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

DONNY HARDY MD
NPI 1811981533
Internal Medicine in Berea, KY

Q: What is Donny Hardy's NPI number?

The NPI number for Donny Hardy is 1811981533. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Q: What is Donny Hardy's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Donny Hardy was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 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.

Active since September 08, 2005PECOS EnrolledAccepts Medicare Assignment

305 ESTILL ST, 4TH FLOOR, BEREA, KY 40403(859) 986-2343(859) 986-2344 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 20, 2024, Jul 19, 2019, May 3, 2019 and 1 more (4 updates tracked since 2018).

On this page

About Donny Hardy Md NPPES

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

DONNY HARDY MD (NPI 1811981533) is an individual internal medicine provider in Berea, Kentucky, licensed in Kentucky (37315) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph London, and is a graduate of University Of Kentucky College Of Medicine (2000).

NPPES Registry Identity

NPI1811981533

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDONNY HARDYCredential: MD

Location Address305 ESTILL ST, 4TH FLOORBerea, KY 40403-1742

Mailing AddressPo Box 936London, KY 40743-0936 · (606) 330-7835

Phone(859) 986-2343

Fax(859) 986-2344

Sole ProprietorNo

Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2000

Enumeration DateSeptember 8, 2005

Last NPPES UpdateJune 24, 20264 updates tracked since enumeration

NPPES CertifiedJune 24, 2026

✔ NPI 1811981533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in KY · 37315

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.

305 ESTILL ST, Berea, KY 40403

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Other Identifiers 1

Medicaid64091200KY

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

Donny Hardy 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 ID8628027034

PECOS Enrollment IDI20050112000845

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.

Hospital Affiliations CMS Care Compare 4

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

Saint Joseph London

Acute Care Hospitals · London, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180011

Location1001 Saint Joseph LaneLondon, KY 40741 · Laurel County

Emergency services Birthing friendly

Baptist Health Richmond

Acute Care Hospitals · Richmond, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180049

Location801 Eastern BypassRichmond, KY 40475 · Madison County

Emergency services Birthing friendly

Saint Joseph East

Acute Care Hospitals · Lexington, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180143

Location150 North Eagle Creek DriveLexington, KY 40509 · Fayette County

Emergency services Birthing friendly

Saint Joseph Berea

Critical Access Hospitals · Berea, KY

OwnershipVoluntary non-profit - Private

CMS Certification Number181329

Location305 Estill StreetBerea, KY 40403 · Madison County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40403 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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

84%51 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 23

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers41 claims140 services$6.63 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

3 suppliers13 claims13 services$2.95 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

9 suppliers31 claims59 services$1.14 avg. paid by Medicare

Ostomy belt, each A4367

DME-Orthotic Devices · category DF010N

1 supplier11 claims11 services$7.11 avg. paid by Medicare

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385

DME-Orthotic Devices · category DF010N

2 suppliers12 claims240 services$4.92 avg. paid by Medicare

Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each A4390

DME-Orthotic Devices · category DF010N

1 supplier11 claims220 services$9.27 avg. paid by Medicare

Ostomy skin barrier, pectin-based, paste, per ounce A4406

DME-Orthotic Devices · category DF010N

1 supplier11 claims44 services$5.52 avg. paid by Medicare

Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing A6197

DME-Medical/Surgical Supplies · category DA023N

1 supplier11 claims330 services$15.88 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

5 suppliers15 claims87 services$23.82 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

5 suppliers17 claims17 services$69.64 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

5 suppliers11 claims11 services$23.69 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

4 suppliers17 claims17 services$21.03 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

5 suppliers23 claims136 services$2.79 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

5 suppliers11 claims11 services$14.28 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers31 claims31 services$19.93 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$922.57 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

4 suppliers24 claims24 services$6.21 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

3 suppliers24 claims24 services$46.22 avg. paid by Medicare

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

3 suppliers74 claims74 services$103.02 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

1 supplier12 claims720 services$4.41 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

1 supplier12 claims720 services$0.82 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers11 claims11 services$185.12 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

3 suppliers18 claims18 services$26.09 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. DASEN R RITCHEY M.D.

Surgery

305 ESTILL ST
BEREA, KY 40403

Madison County (859) 986-3151

MS. JILLISA D HAWK ARNP

Nurse Practitioner (Family)

305 ESTILL ST
BEREA, KY 40403

Madison County (859) 986-9521

SAINT JOSEPH MEDICAL FOUNDATION, INC

Urology

305 ESTILL ST, 3RD FLOOR
BEREA, KY 40403

Madison County (859) 985-8100

REBECCA BRANDENBURG APRN- CNP

Nurse Practitioner (Psychiatric/Mental Health)

305 ESTILL ST
BEREA, KY 40403

Madison County (859) 985-1415

SAINT JOSEPH MEDICAL FOUNDATION, INC

Otolaryngology

305 ESTILL ST, 3RD FLOOR
BEREA, KY 40403

Madison County (859) 986-6791

SAINT JOSEPH MEDICAL FOUNDATION, INC

Internal Medicine

305 ESTILL ST
BEREA, KY 40403

Madison County (859) 986-3151

PAMELA RENAE FUGATE APRN

Nurse Practitioner (Family)

305 ESTILL ST
BEREA, KY 40403

Madison County (859) 985-1415

DR. ROSHAN PAIS M.D.

Internal Medicine

305 ESTILL ST, HOSPITALIST DEPT
BEREA, KY 40403

Madison County (859) 986-2344

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 Donny Hardy's NPI number?

The NPI number for Donny Hardy is 1811981533. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Where is Donny Hardy located?

Donny Hardy practices at 305 Estill St 4th Floor, Berea, KY 40403. The listed phone number is (859) 986-2343.

What is Donny Hardy's specialty?

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

Is Donny Hardy enrolled in Medicare?

Yes. Donny Hardy 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 Donny Hardy accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Donny Hardy 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 Donny Hardy affiliated with any hospitals?

According to CMS data, Donny Hardy is affiliated with Saint Joseph London, Baptist Health Richmond, Saint Joseph East and Saint Joseph Berea.

When was this NPI record last updated?

The NPPES record for Donny Hardy was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 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.