DR. JOHN E. PAPPAS M.D.
NPI 1922219294
Internal Medicine in Pikeville, KY

Active since May 25, 2007PECOS Enrolled
255 CHURCH ST STE 101, PIKEVILLE, KY 41501(606) 432-5660 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2023, May 26, 2021 (2 updates tracked since 2021).

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

NPI1922219294
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOHN E. PAPPASCredential: M.D.
Location Address255 CHURCH ST STE 101Pikeville, KY 41501-3476
Mailing Address354 Waller Ave, Suite 110Lexington, KY 40504-2928 · (859) 225-5672 · Fax (859) 276-1020
Sole ProprietorYes
Enumeration DateMay 25, 2007
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedOctober 29, 2021
NPI 1922219294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in KY · 17920
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.

Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X · License 17920 (KY)
255 CHURCH ST STE 101, Pikeville, KY 41501

Secondary Practice Location 1

Location 1354 Waller Ave, Suite 110Lexington, KY 40504-2928 · Phone (859) 225-5672 · Fax (859) 276-1020

Other Identifiers 1

Medicaid64179203KY

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 E. Pappas 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

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.
81 services11 patients

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.

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.

Other Providers at the Same Location NPPES 14

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

Durable Medical Equipment & Medical Supplies
255 CHURCH ST STE 101
PIKEVILLE, KY 41501
Non-Pharmacy Dispensing Site
255 CHURCH ST STE 101
PIKEVILLE, KY 41501
Nurse Practitioner (Family)
255 CHURCH ST STE 101
PIKEVILLE, KY 41501
Nurse Practitioner (Family)
255 CHURCH ST STE 101
PIKEVILLE, KY 41501
Family Medicine
255 CHURCH ST STE 101
PIKEVILLE, KY 41501
Nurse Practitioner
255 CHURCH ST STE 101
PIKEVILLE, KY 41501
Nurse Practitioner (Family)
255 CHURCH ST STE 101
PIKEVILLE, KY 41501
Nurse Practitioner (Family)
255 CHURCH ST STE 101
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.

What insurance does John Pappas accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Providence Health Plan 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 with the weekly NPPES data releases published by CMS.