaynor enrolled in Medicare?

Yes. Cecilia Gaynor 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 organization bills Medicare for Cecilia Gaynor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cecilia Gaynor reassigns Medicare benefits to Kings Daughters Medcial Specialties Inc (Ashland, KY). The 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 Cecilia Gaynor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cecilia Gaynor accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Cecilia Gaynor 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 Cecilia Gaynor affiliated with any hospitals?

According to CMS data, Cecilia Gaynor is affiliated with King's Daughters' Medical Center.

When was this NPI record last updated?

The NPPES record for Cecilia Gaynor was last updated on September 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.