1. Home
  2. Directory
  3. Kentucky
  4. Lexington
  5. Family Medicine
  6. NPI Profile

STEVEN HIZON MD
NPI 1871055798
Family Medicine in Lexington, KY

Active since April 01, 2019PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
2040 HARRODSBURG RD STE 100, LEXINGTON, KY 40503(859) 899-7990(859) 899-7991 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 20, 2022, Apr 1, 2019 (2 updates tracked since 2019).

About Steven Hizon Md NPPES

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

STEVEN HIZON MD (NPI 1871055798) is an individual family medicine provider in Lexington, Kentucky, licensed in Kentucky (57101) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1871055798
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSTEVEN HIZONCredential: MD
Location Address2040 HARRODSBURG RD STE 100Lexington, KY 40503-1712
Mailing Address5200 Commerce Crossings Dr Fl 3Louisville, KY 40229-2182 · (502) 861-5278
Phone(859) 899-7990
Fax(859) 899-7991
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 1, 2019
Last NPPES UpdateSeptember 20, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2022
✔ NPI 1871055798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 57101
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.
2040 HARRODSBURG RD STE 100, Lexington, KY 40503
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Steven Hizon 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 ID4587040431
PECOS Enrollment IDI20220930000841
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 7

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
105 services60 patients
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.
37 services34 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
34 services30 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
19 services18 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
16 services16 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

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
$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.

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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAEKWON TIMMONS DO
Family Medicine
2040 HARRODSBURG RD STE 100
LEXINGTON, KY 40503
Fayette County (859) 899-7990
MEGAN KILEY SANDBERG
Family Medicine
2040 HARRODSBURG RD STE 100
LEXINGTON, KY 40503
Fayette County (859) 899-7993
MELISSA FAYE BROWN APRN
Nurse Practitioner
2040 HARRODSBURG RD STE 100
LEXINGTON, KY 40503
Fayette County (859) 899-7990

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 Steven Hizon's NPI number?

The NPI number for Steven Hizon is 1871055798. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is Steven Hizon located?

Steven Hizon practices at 2040 Harrodsburg Rd Ste 100, Lexington, KY 40503. The listed phone number is (859) 899-7990.

What is Steven Hizon's specialty?

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

Is Steven Hizon enrolled in Medicare?

Yes. Steven Hizon 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 Steven Hizon accept?

Health plans from CareSource list Steven Hizon 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 Steven Hizon affiliated with any hospitals?

According to CMS data, Steven Hizon is affiliated with Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Steven Hizon was last updated on September 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.