CARLOS JAVIER RAMIREZ-ICAZA MD
NPI 1952494825
Internal Medicine - Pulmonary Disease in Lexington, KY

Q: What is Carlos Ramirez-icaza's NPI number?

The NPI number for Carlos Ramirez-icaza is 1952494825. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Q: What is Carlos Ramirez-icaza's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment

80.89/100

CMS Quality Rating

1225 S BROADWAY STE 201, LEXINGTON, KY 40504(859) 258-4568(859) 258-4698 Get Directions Write a Review

NPPES record last updated: July 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 26, 2023, Oct 27, 2020, Mar 12, 2020 and 1 more (4 updates tracked since 2018).

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About Carlos Javier Ramirez-icaza Md NPPES

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

CARLOS JAVIER RAMIREZ-ICAZA MD (NPI 1952494825) is an individual pulmonary disease provider in Lexington, Kentucky, licensed in Kentucky (38093) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Hospital, and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1952494825

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameCARLOS JAVIER RAMIREZ-ICAZACredential: MD

Location Address1225 S BROADWAY STE 201Lexington, KY 40504-2701

Mailing Address1221 S BroadwayLexington, KY 40504-2701 · (859) 258-6200 · Fax (859) 258-6203

Phone(859) 258-4568

Fax(859) 258-4698

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 1997

Enumeration DateOctober 2, 2006

Last NPPES UpdateJuly 26, 20234 updates tracked since enumeration

NPPES CertifiedJuly 26, 2023

✔ NPI 1952494825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in KY · 38093

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 38093 (KY)

Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 38093 (KY)

1225 S BROADWAY STE 201, Lexington, KY 40504

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Secondary Practice Location 1

Location 13430 Newburg Rd, Suite 150Louisville, KY 40218-2497 · Phone (502) 459-9127 · Fax (502) 459-2156

Other Identifiers 1

Medicaid200245580IN

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

Carlos Javier Ramirez-icaza 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 ID6002713104

PECOS Enrollment IDI20031217000263

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 11

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.

695 services382 patients

Sleep study including heart rate, breathing, airflow, and effort 95806

A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.

228 services120 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

167 services165 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

145 services142 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

144 services141 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.

126 services126 patients

Hospital Affiliations CMS Care Compare

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

Saint Joseph Hospital

Acute Care Hospitals · Lexington, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number180010

LocationOne Saint Joseph DriveLexington, KY 40504 · Fayette County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40504 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.

80.89/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

62.29

Promoting Interoperability

100

Improvement Activities

Cost

Referred Medical Equipment & Supplies CMS DME claims 29

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

13 suppliers193 claims193 services$32.02 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

19 suppliers265 claims265 services$71.63 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

18 suppliers267 claims731 services$26.62 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

12 suppliers111 claims587 services$14.68 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

12 suppliers119 claims673 services$12.01 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

17 suppliers239 claims239 services$42.96 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

24 suppliers269 claims269 services$15.08 avg. paid by Medicare

Chinstrap used with positive airway pressure device A7036

DME-Other DME · category DE001N

7 suppliers29 claims29 services$8.10 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

19 suppliers263 claims263 services$9.29 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

24 suppliers482 claims2,650 services$1.60 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

17 suppliers142 claims142 services$4.76 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

20 suppliers210 claims210 services$10.73 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

6 suppliers151 claims151 services$13.72 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

3 suppliers25 claims26 services$37.11 avg. paid by Medicare

Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) E0465

DME-Other DME · category DE005N

2 suppliers19 claims19 services$904.79 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

4 suppliers54 claims54 services$916.85 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

3 suppliers27 claims27 services$65.14 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

6 suppliers28 claims28 services$114.75 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

4 suppliers47 claims47 services$9.14 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

6 suppliers64 claims64 services$2.98 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

12 suppliers356 claims358 services$25.95 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

10 suppliers242 claims242 services$59.71 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

4 suppliers42 claims42 services$29.77 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

1 supplier12 claims720 services$4.67 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

7 suppliers62 claims3,720 services$6.49 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

13 suppliers60 claims9,055 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

6 suppliers11 claims1,380 services$0.10 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

9 suppliers69 claims4,512 services$0.79 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

21 suppliers112 claims112 services$24.90 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 7

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

STACEY M ANDERSON APRN

Nurse Practitioner

1225 S BROADWAY STE 201
LEXINGTON, KY 40504

Fayette County (859) 258-4950

DR. FREDERICK JAY ROSENBLUM MD

Internal Medicine (Pulmonary Disease)

1225 S BROADWAY STE 201
LEXINGTON, KY 40504

Fayette County (859) 258-4568

AYORINDE A MEDAIYESE MD

Internal Medicine (Pulmonary Disease)

1225 S BROADWAY STE 201
LEXINGTON, KY 40504

Fayette County (859) 258-4568

HANNAH ELISE SINCLAIR PA-C

Physician Assistant

1225 S BROADWAY STE 201
LEXINGTON, KY 40504

Fayette County (859) 258-4698

MRS. MARY KATELYNN DEBACHER PA-C

Physician Assistant

1225 S BROADWAY STE 201
LEXINGTON, KY 40504

Fayette County (859) 258-4568

DR. MATTHEW JAMES CRAIG M.D.

Internal Medicine (Pulmonary Disease)

1225 S BROADWAY STE 201
LEXINGTON, KY 40504

Fayette County (859) 258-4568

NEW LEXINGTON CLINIC, PSC

Internal Medicine (Pulmonary Disease)

1225 S BROADWAY STE 201
LEXINGTON, KY 40504

Fayette County (859) 258-4568

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 Carlos Ramirez-icaza's NPI number?

The NPI number for Carlos Ramirez-icaza is 1952494825. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Carlos Ramirez-icaza located?

Carlos Ramirez-icaza practices at 1225 S Broadway Ste 201, Lexington, KY 40504. The listed phone number is (859) 258-4568.

What is Carlos Ramirez-icaza's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Carlos Ramirez-icaza enrolled in Medicare?

Yes. Carlos Ramirez-icaza 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.

Is Carlos Ramirez-icaza affiliated with any hospitals?

According to CMS data, Carlos Ramirez-icaza is affiliated with Saint Joseph Hospital.

When was this NPI record last updated?

The NPPES record for Carlos Ramirez-icaza was last updated on July 26, 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.