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DR. JOHN WILLIAM KITCHENS M.D.
NPI 1972503993
Ophthalmology - Retina Specialist in Lexington, KY

Active since August 01, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
120 N EAGLE CREEK DR, STE 500, LEXINGTON, KY 40509(859) 263-3900(859) 263-3757 Get Directions Write a Review

NPPES record last updated: May 8, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 8, 2017, Jul 14, 2016 (2 updates tracked since 2016).

About Dr. John William Kitchens M.d. NPPES

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

DR. JOHN WILLIAM KITCHENS M.D. (NPI 1972503993) is an individual retina specialist in Lexington, Kentucky, licensed in Kentucky (39202) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Ephraim Mcdowell Regional Medical Center, and is a graduate of Indiana University School Of Medicine (1999).

NPPES Registry Identity

NPI1972503993
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameDR. JOHN WILLIAM KITCHENSCredential: M.D.
Location Address120 N EAGLE CREEK DR, STE 500Lexington, KY 40509-1827
Mailing Address120 N Eagle Creek Dr, Ste 500Lexington, KY 40509-1827 · (859) 263-3900 · Fax (859) 263-3757
Phone(859) 263-3900
Fax(859) 263-3757
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1999
Enumeration DateAugust 1, 2005
Last NPPES UpdateMay 8, 20172 updates tracked since enumeration
✔ NPI 1972503993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License✔ Licensed in KY · 39202
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X · License 39202 (KY)
120 N EAGLE CREEK DR, Lexington, KY 40509
Open in Google Maps ↗

Other Identifiers 6

Medicare UPINH96804KY
Medicare PINP00222584KY
Medicaid2589239OH
Medicare PIN1101623KY
Medicaid3810013604WV
Medicaid64097751KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. John William Kitchens 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 ID8527966977
PECOS Enrollment IDI20050404000509, I20200421000229
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.

Medicare Billing Reassignments

2

Medicare enrollment records show John Kitchens reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Retina And Vitreous Associates Of Kentucky PLLC
Same address
Retina Specialist
120 N EAGLE CREEK DR, STE 500
Lexington, KY 40509
  • Reassigned Medicare billing, Indiana and Kentucky enrollments
  • 3 clinicians in this Medicare group
NPI 1619949971 (859) 263-3900
Rocky Mountain Retina Associates, Inc.
1,119 mi
Ophthalmology
1330 VIVIAN ST
Longmont, CO 80501
  • Reassigned Medicare billing, Colorado enrollment
  • 4 clinicians in this Medicare group
NPI 1396182127 (303) 900-8507

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 15

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
27,840 services82 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
2,502 services1,019 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
1,830 services452 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
1,324 services206 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
905 services639 patients
Injection, ranibizumab, 0.1 mg J2778
Ranibizumab is a medication given via injection to treat certain eye conditions like age-related macular degeneration. It works by slowing vision loss and in some cases, improving vision by blocking abnormal blood vessel growth in the eye.
463 services23 patients

Hospital Affiliations CMS Care Compare

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

Ephraim Mcdowell Regional Medical Center

Acute Care Hospitals · Danville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180048
Location217 South Third StreetDanville, KY 40422 · Boyle County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40509 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
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%581 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus…
92%495 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed which included documentation of the level of severity of retinopathy and the presence or absence of macular edema during…
97%500 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%4,626 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
92%570 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%812 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
76%2,674 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
93%133 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
90%2,674 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
79%2,674 patients5/55-star benchmark: 79%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 1,349 patients
0%1,349 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

PALAK B WALL MD PLLC
Ophthalmology
120 N EAGLE CREEK DR
LEXINGTON, KY 40509
Fayette County (614) 565-6088
M2K INTERNAL MEDICINE, PSC
Internal Medicine
120 N EAGLE CREEK DR, SUITE 321
LEXINGTON, KY 40509
Fayette County (859) 233-1490
DR. KACI M WATHEN AUD
Audiologist-Hearing Aid Fitter
120 N EAGLE CREEK DR
LEXINGTON, KY 40509
Fayette County (859) 629-7140
SAINT JOSEPH MEDICAL FOUNDATION, INC
Internal Medicine (Pulmonary Disease)
120 N EAGLE CREEK DR, SUITE 350
LEXINGTON, KY 40509
Fayette County (859) 967-5648
GERALD W. ELLIOTT M.D.
Dermatology
120 N EAGLE CREEK DR, SUITE 360
LEXINGTON, KY 40509
Fayette County (859) 258-5270
MARY RACHEL MCGUFFEY M.D.
Pediatrics
120 N EAGLE CREEK DR, SUITE 250
LEXINGTON, KY 40509
Fayette County (859) 258-5141
BELINDA L SHIRKEY M.D.
Ophthalmology (Retina Specialist)
120 N EAGLE CREEK DR, STE 500
LEXINGTON, KY 40509
Fayette County (859) 263-3900
DR. WILLIAM J. WOOD M.D.
Ophthalmology (Retina Specialist)
120 N EAGLE CREEK DR, STE 500
LEXINGTON, KY 40509
Fayette County (859) 263-3900

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 John Kitchens's NPI number?

The NPI number for John Kitchens is 1972503993. It was assigned to this individual provider in the NPPES registry on August 1, 2005.

Where is John Kitchens located?

John Kitchens practices at 120 N Eagle Creek Dr Ste 500, Lexington, KY 40509. The listed phone number is (859) 263-3900.

What is John Kitchens's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is John Kitchens enrolled in Medicare?

Yes. John Kitchens 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.

Which organizations bill Medicare for John Kitchens's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Kitchens reassigns Medicare benefits to 2 organizations: Retina And Vitreous Associates Of Kentucky PLLC (Lexington, KY) and Rocky Mountain Retina Associates, Inc. (Longmont, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Kitchens's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Kitchens accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list John Kitchens 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 John Kitchens affiliated with any hospitals?

According to CMS data, John Kitchens is affiliated with Ephraim Mcdowell Regional Medical Center.

When was this NPI record last updated?

The NPPES record for John Kitchens was last updated on May 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.