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ROBERTO GEDALY MD
NPI 1962469361
Transplant Surgery in Lexington, KY

Active since April 28, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
800 ROSE STREET, LEXINGTON, KY 40536(859) 323-1691 Get Directions Write a Review

NPPES record last updated: March 25, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Roberto Gedaly Md NPPES

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

ROBERTO GEDALY MD (NPI 1962469361) is an individual transplant surgery provider in Lexington, Kentucky, licensed in Kentucky (40004) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1962469361
Entity TypeIndividualMale
Primary Taxonomy204F00000X
Provider Legal NameROBERTO GEDALYCredential: MD
Location Address800 ROSE STREETLexington, KY 40536-0001
Mailing Address740 S Limestone, Suite K 301Lexington, KY 40536-0284 · (859) 323-4661 · Fax (859) 257-3644
Phone(859) 323-1691
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateApril 28, 2006
Last NPPES UpdateMarch 25, 2016
✔ NPI 1962469361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTransplant SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204F00000X
License✔ Licensed in KY · 40004
Definition

A surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee

800 ROSE STREET, Lexington, KY 40536
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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

Roberto Gedaly 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 ID9638188428
PECOS Enrollment IDI20060405000634
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 2

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.

Follow-up hospital inpatient care per day, typically 35 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.
210 services40 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.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180009
Location2201 Lexington AvenueAshland, KY 41101 · Boyd County
Emergency services

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers32 claims5,612 services$0.33 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier17 claims7,500 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers39 claims5,360 services$0.20 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
3 suppliers40 claims40 services$17.51 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers46 claims55 services$12.65 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.

DR. JESSICA HORNE M.D.
Emergency Medicine
800 ROSE STREET
LEXINGTON, KY 40536
Fayette County (858) 323-5908
WILLIAM T. CONNER M.D.
Urology
800 ROSE STREET, ROOM 283
LEXINGTON, KY 40536
Fayette County (859) 323-6679
DR. SUBODH MUKUND LELE MD
Pathology (Anatomic Pathology)
800 ROSE STREET
LEXINGTON, KY 40536
Fayette County (859) 323-5424
DR. RICHARD KIELAR MD
Pathology (Anatomic Pathology)
800 ROSE STREET
LEXINGTON, KY 40536
Fayette County (859) 323-5425
PHILLIP CHANG MD
Surgery
800 ROSE STREET, UKMC RM C221
LEXINGTON, KY 40536
Fayette County (859) 323-6346
VICTOR A FERRARIS MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
800 ROSE STREET
LEXINGTON, KY 40536
Fayette County (859) 323-6494
DINESH RANJAN MD
Transplant Surgery
800 ROSE STREET
LEXINGTON, KY 40536
Fayette County (859) 323-1691
KATHRYN DILLON MD
Obstetrics & Gynecology (Gynecology)
800 ROSE STREET
LEXINGTON, KY 40536
Fayette County (859) 323-5345

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 Roberto Gedaly's NPI number?

The NPI number for Roberto Gedaly is 1962469361. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Where is Roberto Gedaly located?

Roberto Gedaly practices at 800 Rose Street, Lexington, KY 40536. The listed phone number is (859) 323-1691.

What is Roberto Gedaly's specialty?

The primary specialty registered for this NPI is Transplant Surgery with taxonomy code 204F00000X.

Is Roberto Gedaly enrolled in Medicare?

Yes. Roberto Gedaly 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 Roberto Gedaly affiliated with any hospitals?

According to CMS data, Roberto Gedaly is affiliated with King's Daughters' Medical Center and University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Roberto Gedaly was last updated on March 25, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.