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WILSON BRADLEY FUGATE APRN
NPI 1730739483
Nurse Practitioner - Family in Lexington, KY

Active since September 16, 2019PECOS EnrolledAccepts Medicare Assignment
79.11/100
CMS Quality Rating
1720 NICHOLASVILLE RD STE 601, LEXINGTON, KY 40503(859) 277-5887(859) 276-7659 Get Directions Write a Review

NPPES record last updated: December 11, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 11, 2020, Sep 16, 2019 (2 updates tracked since 2019).

About Wilson Bradley Fugate Aprn NPPES

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

WILSON BRADLEY FUGATE APRN (NPI 1730739483) is an individual family provider in Lexington, Kentucky, licensed in Kentucky (3012571) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS, is affiliated with Ephraim Mcdowell Fort Logan Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1730739483
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameWILSON BRADLEY FUGATECredential: APRN
Location Address1720 NICHOLASVILLE RD STE 601Lexington, KY 40503-1451
Mailing Address5200 Commerce Crossing, 3rd FloorLouisville, KY 40229-2182 · (502) 253-4924 · Fax (502) 489-5750
Phone(859) 277-5887
Fax(859) 276-7659
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 16, 2019
Last NPPES UpdateDecember 11, 20202 updates tracked since enumeration
NPPES CertifiedDecember 11, 2020
✔ NPI 1730739483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3012571
1720 NICHOLASVILLE RD STE 601, Lexington, KY 40503
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Accepted Insurance

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

Wilson Bradley Fugate Aprn 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 ID9234461633
PECOS Enrollment IDI20191105001301
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 Wilson Fugate reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ephraim Mcdowell Health Resource, Inc.
24 mi
Family Medicine
510 N CAMP DICK RD
Lancaster, KY 40444
  • Reassigned Medicare billing, Kentucky enrollment
  • 247 clinicians in this Medicare group
NPI 1417002114 (859) 548-8000

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 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.

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
77 services66 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
55 services36 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
53 services52 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
51 services51 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.
44 services14 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
43 services42 patients

Hospital Affiliations CMS Care Compare

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

Ephraim Mcdowell Fort Logan Hospital

Critical Access Hospitals · Stanford, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181315
Location110 Metker TrailStanford, KY 40484 · Lincoln County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 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.

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

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims11 services$111.18 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 4

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

DR. JOHAN DAVID AASBO D.O.
Internal Medicine (Clinical Cardiac Electrophysiology)
1720 NICHOLASVILLE RD STE 601
LEXINGTON, KY 40503
Fayette County (859) 277-5887
JONATHAN CLARK PA
Psychiatry & Neurology (Neurocritical Care)
1720 NICHOLASVILLE RD STE 601
LEXINGTON, KY 40503
Fayette County (859) 260-4331
KRISTEN NICOLE MCDONOUGH
Nurse Practitioner (Family)
1720 NICHOLASVILLE RD STE 601
LEXINGTON, KY 40503
Fayette County (859) 277-5887
DR. NATHAN SCOTT KUSTERER M.D.
Internal Medicine (Cardiovascular Disease)
1720 NICHOLASVILLE RD STE 601
LEXINGTON, KY 40503
Fayette County (859) 277-5887

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 Wilson Fugate's NPI number?

The NPI number for Wilson Fugate is 1730739483. It was assigned to this individual provider in the NPPES registry on September 16, 2019.

Where is Wilson Fugate located?

Wilson Fugate practices at 1720 Nicholasville Rd Ste 601, Lexington, KY 40503. The listed phone number is (859) 277-5887.

What is Wilson Fugate's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Wilson Fugate enrolled in Medicare?

Yes. Wilson Fugate 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 Wilson Fugate's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wilson Fugate reassigns Medicare benefits to Ephraim Mcdowell Health Resource, Inc. (Lancaster, 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 Wilson Fugate's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wilson Fugate accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Wilson Fugate 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 Wilson Fugate affiliated with any hospitals?

According to CMS data, Wilson Fugate is affiliated with Ephraim Mcdowell Fort Logan Hospital.

When was this NPI record last updated?

The NPPES record for Wilson Fugate was last updated on December 11, 2020. 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.