DR. JOHN E. PAPPAS M.D.
NPI 1922219294
Internal Medicine in Pikeville, KY
About Dr. John E. Pappas M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN E. PAPPAS M.D. (NPI 1922219294) is an individual internal medicine provider in Pikeville, Kentucky, licensed in Kentucky (17920) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Lexington.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. John E. Pappas M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show John Pappas reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Crab Orchard, KY 40419
- Reassigned Medicare billing, Kentucky enrollment
- 25 clinicians in this Medicare group
Lexington, KY 40504
- Reassigned Medicare billing, Kentucky enrollment
- 8 clinicians in this Medicare group
Frankfort, KY 40601
- Reassigned Medicare billing, Kentucky enrollment
Louisville, KY 40220
- Reassigned Medicare billing, Kentucky enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 41501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PIKEVILLE, KY 41501
PIKEVILLE, KY 41501
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 Pappas's NPI number?
The NPI number for John Pappas is 1922219294. It was assigned to this individual provider in the NPPES registry on May 25, 2007.
Where is John Pappas located?
John Pappas practices at 255 Church St Ste 101, Pikeville, KY 41501. The listed phone number is (606) 432-5660.
What is John Pappas's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is John Pappas enrolled in Medicare?
Yes. John Pappas is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for John Pappas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Pappas reassigns Medicare benefits to 4 organizations: Primary Care Of The Bluegrass, LLC (Crab Orchard, KY), Resurrection Treatment Clinics LLC (Lexington, KY), Vbh Kentucky Inc (Frankfort, KY) and Workit Health Mi PLLC (Louisville, 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 John Pappas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Pappas accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list John Pappas 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 Pappas was last updated on March 7, 2023. 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.
# Dr. John E. Pappas, M.D. · NPI 1922219294
Internal Medicine physician in Pikeville, Kentucky. Individual provider, active in the CMS NPPES registry since May 25, 2007.
## Identity
- **NPI:** 1922219294 (Entity type: Individual)
- **Enumerated:** May 25, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 17920 (Kentucky)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 255 CHURCH ST STE 101, Pikeville, KY 41501-3476
- **Phone:** (606) 432-5660
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Primary Care Of The Bluegrass, LLC (NPI 1942463096, Crab Orchard, KY); Resurrection Treatment Clinics LLC (NPI 1548633415, Lexington, KY); Vbh Kentucky Inc (NPI 1154909190, Frankfort, KY); Workit Health Mi PLLC (NPI 1366017758, Louisville, KY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 7, 2023
- **Other identifiers:** Medicaid 64179203 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1922219294) · Data from the CMS NPPES public registry.