1. Home
  2. Directory
  3. Kentucky
  4. South Williamson
  5. Ophthalmology
  6. NPI Profile

DR. BRIAN STEVEN LAMBERT M.D.
NPI 1760573547
Ophthalmology in South Williamson, KY

Active since September 27, 2006PECOS EnrolledAccepts Medicare Assignment
86.88/100
CMS Quality Rating
28531 US HIGHWAY 119, SOUTH WILLIAMSON, KY 41503(606) 237-7196(606) 237-7205 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Brian Steven Lambert M.d. NPPES

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

DR. BRIAN STEVEN LAMBERT M.D. (NPI 1760573547) is an individual ophthalmology provider in South Williamson, Kentucky, licensed in Kentucky (35663) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Louisville School Of Medicine (1996).

NPPES Registry Identity

NPI1760573547
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. BRIAN STEVEN LAMBERTCredential: M.D.
Location Address28531 US HIGHWAY 119South Williamson, KY 41503-3928
Mailing AddressPo Box 169Forest Hills, KY 41527-0169 · (606) 237-7196 · Fax (606) 237-7205
Phone(606) 237-7196
Fax(606) 237-7205
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1996
Enumeration DateSeptember 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1760573547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in KY · 35663
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
28531 US HIGHWAY 119, South Williamson, KY 41503
Open in Google Maps ↗

Other Identifiers 6

Medicaid1803615000WV
Medicare UPINH24610KY
Medicare ID-Type Unspecified9142304KY
Medicaid64016702KY
Medicare ID-Type Unspecified180040250KY · Rr Medicare
Other000000180119KY · Anthem Bs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Highmark Blue Cross Blue Shield West Virginia.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

Dr. Brian Steven Lambert 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 ID7911030721
PECOS Enrollment IDI20100730000487
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 10

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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
470 services18 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.
275 services207 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
251 services245 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.
213 services206 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
170 services163 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
59 services57 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41503 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
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
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.

86.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost50.67

Reported Quality Measures

Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery
100%23 patients5/55-star benchmark: 100%
Complications After Cataract Surgery
Lower rates are better for this measure.
0%109 patients
Diabetes: Eye Exam
100%359 patients5/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
97%233 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 930 patients
Patients totalRate: 0% · 930 patients
0%930 patients5/55-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 2

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

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier15 claims15 services$49.70 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier11 claims22 services$39.49 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.

LAMBERT EYECARE ASSOCIATES PSC
Optometrist
28531 US HIGHWAY 119
SOUTH WILLIAMSON, KY 41503
Pike County (606) 237-7196

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 Brian Lambert's NPI number?

The NPI number for Brian Lambert is 1760573547. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Brian Lambert located?

Brian Lambert practices at 28531 Us Highway 119, South Williamson, KY 41503. The listed phone number is (606) 237-7196.

What is Brian Lambert's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Brian Lambert enrolled in Medicare?

Yes. Brian Lambert 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.

What insurance does Brian Lambert accept?

Health plans from BlueCross BlueShield of Tennessee and Highmark Blue Cross Blue Shield West Virginia list Brian Lambert 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.

When was this NPI record last updated?

The NPPES record for Brian Lambert was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.