DR. KYLIE SHEA RICE DO
NPI 1972130540
Internal Medicine in Ashland, KY

Active since March 24, 2020PECOS EnrolledAccepts Medicare Assignment
82.94/100
CMS Quality Rating
2201 LEXINGTON AVE, ASHLAND, KY 41101(606) 408-4000 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 18, 2023, Mar 23, 2023, Oct 3, 2022 and 3 more (6 updates tracked since 2020).

About Dr. Kylie Shea Rice Do NPPES

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

DR. KYLIE SHEA RICE DO (NPI 1972130540) is an individual internal medicine provider in Ashland, Kentucky, licensed in Kentucky (05323) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and is a graduate of University Of Pikeville, Kentucky College Of Osteopathic Med (2020).

NPPES Registry Identity

NPI1972130540
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. KYLIE SHEA RICECredential: DO
Location Address2201 LEXINGTON AVEAshland, KY 41101-2843
Mailing AddressPo Box 2379Ashland, KY 41105-2379 · (606) 408-4000
Sole ProprietorNo
Medical School CMSUniversity Of Pikeville, Kentucky College Of Osteopathic MedGraduated 2020
Enumeration DateMarch 24, 2020
Last NPPES UpdateJuly 18, 20236 updates tracked since enumeration
NPPES CertifiedJuly 18, 2023
NPI 1972130540 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 · 05323
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 ListedEmergency MedicineTaxonomy 207P00000X · License 05323 (KY)
2201 LEXINGTON AVE, Ashland, KY 41101

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 and accepts Medicare assignment

Dr. Kylie Shea Rice Do 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 ID6103204177
PECOS Enrollment IDI20220602002592
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 7

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 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.
448 services192 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.
216 services210 patients
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.
204 services125 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
122 services121 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
68 services68 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
26 services26 patients

Hospital Affiliations CMS Care Compare 5

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

Tug Valley Arh Regional Medical Center

Acute Care Hospitals · South Williamson, KY
1/5 CMS rating
OwnershipProprietary
CMS Certification Number180069
Location260 Hospital DriveSouth Williamson, KY 41503 · Pike County
Emergency services

Paul B Hall Regional Medical Center

Acute Care Hospitals · Paintsville, KY
1/5 CMS rating
OwnershipProprietary
CMS Certification Number180078
Location625 James S Trimble BoulevardPaintsville, KY 41240 · Johnson County
Emergency services

Three Rivers Medical Center

Acute Care Hospitals · Louisa, KY
3/5 CMS rating
OwnershipProprietary
CMS Certification Number180128
Location2485 Highway 644Louisa, KY 41230 · Lawrence County
Emergency services

Lake Cumberland Regional Hospital

Acute Care Hospitals · Somerset, KY
2/5 CMS rating
OwnershipProprietary
CMS Certification Number180132
Location305 Langdon StreetSomerset, KY 42503 · Pulaski County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41101 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.

82.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.01
Promoting Interoperability100
Improvement Activities40
Cost65.57

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.

Emergency Medicine
2201 LEXINGTON AVE
ASHLAND, KY 41101
Nurse Practitioner (Family)
2201 LEXINGTON AVE
ASHLAND, KY 41101
Emergency Medicine
2201 LEXINGTON AVE
ASHLAND, KY 41101
Specialist
2201 LEXINGTON AVE, SUITE 8B
ASHLAND, KY 41101
Nurse Anesthetist, Certified Registered
2201 LEXINGTON AVE
ASHLAND, KY 41101
Pharmacist
2201 LEXINGTON AVE
ASHLAND, KY 41101
Hospitalist
2201 LEXINGTON AVE
ASHLAND, KY 41101
Durable Medical Equipment & Medical Supplies
2201 LEXINGTON AVE
ASHLAND, KY 41101

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 Kylie Rice's NPI number?

The NPI number for Kylie Rice is 1972130540. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Where is Kylie Rice located?

Kylie Rice practices at 2201 Lexington Ave, Ashland, KY 41101. The listed phone number is (606) 408-4000.

What is Kylie Rice's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kylie Rice enrolled in Medicare?

Yes. Kylie Rice 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 Kylie Rice accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Kylie Rice 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 Kylie Rice affiliated with any hospitals?

According to CMS data, Kylie Rice is affiliated with King's Daughters' Medical Center, Tug Valley Arh Regional Medical Center, Paul B Hall Regional Medical Center, Three Rivers Medical Center and Lake Cumberland Regional Hospital.

When was this NPI record last updated?

The NPPES record for Kylie Rice was last updated on July 18, 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.