DR. JOHN THOMAS ADKINS M.D.
NPI 1821040395
Obstetrics & Gynecology in Lexington, KY

Active since May 16, 2006PECOS Enrolled
95.5/100
CMS Quality Rating
1700 NICHOLASVILLE RD, SUITE 701, LEXINGTON, KY 40503(859) 278-0396(859) 277-5414 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 10, 2020, Feb 13, 2017 (2 updates tracked since 2017).

About Dr. John Thomas Adkins M.d. NPPES

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

DR. JOHN THOMAS ADKINS M.D. (NPI 1821040395) is an individual obstetrics & gynecology provider in Lexington, Kentucky, licensed in Kentucky (27229) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821040395
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. JOHN THOMAS ADKINSCredential: M.D.
Location Address1700 NICHOLASVILLE RD, SUITE 701Lexington, KY 40503-1431
Mailing Address1700 Nicholasville Rd, Suite 701Lexington, KY 40503-1431 · (859) 278-0396 · Fax (859) 277-5414
Fax(859) 277-5414
Sole ProprietorNo
Enumeration DateMay 16, 2006
Last NPPES UpdateDecember 10, 20202 updates tracked since enumeration
NPPES CertifiedDecember 10, 2020
NPI 1821040395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in KY · 27229
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1700 NICHOLASVILLE RD, Lexington, KY 40503

Other Identifiers 1

Medicaid64272297KY

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 (PECOS)

Dr. John Thomas Adkins M.d. 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.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services18 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
24 services24 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
20 services20 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 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
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
60%189 patients3/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
92%775 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
51%208 patients3/55-star benchmark: 85%
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.

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.

Obstetrics & Gynecology (Maternal & Fetal Medicine)
1700 NICHOLASVILLE RD, SUITE 703
LEXINGTON, KY 40503
Nurse Practitioner (Family)
1700 NICHOLASVILLE RD, #100
LEXINGTON, KY 40503
Obstetrics & Gynecology
1700 NICHOLASVILLE RD, # 701
LEXINGTON, KY 40503
Obstetrics & Gynecology
1700 NICHOLASVILLE RD, SUITE 701
LEXINGTON, KY 40503
Obstetrics & Gynecology
1700 NICHOLASVILLE RD, SUITE 701
LEXINGTON, KY 40503
Social Worker (Clinical)
1700 NICHOLASVILLE RD, STE. 1100
LEXINGTON, KY 40503
Genetic Counselor, MS
1700 NICHOLASVILLE RD
LEXINGTON, KY 40503
Obstetrics & Gynecology
1700 NICHOLASVILLE RD, STE 701
LEXINGTON, KY 40503

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 John Adkins's NPI number?

The NPI number for John Adkins is 1821040395. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is John Adkins located?

John Adkins practices at 1700 Nicholasville Rd Suite 701, Lexington, KY 40503. The listed phone number is (859) 278-0396.

What is John Adkins's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is John Adkins enrolled in Medicare?

Yes. John Adkins is registered in the Medicare PECOS enrollment system.

What insurance does John Adkins accept?

Health plans from CareSource list John Adkins 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 John Adkins was last updated on December 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.