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Deactivated NPI 1205819927 Deactivated / Inactive NPI Male Practitioner

Patrick Pepper , PA-C

Physician Assistant - Surgical • Lexington, KY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Patrick Pepper has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 28, 2005
NPI Deactivation Date November 28, 2005
Total Practice Duration ~1 Years of Practice (2005 – 2005)

Professional Overview & Biography Verified Profile Summary

Patrick Pepper, PA-C was a registered Physician Assistant - Surgical practicing in Lexington, KY. Throughout an active medical career spanning 1 years, Patrick Pepper provided care at the practice location at 1401 HARRODSBURG RD until profile deactivation on 2005-11-28.

Historical Medicare Part B clinical services included subsequent hospital care with moderate levelof medical decision making, if using time, at least, coronary artery bypass using artery graft, 1 graft, coronary artery bypass using vein or artery graft, 2 grafts. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1401 Harrodsburg Rd
Suite B-275

Lexington, KY 405043751

Telephone 8592782334
Fax 8592780159
Associated Practice Facility / Clinic
🏢 Neurosurgical Associates Psc Facility NPI 1235110925

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Lexington, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.4 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
45 Specialists

Practicing in Lexington, KY (121 Statewide)

Telehealth Adoption Rate
4.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
54.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
25 14 $137.00 $62.46

Medical Specialties & State Licenses

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License KY PA008

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
95005047 (KY)

Practice Associates & Co-Workers

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

15 Associated Practitioners
Laura Rardin-Ecton , PA-C

Physician Assistant

NPI 1013116045

Physician Assistant (Certified)

Dr. Hamid Mohammadzadeh , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1053394619

Doctor of Medicine (M.D.)

Melissa Poynter , ARNP

Nurse Practitioner - Acute Care

NPI 1093861064

Advanced Registered Nurse Practitioner

Dr. Douglas Anderson , DO

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1124400759

Doctor of Osteopathic Medicine (D.O.)

William Meadors , PA-C

Physician Assistant - Surgical

NPI 1144252123

Physician Assistant (Certified)

Dr. Ahmad Chaudhry , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1144304635

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Business Mailing Address August 09, 2019

Registered at PO BOX 936, LONDON, KY 407430936

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Provider Name / Credentials Updated August 09, 2019

Recorded as PATRICK PEPPER, PA-C

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Updated Practice Location May 12, 2008

Registered at 1401 HARRODSBURG RD, SUITE B-275, LEXINGTON, KY 405043751 (Tel: 8592782334)

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Updated Business Mailing Address May 12, 2008

Registered at 1401 HARRODSBURG RD, SUITE B-275, LEXINGTON, KY 405043751 (Tel: 8592782334)

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Provider Name / Credentials Updated May 12, 2008

Recorded as PATRICK PEPPER, PA

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2008

Physician Assistant (License #PA008 in KY)

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NPI Profile Reactivated December 13, 2005

Record officially reactivated for active practice on December 13, 2005

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NPI Profile Deactivated November 28, 2005

Record deactivated on November 28, 2005

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Initial NPI Registration & Enumeration November 28, 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: 1205819927
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 28, 2005
Last Update: August 09, 2019
Deactivation Date: November 28, 2005
Sole Proprietor: No

Mailing Address

Po Box 936

London, KY 407430936

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.