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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MICHAEL ANTHONY LYNCH III DO
NPI 1811428683
Family Medicine in Middlesboro, KY

Active since March 23, 2017PECOS EnrolledAccepts Medicare Assignment
97.4/100
CMS Quality Rating
3600 CUMBERLAND AVE, MIDDLESBORO, KY 40965(606) 242-1100(606) 242-1262 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 6, 2026, May 8, 2019, Mar 23, 2017 (3 updates tracked since 2017).

About Dr. Michael Anthony Lynch Iii Do NPPES

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

DR. MICHAEL ANTHONY LYNCH III DO (NPI 1811428683) is an individual family medicine provider in Middlesboro, Kentucky, licensed in Kentucky (R4484) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Middlesboro Arh Hospital, and is a graduate of Lincoln Memorial University Medical Department (2017).

NPPES Registry Identity

NPI1811428683
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MICHAEL ANTHONY LYNCH IIICredential: DO
Location Address3600 CUMBERLAND AVEMiddlesboro, KY 40965-2614
Mailing Address3600 Cumberland AveMiddlesboro, KY 40965-2614 · (606) 242-1463 · Fax (606) 242-1468
Phone(606) 242-1100
Fax(606) 242-1262
Sole ProprietorYes
Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2017
Enumeration DateMarch 23, 2017
Last NPPES UpdateAugust 6, 20263 updates tracked since enumeration
NPPES CertifiedAugust 6, 2026
✔ NPI 1811428683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · R4484
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License R4484 (KY)
3600 CUMBERLAND AVE, Middlesboro, KY 40965
Open in Google Maps ↗

Other Identifiers 1

Medicaid7100613980KY

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. Michael Anthony Lynch Iii Do 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 ID3072856509
PECOS Enrollment IDI20190523001762
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 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 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.
290 services101 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
177 services157 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
168 services24 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
112 services101 patients
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.
54 services50 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.
51 services47 patients

Hospital Affiliations CMS Care Compare

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

Middlesboro Arh Hospital

Acute Care Hospitals · Middlesboro, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180020
Location3600 West Cumberland AvenueMiddlesboro, KY 40965 · Bell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40965 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.

97.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.55
Promoting Interoperability100
Improvement Activities40

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.

ZACHARY MATTHEW NEVERSTITCH PHARMD
Pharmacist
3600 CUMBERLAND AVE
MIDDLESBORO, KY 40965
Bell County (606) 242-1100
MRS. MELANIE DIANE HARRIS OTR L
Occupational Therapist
3600 CUMBERLAND AVE
MIDDLESBORO, KY 40965
Bell County (606) 242-1427
DEBORAH L. GEVER MD
Pediatrics
3600 CUMBERLAND AVE
MIDDLESBORO, KY 40965
Bell County (606) 242-1100
APPALACHIAN REGIONAL HEALTHCARE, INC.
Emergency Medicine
3600 CUMBERLAND AVE
MIDDLESBORO, KY 40965
Bell County (606) 242-1100
DR. JAMES S BAZZI MD
Orthopaedic Surgery
3600 CUMBERLAND AVE
MIDDLESBORO, KY 40965
Bell County (606) 242-1463
KALI STICKLEY WEAVER PHARM.D.
Pharmacist
3600 CUMBERLAND AVE, MIDDLESBORO ARH PHARMACY
MIDDLESBORO, KY 40965
Bell County (606) 242-1167
ROBERT R HUGHES CRNA
Nurse Anesthetist, Certified Registered
3600 CUMBERLAND AVE
MIDDLESBORO, KY 40965
Bell County (606) 242-1100
COMPREHENSIVE HOSPITALIST SERVICES OF KENTUCKY LLC
Hospitalist
3600 CUMBERLAND AVE
MIDDLESBORO, KY 40965
Bell County (877) 693-5700

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 Michael Lynch's NPI number?

The NPI number for Michael Lynch is 1811428683. It was assigned to this individual provider in the NPPES registry on March 23, 2017.

Where is Michael Lynch located?

Michael Lynch practices at 3600 Cumberland Ave, Middlesboro, KY 40965. The listed phone number is (606) 242-1100.

What is Michael Lynch's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Lynch enrolled in Medicare?

Yes. Michael Lynch 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.

Is Michael Lynch affiliated with any hospitals?

According to CMS data, Michael Lynch is affiliated with Middlesboro Arh Hospital.

When was this NPI record last updated?

The NPPES record for Michael Lynch was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.