DR. JUSTIN ALEXANDER SAUNDERS M.D.
NPI 1982876256
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Lexington, KY

Q: What is Justin Saunders's NPI number?

The NPI number for Justin Saunders is 1982876256. It was assigned to this individual provider in the NPPES registry on March 27, 2008.

Q: What is Justin Saunders's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Q: When was this NPI record last updated?

The NPPES record for Justin Saunders was last updated on May 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since March 27, 2008PECOS EnrolledAccepts Medicare Assignment

62.42/100

CMS Quality Rating

1517 NICHOLASVILLE RD, DOCTORS PARK, SUITE 101, LEXINGTON, KY 40503(859) 277-4403(859) 277-4405 Get Directions Write a Review

NPPES record last updated: May 18, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Justin Alexander Saunders M.d. NPPES

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

DR. JUSTIN ALEXANDER SAUNDERS M.D. (NPI 1982876256) is an individual ophthalmic plastic and reconstructive surgery provider in Lexington, Kentucky, licensed in Kentucky (46941) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and is a graduate of University Of Kentucky College Of Medicine (2008).

NPPES Registry Identity

NPI1982876256

Entity TypeIndividualMale

Primary Taxonomy207WX0200X

Provider Legal NameDR. JUSTIN ALEXANDER SAUNDERSCredential: M.D.

Location Address1517 NICHOLASVILLE RD, DOCTORS PARK, SUITE 101Lexington, KY 40503-1429

Mailing Address1517 Nicholasville Rd, Doctors Park, Suite 101Lexington, KY 40503-1429 · (859) 277-4403 · Fax (859) 277-4405

Phone(859) 277-4403

Fax(859) 277-4405

Sole ProprietorNo

Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2008

Enumeration DateMarch 27, 2008

Last NPPES UpdateMay 18, 2016

✔ NPI 1982876256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207WX0200X

Licenses✔ Licensed in KY · 46941✔ Licensed in OH · 127828

Definition

A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.

Also ListedOphthalmologyTaxonomy 207W00000X · License 46941 (KY)

1517 NICHOLASVILLE RD, Lexington, KY 40503

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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

Dr. Justin Alexander Saunders 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 ID2860658069

PECOS Enrollment IDI20140509001103

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 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, onabotulinumtoxina, 1 unit J0585

Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.

487 services15 patients

New patient problem focused exam of visual system 92002

A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.

104 services104 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

96 services70 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

88 services88 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

77 services77 patients

Removal of growth of eyelid 67840

The removal of an eyelid growth is a procedure performed to eliminate abnormal tissue from your eyelid. It's generally a quick, outpatient treatment. The doctor numbs your eyelid, carefully removes the growth, and may stitch the area if necessary. This can help maintain eye health and vision.

56 services50 patients

Repair of tendon of upper eyelid 67904

Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.

53 services51 patients

Removal of excessive skin and fat of upper eyelid 15823

This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.

52 services52 patients

Injection of chemical for paralysis of nerve muscles on side of face 64612

This procedure involves injecting a chemical into specific facial nerves, causing temporary muscle paralysis. It's used to treat conditions like facial spasms or wrinkles. The effects are usually temporary, requiring repeat treatments.

34 services18 patients

Probing of nasal tear duct 68840

Probing of the nasal tear duct is a procedure to treat blocked tear ducts. A thin, flexible instrument is gently inserted into the tear duct to clear any obstruction, allowing tears to drain normally again. This procedure is typically quick and can help to alleviate symptoms like excessive tearing or infection.

29 services27 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.

25 services23 patients

Exam of visual field with limited testing 92081

An exam of the visual field with limited testing is a quick check of your peripheral vision. It involves identifying objects or movements at the edge of your sight, helping to detect any vision loss that isn't obvious, such as blind spots or areas of reduced vision.

20 services20 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.

17 services17 patients

Extensive repair of turning-inward eyelid defect 67924

This procedure helps correct an eyelid defect where the eyelid turns inward, causing discomfort or vision issues. A surgeon makes precise adjustments to the eyelid's structure, alleviating the inward turn and improving eye health and comfort.

13 services12 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number180103

Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 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.

62.42/100

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

Individually scored

Quality

86.23

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Provide Patients Electronic Access to Their Health Information

74%1,865 patients3/55-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 14

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

ALEXANDER J. TIKHTMAN, M.D., P.S.C.

Psychiatry & Neurology (Neurology)

1517 NICHOLASVILLE RD, SUITE 403
LEXINGTON, KY 40503

Fayette County (859) 276-6168

THOMAS AND STEVENS

Social Worker (Clinical)

1517 NICHOLASVILLE RD, STE. 400
LEXINGTON, KY 40503

Fayette County (859) 276-5285

AMY KATHLEEN MIDKIFF D.M.D.

Dentist (General Practice)

1517 NICHOLASVILLE RD, SUITE 202
LEXINGTON, KY 40503

Fayette County (859) 278-3122

DAVID JOSEPH MARWIL M.D.

Family Medicine

1517 NICHOLASVILLE RD
LEXINGTON, KY 40503

Fayette County (859) 278-2902

MELVIN W. DEAN D.M.D.

Dentist (Orthodontics and Dentofacial Orthopedics)

1517 NICHOLASVILLE RD, SUITE 201
LEXINGTON, KY 40503

Fayette County (859) 276-2546

ANN L. RHOTEN AU.D.

Audiologist

1517 NICHOLASVILLE RD, #202
LEXINGTON, KY 40503

Fayette County (859) 554-5384

RICHARD ALAN REAMS DMD

Dentist (General Practice)

1517 NICHOLASVILLE RD, SUITE 305
LEXINGTON, KY 40503

Fayette County (859) 278-6825

DR. RUSSELL T. WILLIAMSON D.M.D.

Dentist (Prosthodontics)

1517 NICHOLASVILLE RD, STE 103
LEXINGTON, KY 40503

Fayette County (859) 276-2248

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 Justin Saunders's NPI number?

The NPI number for Justin Saunders is 1982876256. It was assigned to this individual provider in the NPPES registry on March 27, 2008.

Where is Justin Saunders located?

Justin Saunders practices at 1517 Nicholasville Rd Doctors Park, Suite 101, Lexington, KY 40503. The listed phone number is (859) 277-4403.

What is Justin Saunders's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Is Justin Saunders enrolled in Medicare?

Yes. Justin Saunders 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 Justin Saunders accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list Justin Saunders 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 Justin Saunders affiliated with any hospitals?

According to CMS data, Justin Saunders is affiliated with Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Justin Saunders was last updated on May 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.