Active NPI 1346600400 Individual Practitioner Male Practitioner

Dr. Daniel Shields , DO

Internal Medicine • Lexington, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Shields, DO is a certified Internal Medicine practicing in Lexington, KY. With approximately 10 years of clinical experience since graduating from Lincoln Memorial University Medical Department in 2016, Dr. Shields delivers high-quality medical care to the local community at 1740 NICHOLASVILLE RD.

Dr. Shields is affiliated with Baptist Health Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, follow-up hospital inpatient care per day, hospital discharge day management, more than. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1740 Nicholasville Rd

Lexington, KY 405031431

Telephone 8592606348

Fax 8592604350

Associated Practice Facility / Clinic

🏢 Radiation Oncology Of Lexington, Psc Facility NPI 1306845813

Medicare Profile & Education

Medical School

Lincoln Memorial University Medical Department

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Lexington, KY

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs -8.9 yrs vs City Avg

City Avg: 18.9 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

281 Specialists

Practicing in Lexington, KY (1608 Statewide)

Telehealth Adoption Rate

17.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

45.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shields (10 Years) 10 Yrs

Lexington Specialty Average (18.9 Years) 18.9 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	395	190	$137.00	$76.71
99231 Follow-up hospital inpatient care per day, typically 15 minutes	91	59	$75.00	$48.08
99239 Hospital discharge day management, more than 30 minutes	85	85	$204.00	$110.68
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	77	77	$259.00	$127.04
99238 Hospital discharge day management, 30 minutes or less	38	38	$137.00	$78.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	362	227	$137.00	$75.77
99231 Follow-up hospital inpatient care per day, typically 15 minutes	202	120	$75.00	$47.48
99239 Hospital discharge day management, more than 30 minutes	90	89	$204.00	$108.97
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	50	50	$259.00	$123.35
99238 Hospital discharge day management, 30 minutes or less	45	45	$137.00	$76.00
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	42	40	$199.00	$112.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$379.00	$167.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	501	223	$138.50	$68.51
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	182	164	$199.75	$98.43
99239 Hospital discharge day management, more than 30 minutes	63	61	$205.62	$100.54
99231 Follow-up hospital inpatient care per day, typically 15 minutes	62	37	$75.00	$37.25
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	60	59	$384.50	$187.25
99238 Hospital discharge day management, 30 minutes or less	51	51	$137.98	$68.34
99217 Hospital observation care on day of discharge	22	22	$138.77	$68.24
99220 Hospital observation care, typically 70 minutes	18	18	$350.78	$171.67
99225 Subsequent observation care, typically 25 minutes per day	14	12	$138.00	$68.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$261.54	$129.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	300	158	$139.00	$67.69
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	182	137	$200.00	$97.92
99239 Hospital discharge day management, more than 30 minutes	60	59	$206.00	$100.98
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	60	60	$389.00	$191.28
99217 Hospital observation care on day of discharge	39	38	$139.00	$68.49
99225 Subsequent observation care, typically 25 minutes per day	35	21	$140.00	$68.67
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	26	$75.00	$36.75
99220 Hospital observation care, typically 70 minutes	24	24	$357.00	$173.88
99238 Hospital discharge day management, 30 minutes or less	23	22	$139.00	$68.49
99226 Subsequent observation care, typically 35 minutes per day	22	20	$201.00	$98.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	293	186	$139.00	$69.60
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	231	170	$200.00	$101.19
99239 Hospital discharge day management, more than 30 minutes	130	127	$206.00	$102.28
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	61	61	$389.00	$193.33
99231 Follow-up hospital inpatient care per day, typically 15 minutes	61	47	$75.00	$37.12
99225 Subsequent observation care, typically 25 minutes per day	43	31	$140.00	$70.40
99217 Hospital observation care on day of discharge	32	32	$139.00	$69.90
99220 Hospital observation care, typically 70 minutes	16	16	$357.00	$180.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$262.00	$132.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	128	71	$139.00	$69.68
99239 Hospital discharge day management, more than 30 minutes	37	37	$206.00	$102.07
99231 Follow-up hospital inpatient care per day, typically 15 minutes	36	17	$75.00	$37.75
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	14	$200.00	$99.64
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$389.00	$193.80

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License KY 04372

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.

Hospital & Practice Group Affiliations

Baptist Health Medical Group Inc

1740 Nicholasville Rd, Lexington, KY 405031499

Phone: 8592605100

Practice Associates & Co-Workers

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

40 Associated Practitioners

Tyler Mclaurine

Hospitalist

NPI 1023541638

Joshua Wirth

Nurse Practitioner - Family

NPI 1033766183

Dr. Holly Hall , MD

Family Medicine

NPI 1053573246

Doctor of Medicine (M.D.)

Kathryn Cecil , PA-C

Physician Assistant

NPI 1053743658

Physician Assistant (Certified)

Danae Stephens , PA-C

Physician Assistant

NPI 1083187595

Physician Assistant (Certified)

Cailynn Frost , PA-C

Physician Assistant

NPI 1104710854

Physician Assistant (Certified)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location June 21, 2019

Registered at 1740 NICHOLASVILLE RD, LEXINGTON, KY 405031431 (Tel: 8592606348)

📍

Updated Business Mailing Address June 21, 2019

Registered at 230 LEXINGTON GREEN CIR STE 600, LEXINGTON, KY 405033326 (Tel: 8599714658)

👤

Provider Name / Credentials Updated June 21, 2019

Recorded as DANIEL SHIELDS, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2019

Internal Medicine (License #04372 in KY)

✅

NPI Profile Active March 02, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 02, 2016

Registered at 350 HOSPITAL WAY, SUITE 101, SOMERSET, KY 425032872 (Tel: 6064515093)

📍

Updated Business Mailing Address March 02, 2016

Registered at 350 HOSPITAL WAY, SUITE 101, SOMERSET, KY 425032872

👤

Provider Name / Credentials Updated March 02, 2016

Recorded as DANIEL SHIELDS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2016

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration March 02, 2016

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: 1346600400

Entity Type:

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

Enumeration Date: March 02, 2016

Last Update: June 21, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

230 Lexington Green Cir Ste 600

Lexington, KY 405033326

Phone: 8599714658

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.