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TIMOTHY DUANE BRAMMELL M.D.
NPI 1962432500
Hospitalist in Lexington, KY

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment
79.84/100
CMS Quality Rating
1401 HARRODSBURG RD, SUITE A-510, LEXINGTON, KY 40504(859) 258-6784(859) 258-6796 Get Directions Write a Review

NPPES record last updated: May 6, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Timothy Duane Brammell M.d. NPPES

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

TIMOTHY DUANE BRAMMELL M.D. (NPI 1962432500) is an individual hospitalist provider in Lexington, Kentucky, licensed in Kentucky (24039) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Floyd, and is a graduate of University Of Louisville School Of Medicine (1984).

NPPES Registry Identity

NPI1962432500
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameTIMOTHY DUANE BRAMMELLCredential: M.D.
Location Address1401 HARRODSBURG RD, SUITE A-510Lexington, KY 40504-3751
Mailing Address1401 Harrodsburg Rd, Suite A-510Lexington, KY 40504-3751 · (859) 258-6784 · Fax (859) 258-6796
Phone(859) 258-6784
Fax(859) 258-6796
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1984
Enumeration DateJuly 3, 2006
Last NPPES UpdateMay 6, 2010
✔ NPI 1962432500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in KY · 24039
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 24039 (KY)
1401 HARRODSBURG RD, Lexington, KY 40504
Open in Google Maps ↗

Other Identifiers 7

Other110245647KY · Rr Medicare Pin
Medicare ID-Type Unspecified0971002KY
Other37903705LA · Medicaid Lab Group
Medicaid64240393KY
Other4000501KY · Medicare Lab Group
OtherCB5773KY · Rr Medicare Group
Medicare UPINC76186

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

Timothy Duane Brammell M.d. 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 ID8820025489
PECOS Enrollment IDI20050726000124, I20240328003069
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
438 services212 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
201 services191 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
122 services66 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Floyd

Acute Care Hospitals · New Albany, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150044
Location1850 State StNew Albany, IN 47150 · Floyd County
Emergency services Birthing friendly

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.

79.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.43
Promoting Interoperability84
Improvement Activities40
Cost71.06

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers63 claims63 services$17.27 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers54 claims54 services$7.59 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
3 suppliers52 claims52 services$94.30 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

OLEVA C SCHOEDLBAUER P.A.-C.
Physician Assistant
1401 HARRODSBURG RD, SUITE A-540
LEXINGTON, KY 40504
Fayette County (859) 258-6760
ARMAGHAN YUNIS SOOMRO MD
Internal Medicine (Interventional Cardiology)
1401 HARRODSBURG RD
LEXINGTON, KY 40504
Fayette County (859) 276-4429
JANALYN PROWS M.D.
Radiology (Radiation Oncology)
1401 HARRODSBURG RD, SUITE A-100
LEXINGTON, KY 40504
Fayette County (859) 258-6505
MR. ROBERT GREG MCMORROW MD
Internal Medicine (Nephrology)
1401 HARRODSBURG RD, C 335
LEXINGTON, KY 40504
Fayette County (859) 276-5355
LAURA RARDIN-ECTON PA-C
Physician Assistant
1401 HARRODSBURG RD, SUITE B275
LEXINGTON, KY 40504
Fayette County (859) 278-2334
DR. JUSTIN DALE JOHNSON M.D.
Urology
1401 HARRODSBURG RD, SUITE C-215
LEXINGTON, KY 40504
Fayette County (859) 258-6450
DANILO CORALES
Internal Medicine
1401 HARRODSBURG RD, B 299
LEXINGTON, KY 40504
Fayette County (859) 276-0714
NEIL R FARRIS MD
Internal Medicine
1401 HARRODSBURG RD, SUITE C215
LEXINGTON, KY 40504
Fayette County (859) 278-9413

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 Timothy Brammell's NPI number?

The NPI number for Timothy Brammell is 1962432500. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Timothy Brammell located?

Timothy Brammell practices at 1401 Harrodsburg Rd Suite A-510, Lexington, KY 40504. The listed phone number is (859) 258-6784.

What is Timothy Brammell's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Timothy Brammell enrolled in Medicare?

Yes. Timothy Brammell 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 Timothy Brammell accept?

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

According to CMS data, Timothy Brammell is affiliated with Baptist Health Floyd.

When was this NPI record last updated?

The NPPES record for Timothy Brammell was last updated on May 6, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.