TED RICHARD QUALLS M.D.
NPI 1790938405
Emergency Medicine in Lexington, KY

Active since October 25, 2008PECOS EnrolledAccepts Medicare Assignment
46.44/100
CMS Quality Rating
800 ROSE ST, DEPARTMENT OF EMERGENCY MEDICINE, LEXINGTON, KY 40536(859) 323-5000 Get Directions Write a Review

NPPES record last updated: October 25, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ted Richard Qualls M.d. NPPES

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

TED RICHARD QUALLS M.D. (NPI 1790938405) is an individual emergency medicine provider in Lexington, Kentucky, licensed in Kentucky (R1537) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS, is affiliated with Georgetown Community Hospital, and is a graduate of University Of Texas Medical School At Houston (2006).

NPPES Registry Identity

NPI1790938405
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameTED RICHARD QUALLSCredential: M.D.
Location Address800 ROSE ST, DEPARTMENT OF EMERGENCY MEDICINELexington, KY 40536-0001
Mailing Address3901 Rapid Run Dr Apt 1227Lexington, KY 40515-1889 · (606) 306-7497
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2006
Enumeration DateOctober 25, 2008
NPI 1790938405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in KY · R1537
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
800 ROSE ST, Lexington, KY 40536

Accepted 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

Ted Richard Qualls 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 ID5193877165
PECOS Enrollment IDI20090722000454
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
392 services359 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
238 services218 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
196 services185 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
37 services37 patients

Hospital Affiliations CMS Care Compare 2

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

Georgetown Community Hospital

Acute Care Hospitals · Georgetown, KY
OwnershipProprietary
CMS Certification Number180101
Location1140 Lexington RoadGeorgetown, KY 40324 · Scott County
Emergency services Birthing friendly

Lake Cumberland Regional Hospital

Acute Care Hospitals · Somerset, KY
2/5 CMS rating
OwnershipProprietary
CMS Certification Number180132
Location305 Langdon StreetSomerset, KY 42503 · Pulaski 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
$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.

46.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality30
Improvement Activities40
Cost19.34

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.

Radiology (Diagnostic Radiology)
800 ROSE ST, HX-302 UKMC
LEXINGTON, KY 40536
Pathology (Anatomic Pathology & Clinical Pathology)
800 ROSE ST, MS117
LEXINGTON, KY 40536
Anesthesiology
800 ROSE ST
LEXINGTON, KY 40536
Nurse Practitioner (Family)
800 ROSE ST
LEXINGTON, KY 40536
Pathology (Anatomic Pathology)
800 ROSE ST
LEXINGTON, KY 40536
Nurse Practitioner (Acute Care)
800 ROSE ST, MN604
LEXINGTON, KY 40536
Hospitalist
800 ROSE ST
LEXINGTON, KY 40536
Nurse Practitioner (Family)
800 ROSE ST, CC417
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 Ted Qualls's NPI number?

The NPI number for Ted Qualls is 1790938405. It was assigned to this individual provider in the NPPES registry on October 25, 2008.

Where is Ted Qualls located?

Ted Qualls practices at 800 Rose St Department Of Emergency Medicine, Lexington, KY 40536. The listed phone number is (859) 323-5000.

What is Ted Qualls's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Ted Qualls enrolled in Medicare?

Yes. Ted Qualls 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 Ted Qualls accept?

Health plans from Oscar Insurance Company list Ted Qualls 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 Ted Qualls affiliated with any hospitals?

According to CMS data, Ted Qualls is affiliated with Georgetown Community Hospital and Lake Cumberland Regional Hospital.

When was this NPI record last updated?

The NPPES record for Ted Qualls was last updated on October 25, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.