Active NPI 1114916863 Individual Practitioner Male Practitioner

Dr. Douglas J Nesbitt , MD

General Practice • Lexington, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Nesbitt, MD is a certified General Practice practicing in Lexington, KY. With approximately 52 years of clinical experience since completing medical education in 1974, Dr. Nesbitt delivers high-quality medical care to the local community at 120 N EAGLE CREEK DR STE 460.

Dr. Nesbitt accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, annual alcohol misuse screening, 5 to. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

120 N Eagle Creek Dr Ste 460

Lexington, KY 405091827

Telephone 8592637248

Fax 8592630714

Medicare Profile & Education

Medical School

Other

Graduation Year

1974

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Lexington, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

52 Yrs +22.8 yrs vs City Avg

City Avg: 29.2 Yrs

State Avg: 32.1 Yrs

Regional Practice Density

16 Specialists

Practicing in Lexington, KY (142 Statewide)

Telehealth Adoption Rate

6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

34.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nesbitt (52 Years) 52 Yrs

Lexington Specialty Average (29.2 Years) 29.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	164	97	$118.00	$82.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	153	97	$173.12	$117.82
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	102	102	$183.45	$119.47
G0442 Annual alcohol misuse screening, 5 to 15 minutes	87	87	$25.00	$17.00
G0444 Annual depression screening, 5 to 15 minutes	85	85	$25.00	$17.00
80305 Testing for presence of drug, read by direct observation	19	18	$44.00	$12.35
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$219.00	$152.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	213	118	$107.00	$82.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	186	112	$159.39	$117.12
G0444 Annual depression screening, 5 to 15 minutes	96	96	$25.00	$16.70
G0442 Annual alcohol misuse screening, 5 to 15 minutes	96	96	$25.00	$16.70
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	79	79	$182.47	$119.41
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	52	12	$7.00	$1.07
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	40	17	$32.00	$12.98
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	24	24	$217.92	$153.30
80305 Testing for presence of drug, read by direct observation	18	17	$44.00	$12.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	306	158	$157.41	$119.33
99213 Established patient office or other outpatient visit, typically 15 minutes	205	121	$107.00	$83.35
G0442 Annual alcohol misuse screening, 5 to 15 minutes	86	86	$25.00	$17.11
G0444 Annual depression screening, 5 to 15 minutes	85	85	$25.00	$16.81
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	56	21	$32.00	$13.08
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	56	13	$7.00	$1.03
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	45	45	$183.64	$121.88
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	38	38	$219.00	$157.31
80305 Testing for presence of drug, read by direct observation	19	18	$44.00	$12.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	320	173	$157.41	$121.97
99213 Established patient office or other outpatient visit, typically 15 minutes	263	139	$107.00	$85.94
G0442 Annual alcohol misuse screening, 5 to 15 minutes	129	129	$25.00	$17.18
G0444 Annual depression screening, 5 to 15 minutes	119	119	$25.00	$17.18
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	90	30	$32.00	$13.19
J0696 Injection, ceftriaxone sodium, per 250 mg	84	17	$25.00	$0.54
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	80	19	$7.00	$1.25
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	59	59	$219.00	$158.73
80305 Testing for presence of drug, read by direct observation	24	24	$44.00	$12.60
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	17	17	$190.71	$124.72
93000 Routine ekg using at least 12 leads including interpretation and report	13	13	$57.00	$13.79
81002 Urinalysis, manual test	12	11	$11.00	$3.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	399	197	$157.00	$102.20
99213 Established patient office or other outpatient visit, typically 15 minutes	214	119	$107.00	$69.32
J0696 Injection, ceftriaxone sodium, per 250 mg	96	21	$25.00	$0.58
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	94	33	$32.00	$13.32
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	84	20	$7.00	$1.46
G0442 Annual alcohol misuse screening, 5 to 15 minutes	79	79	$25.00	$16.77
G0444 Annual depression screening, 5 to 15 minutes	52	52	$25.00	$16.86
80305 Testing for presence of drug, read by direct observation	20	19	$44.00	$12.53
99442 Telephone medical discussion with physician, 11-20 minutes	12	12	$96.25	$70.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	484	231	$157.00	$100.98
99213 Established patient office or other outpatient visit, typically 15 minutes	281	148	$107.00	$68.66
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	164	36	$7.00	$1.59
G0442 Annual alcohol misuse screening, 5 to 15 minutes	160	160	$25.00	$16.49
G0444 Annual depression screening, 5 to 15 minutes	153	153	$25.00	$16.59
J0696 Injection, ceftriaxone sodium, per 250 mg	128	29	$25.00	$0.59
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	111	47	$32.00	$15.40
80305 Testing for presence of drug, read by direct observation	32	31	$44.00	$12.35
93000 Routine ekg using at least 12 leads including interpretation and report	29	28	$57.00	$15.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	19	$70.00	$41.69
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	13	$74.00	$49.55
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$219.00	$160.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	424	194	$107.25	$65.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	408	201	$157.00	$98.00
J0696 Injection, ceftriaxone sodium, per 250 mg	268	50	$25.00	$0.61
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	192	39	$7.00	$1.80
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	148	60	$32.00	$18.26
G0444 Annual depression screening, 5 to 15 minutes	139	139	$25.00	$16.07
G0442 Annual alcohol misuse screening, 5 to 15 minutes	137	137	$25.00	$16.38
80305 Testing for presence of drug, read by direct observation	38	35	$44.00	$13.19
93000 Routine ekg using at least 12 leads including interpretation and report	31	27	$57.00	$15.22
81003 Automated urinalysis test	26	23	$9.00	$2.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	23	$70.00	$39.17
87804 Detection test by immunoassay with direct visual observation for influenza virus	22	11	$50.00	$16.22
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	18	13	$74.00	$48.67
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	17	17	$38.00	$15.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	528	236	$107.00	$65.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	390	216	$157.40	$96.62
J0696 Injection, ceftriaxone sodium, per 250 mg	300	56	$25.00	$0.63
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	252	49	$7.00	$1.79
G0442 Annual alcohol misuse screening, 5 to 15 minutes	227	227	$24.87	$15.91
G0444 Annual depression screening, 5 to 15 minutes	176	176	$25.49	$15.98
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	175	71	$32.00	$22.13
93000 Routine ekg using at least 12 leads including interpretation and report	70	66	$57.00	$15.00
80305 Testing for presence of drug, read by direct observation	40	39	$44.00	$14.66
81003 Automated urinalysis test	39	34	$9.00	$3.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	28	$69.91	$38.95
87804 Detection test by immunoassay with direct visual observation for influenza virus	26	13	$50.00	$15.40
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	15	15	$30.00	$17.48
G0008 Administration of influenza virus vaccine	15	15	$32.00	$22.90
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	13	$74.00	$48.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$232.00	$149.18
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	11	11	$38.00	$15.40

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License KY 21624

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

64216245 (KY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Tammy Berera , ARNP

Nurse Practitioner - Acute Care

NPI 1801118856

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active December 01, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location December 01, 2011

Registered at 120 N EAGLE CREEK DR STE 460, LEXINGTON, KY 405091827 (Tel: 8592637248)

📍

Updated Business Mailing Address December 01, 2011

Registered at 120 N EAGLE CREEK DR STE 460, LEXINGTON, KY 405091827 (Tel: 8592637248)

👤

Provider Name / Credentials Updated December 01, 2011

Recorded as DOUGLAS NESBITT, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2011

General Practice (License #21624 in KY)

🟢

Initial NPI Registration & Enumeration October 17, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114916863

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 17, 2005

Last Update: December 01, 2011

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

120 N Eagle Creek Dr Ste 460

Lexington, KY 405091827

Phone: 8592637248

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.