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STEPHEN STRUP MD
NPI 1780632737
Urology in Lexington, KY

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
740 SOUTH LIMESTONE, LEXINGTON, KY 40536(859) 257-3533 Get Directions Write a Review

NPPES record last updated: December 14, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 14, 2020, May 29, 2019 (2 updates tracked since 2019).

About Stephen Strup Md NPPES

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

STEPHEN STRUP MD (NPI 1780632737) is an individual urology provider in Lexington, Kentucky, licensed in Kentucky (38420) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Pikeville Medical Center, and is a graduate of Indiana University School Of Medicine (1998).

NPPES Registry Identity

NPI1780632737
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameSTEPHEN STRUPCredential: MD
Location Address740 SOUTH LIMESTONELexington, KY 40536-0001
Mailing Address800 Rose St # Ms -283Lexington, KY 40536-0298 · (859) 323-6679 · Fax (859) 323-1944
Phone(859) 257-3533
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1998
Enumeration DateMay 4, 2006
Last NPPES UpdateDecember 14, 20202 updates tracked since enumeration
NPPES CertifiedDecember 14, 2020
✔ NPI 1780632737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in KY · 38420
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
740 SOUTH LIMESTONE, Lexington, KY 40536
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Stephen Strup 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 ID7012802952
PECOS Enrollment IDI20040218001077
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 11

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.
190 services150 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.
142 services123 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
83 services60 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
58 services58 patients
Biopsy of prostate gland 55700
A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.
21 services21 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.
18 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Pikeville Medical Center

Acute Care Hospitals · Pikeville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180044
Location911 Bypass RoadPikeville, KY 41501 · Pike County
Emergency services Birthing friendly

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

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 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
$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.

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 10

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

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims1,584 services$0.02 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
3 suppliers18 claims3,780 services$1.00 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
7 suppliers39 claims90 services$7.79 avg. paid by Medicare
Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
3 suppliers14 claims260 services$3.06 avg. paid by Medicare
Ostomy belt, each A4367
DME-Orthotic Devices · category DF010N
3 suppliers11 claims20 services$7.10 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
5 suppliers30 claims955 services$5.12 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 20

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

DR. ANDREA MICHELLE MORRISON MD
Student in an Organized Health Care Education/Training Program
740 SOUTH LIMESTONE, E300E
LEXINGTON, KY 40536
Fayette County (859) 257-5097
BENJAMIN LEHMKUHL
Student in an Organized Health Care Education/Training Program
740 SOUTH LIMESTONE, E300E
LEXINGTON, KY 40536
Fayette County (859) 257-5405
OUIDA FARMER TISDALL MD
Radiology (Diagnostic Radiology)
740 SOUTH LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 323-5233
KARALEE ANN MLACK
Nurse Practitioner (Acute Care)
740 SOUTH LIMESTONE, K401
LEXINGTON, KY 40536
Fayette County (859) 323-5533
FREDERICK ADRIAN SCHMITT PHD
Clinical Neuropsychologist
740 SOUTH LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 323-5661
DAVID A SLOAN MD
Surgery (Surgical Oncology)
740 SOUTH LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 257-3253
DR. LARRY B SHARP DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
740 SOUTH LIMESTONE, UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTRY
LEXINGTON, KY 40536
Fayette County (859) 257-1494
SIBU SAHA MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
740 SOUTH LIMESTONE, SUITE A301
LEXINGTON, KY 40536
Fayette County (859) 323-6494

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 Stephen Strup's NPI number?

The NPI number for Stephen Strup is 1780632737. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Stephen Strup located?

Stephen Strup practices at 740 South Limestone, Lexington, KY 40536. The listed phone number is (859) 257-3533.

What is Stephen Strup's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Stephen Strup enrolled in Medicare?

Yes. Stephen Strup 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 Stephen Strup accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Stephen Strup 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 Stephen Strup affiliated with any hospitals?

According to CMS data, Stephen Strup is affiliated with Pikeville Medical Center, University Of Kentucky Hospital and Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Stephen Strup was last updated on December 14, 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.