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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. DENISHA POWELL RAWLINGS MD
NPI 1811962764
Internal Medicine in Lexington, KY

Active since February 22, 2006PECOS Enrolled
85.49/100
CMS Quality Rating
1733 HARRODSBURG RD, LEXINGTON, KY 40504(859) 278-4869(859) 278-7690 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 15, 2026, Jun 14, 2023 (2 updates tracked since 2023).

About Dr. Denisha Powell Rawlings Md NPPES

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

DR. DENISHA POWELL RAWLINGS MD (NPI 1811962764) is an individual internal medicine provider in Lexington, Kentucky, licensed in Kentucky (52344) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811962764
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. DENISHA POWELL RAWLINGSCredential: MD
Location Address1733 HARRODSBURG RDLexington, KY 40504-3277
Mailing Address1733 Harrodsburg RdLexington, KY 40504-3277 · (859) 278-4869 · Fax (859) 278-7690
Phone(859) 278-4869
Fax(859) 278-7690
Sole ProprietorNo
Enumeration DateFebruary 22, 2006
Last NPPES UpdateOctober 15, 20262 updates tracked since enumeration
NPPES CertifiedOctober 15, 2026
✔ NPI 1811962764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KY · 52344
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X · License 52344 (KY)
1733 HARRODSBURG RD, Lexington, KY 40504
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Other Names 1

Professional Name (2)Dr. Denisha D Powell Md

Other Identifiers 1

Medicaid64106966KY

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 (PECOS)

Dr. Denisha Powell Rawlings Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Denisha Rawlings reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Palliative Care Center Of The Bluegrass Inc.
Same address
Hospice and Palliative Medicine
1733 HARRODSBURG RD
Lexington, KY 40504
  • Reassigned Medicare billing, Kentucky enrollment
  • 45 clinicians in this Medicare group
NPI 1427129188 (859) 278-4869

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40504 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.

85.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.06
Promoting Interoperability100
Improvement Activities40
Cost60.59

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier15 claims15 services$56.76 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.

TODD COTE M.D.
Family Medicine (Hospice and Palliative Medicine)
1733 HARRODSBURG RD
LEXINGTON, KY 40504
Fayette County (859) 276-5344
RACHEL ASHMORE APRN
Nurse Practitioner (Family)
1733 HARRODSBURG RD
LEXINGTON, KY 40504
Fayette County (859) 278-4869
HOSPICE OF THE BLUEGRASS, INC
Hospice Care, Community Based
1733 HARRODSBURG RD
LEXINGTON, KY 40504
Fayette County (859) 276-5344
MS. CARMEN R. CONLEY LCSW
Social Worker (Clinical)
1733 HARRODSBURG RD
LEXINGTON, KY 40504
Fayette County (859) 699-0611
MELINDA LEIGH MEROLA D.O.
Internal Medicine (Hospice and Palliative Medicine)
1733 HARRODSBURG RD
LEXINGTON, KY 40504
Fayette County (855) 492-0812
DANA KRISTEN BENEDICT APRN
Nurse Practitioner (Family)
1733 HARRODSBURG RD
LEXINGTON, KY 40504
Fayette County (859) 278-4869
ASHLEY DANIELLE CALLEBS APRN
Nurse Practitioner (Family)
1733 HARRODSBURG RD
LEXINGTON, KY 40504
Fayette County (855) 492-0812
DR. NATALIE HESS HOUGHTON D.O.
Internal Medicine (Hospice and Palliative Medicine)
1733 HARRODSBURG RD
LEXINGTON, KY 40504
Fayette County (859) 276-5344

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 Denisha Rawlings's NPI number?

The NPI number for Denisha Rawlings is 1811962764. It was assigned to this individual provider in the NPPES registry on February 22, 2006. The provider is also known as Dr. Denisha D Powell MD.

Where is Denisha Rawlings located?

Denisha Rawlings practices at 1733 Harrodsburg Rd, Lexington, KY 40504. The listed phone number is (859) 278-4869.

What is Denisha Rawlings's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Denisha Rawlings enrolled in Medicare?

Yes. Denisha Rawlings is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Denisha Rawlings's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Denisha Rawlings reassigns Medicare benefits to Palliative Care Center Of The Bluegrass Inc. (Lexington, KY). The 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 Denisha Rawlings's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Denisha Rawlings accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter of Tennessee list Denisha Rawlings 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.

When was this NPI record last updated?

The NPPES record for Denisha Rawlings was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.