DR. PAUL ANAYA MD
NPI 1720176076
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Lexington, KY

Active since October 11, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
GILL HEART INSTITUTE 800 ROSE ST, G100, LEXINGTON, KY 40536(859) 323-0295(859) 257-8699 Get Directions Write a Review

NPPES record last updated: August 23, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 23, 2017, Dec 11, 2015 (2 updates tracked since 2015).

About Dr. Paul Anaya Md NPPES

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

DR. PAUL ANAYA MD (NPI 1720176076) is an individual advanced heart failure and transplant cardiology provider in Lexington, Kentucky, licensed in Kentucky (40621) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and is a graduate of Baylor College Of Medicine (1999).

NPPES Registry Identity

NPI1720176076
Entity TypeIndividualMale
Primary Taxonomy207RA0001X
Provider Legal NameDR. PAUL ANAYACredential: MD
Location AddressGILL HEART INSTITUTE 800 ROSE ST, G100Lexington, KY 40536-0093
Mailing AddressGill Heart Institute 900 South Limestone, 320 CtwbLexington, KY 40536-0200 · (859) 323-3976 · Fax (859) 257-6060
Fax(859) 257-8699
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 1999
Enumeration DateOctober 11, 2006
Last NPPES UpdateAugust 23, 20172 updates tracked since enumeration
NPI 1720176076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0001X
License Licensed in KY · 40621
Definition
Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.
Also ListedInternal MedicineTaxonomy 207R00000X · License 40621 (KY)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 40621 (KY)
GILL HEART INSTITUTE 800 ROSE ST, Lexington, KY 40536

Other Identifiers 2

Medicaid64121205KY
Medicare UPIN0980895KY

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. Paul Anaya 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 ID4486751880
PECOS Enrollment IDI20070519000000
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 8

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
193 services188 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
81 services26 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.
71 services49 patients
Ultrasound of heart, follow-up 93308
A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.
21 services21 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
12 services12 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

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
$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.

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

Referred Medical Equipment & Supplies CMS DME claims 2

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

Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier17 claims29 services$35.78 avg. paid by Medicare
Injection, milrinone lactate, 5 mg J2260
Treatment-Injections and Infusions (nononcologic) · category RI026N
1 supplier28 claims721 services$1.22 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 15

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

Nurse Practitioner
GILL HEART INSTITUTE 800 ROSE ST, G100
LEXINGTON, KY 40536
Internal Medicine (Clinical Cardiac Electrophysiology)
GILL HEART INSTITUTE 800 ROSE ST, G100
LEXINGTON, KY 40536
Internal Medicine (Cardiovascular Disease)
GILL HEART INSTITUTE 800 ROSE ST, G100
LEXINGTON, KY 40536
Internal Medicine (Cardiovascular Disease)
GILL HEART INSTITUTE 800 ROSE ST, G100
LEXINGTON, KY 40536
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
GILL HEART INSTITUTE 800 ROSE ST, G100
LEXINGTON, KY 40536
Internal Medicine (Cardiovascular Disease)
GILL HEART INSTITUTE 800 ROSE ST, G100
LEXINGTON, KY 40536
Internal Medicine (Cardiovascular Disease)
GILL HEART INSTITUTE 800 ROSE ST, G100
LEXINGTON, KY 40536
Internal Medicine (Cardiovascular Disease)
GILL HEART INSTITUTE 800 ROSE ST, G100
LEXINGTON, KY 40536

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 Paul Anaya's NPI number?

The NPI number for Paul Anaya is 1720176076. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Paul Anaya located?

Paul Anaya practices at Gill Heart Institute 800 Rose St G100, Lexington, KY 40536. The listed phone number is (859) 323-0295.

What is Paul Anaya's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Paul Anaya enrolled in Medicare?

Yes. Paul Anaya 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.

Is Paul Anaya affiliated with any hospitals?

According to CMS data, Paul Anaya is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Paul Anaya was last updated on August 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.