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EVAN ROBERT STEARNS MD
NPI 1770042657
Internal Medicine - Pulmonary Disease in Lexington, KY

Active since March 19, 2019PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2400 HARRODSBURG RD, LEXINGTON, KY 40503(859) 278-0319(859) 277-9699 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 11, 2026, Mar 19, 2019 (2 updates tracked since 2019).

About Evan Robert Stearns Md NPPES

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

EVAN ROBERT STEARNS MD (NPI 1770042657) is an individual pulmonary disease provider in Lexington, Kentucky, licensed in Kentucky (57015) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1770042657
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameEVAN ROBERT STEARNSCredential: MD
Location Address2400 HARRODSBURG RDLexington, KY 40503-2162
Mailing Address2400 Harrodsburg RdLexington, KY 40503-2162 · (859) 278-0319 · Fax (859) 277-9699
Phone(859) 278-0319
Fax(859) 277-9699
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2019
Enumeration DateMarch 19, 2019
Last NPPES UpdateMay 11, 20262 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
✔ NPI 1770042657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in KY · 57015
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedHospitalistTaxonomy 208M00000X · License 57015 (KY)
2400 HARRODSBURG RD, Lexington, KY 40503
Open in Google Maps ↗

Secondary Practice Location 1

Location 1800 Rose StLexington, KY 40536-0293 · Phone (859) 323-6047 · Fax (859) 257-3873

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

Evan Robert Stearns 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 ID1456761436
PECOS Enrollment IDI20220708001864
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 Reassignments

3

Medicare enrollment records show Evan Stearns reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Kentucky
0.6 mi
General Practice
2195 HARRODSBURG RD STE 175
Lexington, KY 40504
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,761 clinicians in this Medicare group
NPI 1194852582 (859) 257-9272
Baptist Health Medical Group Inc
4.0 mi
Nurse Practitioner
4071 TATES CREEK CENTRE DR, STE 202
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • 999 clinicians in this Medicare group
NPI 1518360296 (859) 260-4390
Kentucky Medical Services Foundation, Inc
4.8 mi
Internal Medicine
2333 ALUMNI PARK PLZ, SUITE 200
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,502 clinicians in this Medicare group
NPI 1326091448 (859) 257-7910

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette 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
$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

Other Providers at the Same Location NPPES 6

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

DR. JOSH LESTER MD
Internal Medicine (Pulmonary Disease)
2400 HARRODSBURG RD
LEXINGTON, KY 40503
Fayette County (859) 278-0319
STEPHEN THOMAS MITCHELL DO
Internal Medicine (Pulmonary Disease)
2400 HARRODSBURG RD
LEXINGTON, KY 40503
Fayette County (859) 278-0319
DR. AMISH DEEPAK PARIKH DO
Internal Medicine (Pulmonary Disease)
2400 HARRODSBURG RD
LEXINGTON, KY 40503
Fayette County (859) 278-0319
MRS. NATASHA R BLAMER MSN, APRN-AGACNP-BC
Nurse Practitioner (Acute Care)
2400 HARRODSBURG RD
LEXINGTON, KY 40503
Fayette County (859) 278-0319
JASMINE RAYE MINGUA APRN
Nurse Practitioner (Family)
2400 HARRODSBURG RD
LEXINGTON, KY 40503
Fayette County (859) 278-0319
YOUSEF HINDI MD
Internal Medicine (Pulmonary Disease)
2400 HARRODSBURG RD
LEXINGTON, KY 40503
Fayette County (859) 278-0319

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 Evan Stearns's NPI number?

The NPI number for Evan Stearns is 1770042657. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Where is Evan Stearns located?

Evan Stearns practices at 2400 Harrodsburg Rd, Lexington, KY 40503. The listed phone number is (859) 278-0319.

What is Evan Stearns's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Evan Stearns enrolled in Medicare?

Yes. Evan Stearns 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 organizations bill Medicare for Evan Stearns's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evan Stearns reassigns Medicare benefits to 3 organizations: University Of Kentucky (Lexington, KY), Baptist Health Medical Group Inc (Lexington, KY) and Kentucky Medical Services Foundation, Inc (Lexington, KY). Each 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 Evan Stearns's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Evan Stearns accept?

Health plans from Anthem Blue Cross and Blue Shield list Evan Stearns 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 Evan Stearns affiliated with any hospitals?

According to CMS data, Evan Stearns is affiliated with Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Evan Stearns was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.