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ERNEST THOMPSON O'NEAL M.D.
NPI 1942425426
Family Medicine in Wilmore, KY

Active since April 17, 2007PECOS Enrolled
95.5/100
CMS Quality Rating
320 BELLEVUE AVE, WILMORE, KY 40390(859) 858-0609 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ernest Thompson O'neal M.d. NPPES

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

ERNEST THOMPSON O'NEAL M.D. (NPI 1942425426) is an individual family medicine provider in Wilmore, Kentucky, licensed in Kentucky (18761) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942425426
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameERNEST THOMPSON O'NEALCredential: M.D.
Location Address320 BELLEVUE AVEWilmore, KY 40390-1010
Mailing Address320 Bellevue AveWilmore, KY 40390-1010 · (859) 858-0609
Phone(859) 858-0609
Sole ProprietorYes
Enumeration DateApril 17, 2007
Last NPPES UpdateDecember 7, 2020
NPPES CertifiedDecember 7, 2020
✔ NPI 1942425426 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 · 18761
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.

320 BELLEVUE AVE, Wilmore, KY 40390
Open in Google Maps ↗

Other Identifiers 1

Medicaid64047954KY

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 (PECOS)

Ernest Thompson O'neal 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40390 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

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 Ernest O'neal's NPI number?

The NPI number for Ernest O'neal is 1942425426. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is Ernest O'neal located?

Ernest O'neal practices at 320 Bellevue Ave, Wilmore, KY 40390. The listed phone number is (859) 858-0609.

What is Ernest O'neal's specialty?

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

Is Ernest O'neal enrolled in Medicare?

Yes. Ernest O'neal is registered in the Medicare PECOS enrollment system.

What insurance does Ernest O'neal accept?

Health plans from CareSource list Ernest O'neal 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 Ernest O'neal was last updated on December 7, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.