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

Q: 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.

Q: What is Michael Lynch's specialty?

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

Q: 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 2 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.

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: October 18, 2026.

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

On this page

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

Accepted Insurance

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

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.

Medicare Billing Reassignments

Medicare enrollment records show Michael Lynch reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Appalachian Regional Healthcare, Inc.

Same address

Emergency Medicine

3600 CUMBERLAND AVE
Middlesboro, KY 40965

Reassigned Medicare billing, Kentucky enrollment
419 clinicians in this Medicare group

NPI 1134204688 (606) 242-1100

Middlesborough Emergency Physicians LLC

0.1 mi

Emergency Medicine

3600 CUMBERLAND AVE
Middlesboro, KY 40965

Reassigned Medicare billing, Kentucky enrollment
57 clinicians in this Medicare group

NPI 1972715878 (606) 237-1700

Arh Mary Breckinridge Health Services, Inc.

0.9 mi

Rural Health

3504 CUMBERLAND AVE
Middlesboro, KY 40965

Reassigned Medicare billing, Kentucky enrollment
97 clinicians in this Medicare group

NPI 1962908277 (606) 248-0737

Southern Medical Partners, LLC

56 mi

Emergency Medicine

100 MEDICAL CENTER DRIVE
Hazard, KY 41701

Reassigned Medicare billing, Kentucky enrollment
153 clinicians in this Medicare group

NPI 1538109962 (606) 439-6651

Green Valley Emergency Physicians, LLC

274 mi

Emergency Medicine

1530 LONE OAK RD
Paducah, KY 42003

Reassigned Medicare billing, Kentucky enrollment
220 clinicians in this Medicare group

NPI 1720755739 (271) 444-2444

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

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

Quality

76.55

Promoting Interoperability

100

Improvement Activities

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.

Which organizations bill Medicare for Michael Lynch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Lynch reassigns Medicare benefits to 5 organizations: Appalachian Regional Healthcare, Inc. (Middlesboro, KY), Middlesborough Emergency Physicians LLC (Middlesboro, KY), Arh Mary Breckinridge Health Services, Inc. (Middlesboro, KY), Southern Medical Partners, LLC (Hazard, KY) and Green Valley Emergency Physicians, LLC (Paducah, 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 Michael Lynch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Lynch accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter of Tennessee list Michael Lynch 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 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 2 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.