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DR. THOMAS ANDREW DALE II M.D.
NPI 1851377915
Family Medicine in Lexington, KY

Active since December 21, 2005PECOS Enrolled
740 SOUTH LIMESTONE STREET, UHS B-163 KENTUCKY CLINIC, LEXINGTON, KY 40536(859) 323-5823(859) 323-1119 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Thomas Andrew Dale Ii M.d. NPPES

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

DR. THOMAS ANDREW DALE II M.D. (NPI 1851377915) is an individual family medicine provider in Lexington, Kentucky, licensed in Kentucky (16779) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851377915
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. THOMAS ANDREW DALE IICredential: M.D.
Location Address740 SOUTH LIMESTONE STREET, UHS B-163 KENTUCKY CLINICLexington, KY 40536-0001
Mailing Address740 South Limestone Street, Uhs B-163 Kentucky ClinicLexington, KY 40536-0001 · (859) 323-5823 · Fax (859) 323-1119
Phone(859) 323-5823
Fax(859) 323-1119
Sole ProprietorNo
Enumeration DateDecember 21, 2005
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1851377915 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 · 16779
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 16779 (KY)

Other Identifiers 1

Medicaid64167794KY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas Andrew Dale Ii 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Thomas Dale reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southeastern Emergency Physicians LLC
Emergency Medicine
989 MEDICAL PARK DR
Maysville, KY 41056
  • Reassigned Medicare billing, Kentucky enrollment
  • 828 clinicians in this Medicare group
NPI 1356379382 (606) 759-5311
University Of Kentucky
Clinical
740 S LIMESTONE, STE E214
Lexington, KY 40536
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,761 clinicians in this Medicare group
NPI 1144699752 (859) 323-5500

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 40536 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.

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 Thomas Dale's NPI number?

The NPI number for Thomas Dale is 1851377915. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Where is Thomas Dale located?

Thomas Dale practices at 740 South Limestone Street Uhs B-163 Kentucky Clinic, Lexington, KY 40536. The listed phone number is (859) 323-5823.

What is Thomas Dale's specialty?

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

Is Thomas Dale enrolled in Medicare?

Yes. Thomas Dale is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Thomas Dale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Dale reassigns Medicare benefits to 2 organizations: Southeastern Emergency Physicians LLC (Maysville, KY) and University Of Kentucky (Lexington, 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 Thomas Dale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Thomas Dale was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.