MARIA P. MENDOZA MD
NPI 1710094255
Family Medicine in Lexington, KY

Q: What is Maria Mendoza's NPI number?

The NPI number for Maria Mendoza is 1710094255. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Q: What is Maria Mendoza's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Maria Mendoza was last updated on June 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since August 23, 2006PECOS EnrolledAccepts Medicare Assignment

3581 HARRODSBURG RD STE 250, LEXINGTON, KY 40513(859) 313-6300(594) 698-1858 Get Directions Write a Review

NPPES record last updated: June 30, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 9, 2019, Jan 17, 2017 (2 updates tracked since 2017).

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About Maria P. Mendoza Md NPPES

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

MARIA P. MENDOZA MD (NPI 1710094255) is an individual family medicine provider in Lexington, Kentucky, licensed in Kentucky (34008) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph Hospital, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1710094255

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMARIA P. MENDOZACredential: MD

Location Address3581 HARRODSBURG RD STE 250Lexington, KY 40513-1140

Mailing AddressPo Box 936London, KY 40743-0936 · (606) 330-7835 · Fax (606) 330-7825

Phone(859) 313-6300

Fax(594) 698-1858

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateAugust 23, 2006

Last NPPES UpdateJune 30, 20192 updates tracked since enumeration

✔ NPI 1710094255 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 · 34008

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.

3581 HARRODSBURG RD STE 250, Lexington, KY 40513

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Other Identifiers 1

Medicaid64014509KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Maria P. Mendoza 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 ID6002887676

PECOS Enrollment IDI20040805000748

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 Maria Mendoza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kentuckyone Health Medical Group, Inc.

3.0 mi

Family Medicine

1401 HARRODSBURG RD
Lexington, KY 40504

Reassigned Medicare billing, Kentucky enrollment
250 clinicians in this Medicare group

NPI 1104875970 (606) 330-7835

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 7

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.

148 services63 patients

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

55 services29 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

55 services28 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.

34 services24 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.

32 services25 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.

25 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Saint Joseph Hospital

Acute Care Hospitals · Lexington, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number180010

LocationOne Saint Joseph DriveLexington, KY 40504 · Fayette County

Emergency services

Saint Joseph East

Acute Care Hospitals · Lexington, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180143

Location150 North Eagle Creek DriveLexington, KY 40509 · Fayette County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40513 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.

Other Providers at the Same Location NPPES 9

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

DR. NIKOLA M MIHAYLOV M.D.

Family Medicine