MRS. ANGELA DAWN LEWIS DO
NPI 1710073580
Family Medicine in Russell, KY

Active since October 05, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 18D0951865 · Waiver
73.6/100
CMS Quality Rating
1021 KENWOOD DR, RUSSELL, KY 41169(606) 836-1954(606) 836-3878 Get Directions Write a Review

NPPES record last updated: January 5, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Angela Dawn Lewis Do NPPES

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

MRS. ANGELA DAWN LEWIS DO (NPI 1710073580) is an individual family medicine provider in Russell, Kentucky, licensed in Kentucky (KY02545) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through September 28, 2026, and is affiliated with King's Daughters' Medical Center.

NPPES Registry Identity

NPI1710073580
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMRS. ANGELA DAWN LEWISCredential: DO
Location Address1021 KENWOOD DRRussell, KY 41169
Mailing Address1021 Kenwood DrRussell, KY 41169 · (606) 836-1954 · Fax (606) 836-3878
Fax(606) 836-3878
Sole ProprietorYes
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 1995
Enumeration DateOctober 5, 2006
Last NPPES UpdateJanuary 5, 2011
NPI 1710073580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in KY · KY02545
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.
1021 KENWOOD DR, Russell, KY 41169

Other Identifiers 4

Medicaid64025455KY
Other080127343KY · Railroad Medicare
Medicare UPING76343
Medicare ID-Type Unspecified1725001

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

Mrs. Angela Dawn Lewis Do 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 ID7810181757
PECOS Enrollment IDI20101104000377
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D0951865

Angela D Lewis Do Psc · Russell, KY
Active · expires Sep 28, 2026
CLIA Number18D0951865
Laboratory TypePhysician Office
Certificate Effective DateSeptember 29, 2024
Certificate Expiration DateSeptember 28, 2026
Laboratory DirectorDr. Angela D. Lewis
Laboratory Phone(606) 836-1954
Laboratory LocationAngela D Lewis Do Psc1021 Kenwood Dr, Russell, KY 41169
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 15

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.
1,138 services406 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
187 services187 patients
Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free 90674
The quadrivalent influenza vaccine is a flu shot that protects against four different flu viruses. Derived from cell cultures, it is free of preservatives and antibiotics. It's a safe and effective way to reduce your risk of getting the flu.
151 services151 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
148 services148 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
115 services48 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
63 services54 patients

Hospital Affiliations CMS Care Compare 4

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

Southern Ohio Medical Center

Acute Care Hospitals · Portsmouth, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360008
Location1805 27th StreetPortsmouth, OH 45662 · Scioto County
Emergency services Birthing friendly

Kings Daughters Medical Center Ohio

Acute Care Hospitals · Portsmouth, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360361
Location1901 Argonne RoadPortsmouth, OH 45662 · Scioto County
Emergency services

St Mary's Medical Center

Acute Care Hospitals · Huntington, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510007
Location2900 1st AvenueHuntington, WV 25702 · Cabell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41169 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.

73.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality70.96
Improvement Activities40
Cost50.71

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
63%404 patients3/55-star benchmark: 87%
Controlling High Blood Pressure
58%1,025 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
25%339 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%5,053 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
16%1,708 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
17%1,306 patients1/55-star benchmark: 97%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
50%503 patients2/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 8% · 872 patients
Patients totalRate: 9% · 872 patients
6%872 patients4/55-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 21

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
20 suppliers64 claims187 services$6.17 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers25 claims41 services$1.11 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers17 claims17 services$45.36 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers16 claims16 services$101.11 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers15 claims40 services$40.05 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers19 claims106 services$23.21 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.

Family Medicine
1021 KENWOOD DR
RUSSELL, KY 41169

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 Angela Lewis's NPI number?

The NPI number for Angela Lewis is 1710073580. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Angela Lewis located?

Angela Lewis practices at 1021 Kenwood Dr, Russell, KY 41169. The listed phone number is (606) 836-1954.

What is Angela Lewis's specialty?

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

Is Angela Lewis enrolled in Medicare?

Yes. Angela Lewis 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.

Does Angela Lewis hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D0951865) is associated with this NPI, valid through September 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Angela Lewis accept?

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

According to CMS data, Angela Lewis is affiliated with King's Daughters' Medical Center, Southern Ohio Medical Center, Kings Daughters Medical Center Ohio and St Mary's Medical Center.

When was this NPI record last updated?

The NPPES record for Angela Lewis was last updated on January 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.