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DR. JOHN NICHOLAS ALCORN MD
NPI 1912536004
Internal Medicine in Lexington, KY

Active since April 02, 2020PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
900 S LIMESTONE CTW 304, LEXINGTON, KY 40536(859) 323-9918(859) 323-1197 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 21, 2023, Apr 2, 2020 (2 updates tracked since 2020).

About Dr. John Nicholas Alcorn Md NPPES

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

DR. JOHN NICHOLAS ALCORN MD (NPI 1912536004) is an individual internal medicine provider in Lexington, Kentucky, licensed in Kentucky (58249) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Richmond, and is a graduate of University Of Kentucky College Of Medicine (2020).

NPPES Registry Identity

NPI1912536004
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOHN NICHOLAS ALCORNCredential: MD
Location Address900 S LIMESTONE CTW 304Lexington, KY 40536-0293
Mailing Address900 S Limestone Ctw 304Lexington, KY 40536-0293 · (859) 323-9918 · Fax (859) 323-1197
Phone(859) 323-9918
Fax(859) 323-1197
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2020
Enumeration DateApril 2, 2020
Last NPPES UpdateAugust 21, 20232 updates tracked since enumeration
NPPES CertifiedAugust 21, 2023
✔ NPI 1912536004 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 · 58249
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.
900 S LIMESTONE CTW 304, Lexington, KY 40536
Open in Google Maps ↗

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

Dr. John Nicholas Alcorn 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 ID3971906496
PECOS Enrollment IDI20230712000752
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 6

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.
77 services36 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.
51 services28 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 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.
20 services18 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
18 services14 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

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

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 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
$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.

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 20

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

DR. MISA ITO MD PHD
Student in an Organized Health Care Education/Training Program
900 S LIMESTONE CTW 304
LEXINGTON, KY 40536
Fayette County (859) 323-6561
CHRISTINE ELIZABETH MARLOW MD
Student in an Organized Health Care Education/Training Program
900 S LIMESTONE CTW 304
LEXINGTON, KY 40536
Fayette County (859) 323-2834
JOSHUA TALLENT MD
Student in an Organized Health Care Education/Training Program
900 S LIMESTONE CTW 304
LEXINGTON, KY 40536
Fayette County (859) 323-2834
KATHARINE HUNTER COOK DO
Student in an Organized Health Care Education/Training Program
900 S LIMESTONE CTW 304
LEXINGTON, KY 40536
Fayette County (859) 323-2834
MEAGAN SCHAEFFNER
Internal Medicine
900 S LIMESTONE CTW 304
LEXINGTON, KY 40536
Fayette County (859) 323-9918
DR. BRENNA RENEE KAELIN MD
Student in an Organized Health Care Education/Training Program
900 S LIMESTONE CTW 304
LEXINGTON, KY 40536
Fayette County (859) 323-6561
STEVEN MICHAEL HALL DO
Student in an Organized Health Care Education/Training Program
900 S LIMESTONE CTW 304
LEXINGTON, KY 40536
Fayette County (859) 323-2834
DR. ANDREW JAMES KENNEDY MD
Student in an Organized Health Care Education/Training Program
900 S LIMESTONE CTW 304
LEXINGTON, KY 40536
Fayette County (859) 323-6561

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 Alcorn's NPI number?

The NPI number for John Alcorn is 1912536004. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is John Alcorn located?

John Alcorn practices at 900 S Limestone Ctw 304, Lexington, KY 40536. The listed phone number is (859) 323-9918.

What is John Alcorn's specialty?

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

Is John Alcorn enrolled in Medicare?

Yes. John Alcorn 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 John Alcorn accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list John Alcorn 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 John Alcorn affiliated with any hospitals?

According to CMS data, John Alcorn is affiliated with Baptist Health Richmond and Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for John Alcorn was last updated on August 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.