Active NPI 1083619886 Individual Practitioner Male Practitioner

Dr. John M Harris , MD

Surgery • Lexington, KY

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. John Harris, MD is a certified Surgery practicing in Lexington, KY. With approximately 38 years of clinical experience since completing medical education in 1988, Dr. Harris delivers high-quality medical care to the local community at 1401 HARRODSBURG RD STE B355.

Dr. Harris is affiliated with Kentuckyone Health Medical Group Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include new patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1401 Harrodsburg Rd Ste B355

Lexington, KY 40504

Telephone 8592765262

Fax 8592776509

Associated Practice Facility / Clinic

🏢 South Lexington Institute For Metabolic Surgery, Pllc Facility NPI 1922238534

Medicare Profile & Education

Medical School

Other

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Lexington, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +18.0 yrs vs City Avg

City Avg: 20.0 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

73 Specialists

Practicing in Lexington, KY (495 Statewide)

Telehealth Adoption Rate

4.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

52.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Harris (38 Years) 38 Yrs

Lexington Specialty Average (20.0 Years) 20.0 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$318.00	$149.39
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	49	30	$137.00	$73.57
99213 Established patient office or other outpatient visit, typically 15 minutes	36	33	$172.00	$83.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	32	$106.00	$51.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	24	$243.00	$108.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$212.00	$102.68
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	21	$259.00	$121.65
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$264.00	$97.93
43282 Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	11	11	$3350.00	$1609.68

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	69	38	$137.00	$74.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$318.00	$154.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	29	$106.00	$50.91
99213 Established patient office or other outpatient visit, typically 15 minutes	34	31	$172.00	$83.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	30	$259.00	$120.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$212.00	$104.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	13	$243.00	$117.06
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$264.00	$74.26
99221 Initial hospital inpatient care per day, typically 30 minutes	12	11	$192.00	$78.49

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	52	26	$137.00	$67.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$318.00	$157.57
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	31	$379.00	$187.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	26	$106.00	$51.29
99213 Established patient office or other outpatient visit, typically 15 minutes	27	24	$171.63	$84.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	21	$249.25	$119.11
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	21	$264.00	$86.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$212.00	$104.59
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	12	12	$354.00	$174.09

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	115	47	$140.00	$67.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$317.80	$159.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	52	49	$391.00	$191.28
99213 Established patient office or other outpatient visit, typically 15 minutes	28	26	$170.89	$83.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	24	$102.86	$50.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	25	$245.00	$121.55
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	23	23	$273.00	$90.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$212.00	$105.94
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$363.00	$178.33
49650 Repair of groin hernia using an endoscope	11	11	$1061.45	$452.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	99	99	$311.00	$158.09
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	80	32	$140.00	$71.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	38	36	$391.00	$195.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	28	$85.00	$42.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$205.00	$104.25
99213 Established patient office or other outpatient visit, typically 15 minutes	22	22	$141.00	$71.65
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	19	$294.00	$90.84
47562 Removal of gallbladder using an endoscope	16	16	$1286.00	$654.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$203.00	$100.33
43282 Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	12	12	$3409.00	$1609.41
49650 Repair of groin hernia using an endoscope	11	11	$985.64	$413.56

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	105	39	$138.00	$70.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	95	95	$311.00	$154.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	55	54	$390.00	$196.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	45	$201.00	$101.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	36	$80.00	$42.17
99213 Established patient office or other outpatient visit, typically 15 minutes	31	26	$136.00	$70.16
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	30	27	$286.00	$111.80
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	14	$75.00	$38.27
49324 Insertion of abdominal cavity catheter using an endoscope	21	21	$746.00	$369.54
43282 Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	17	17	$3326.00	$1538.43
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$264.00	$132.90
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$388.00	$197.19
47562 Removal of gallbladder using an endoscope	14	14	$1249.00	$643.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$201.00	$102.32
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	11	11	$417.00	$183.79

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	150	57	$133.00	$69.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	95	95	$255.74	$154.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	83	81	$374.19	$194.72
99213 Established patient office or other outpatient visit, typically 15 minutes	50	46	$145.80	$67.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	44	$85.82	$40.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	44	$187.91	$101.14
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	24	24	$438.25	$114.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$166.11	$100.96
47562 Removal of gallbladder using an endoscope	16	16	$1420.00	$632.74
43246 Insertion of stomach tube using a flexible endoscope	13	13	$531.15	$93.40
49650 Repair of groin hernia using an endoscope	12	12	$1257.92	$461.39
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$254.00	$131.28

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	112	35	$128.00	$68.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	86	86	$186.00	$153.60
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	56	53	$358.00	$193.52
99213 Established patient office or other outpatient visit, typically 15 minutes	56	52	$150.00	$67.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	41	$170.00	$100.18
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	36	35	$692.00	$105.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	28	$95.00	$40.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$244.00	$130.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$150.00	$100.29
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	17	17	$705.00	$249.93
43246 Insertion of stomach tube using a flexible endoscope	15	15	$566.00	$137.31
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	11	11	$410.00	$180.11
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$225.00	$193.53
49650 Repair of groin hernia using an endoscope	11	11	$1406.36	$353.63
47562 Removal of gallbladder using an endoscope	11	11	$1705.00	$599.99
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$310.00	$180.68

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License KY 29517

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

64295173 (KY)

Hospital & Practice Group Affiliations

Kentuckyone Health Medical Group Inc

1401 Harrodsburg Rd, Lexington, KY 405043747

Phone: 8592765262

Practice Associates & Co-Workers

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

8 Associated Practitioners

Dr. Andrei Cocieru , MD

Surgery - Surgical Oncology

NPI 1114181450

Doctor of Medicine (M.D.)

Dr. Richard Montgomery , MD

Surgery

NPI 1326066648

Doctor of Medicine (M.D.)

Eric Morrow , PA-C

Physician Assistant - Surgical

NPI 1427055847

Physician Assistant (Certified)

Dr. Helena Do , DO

Surgery

NPI 1437618352

Doctor of Osteopathic Medicine (D.O.)

Dr. Rebecca Douglass , DO

Surgery

NPI 1457702243

Doctor of Osteopathic Medicine (D.O.)

Dr. Michael Tekulve , MD

Surgery

NPI 1760601025

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location May 22, 2018

Registered at 1401 HARRODSBURG RD STE B355, LEXINGTON, KY 40504 (Tel: 8592765262)

📍

Updated Business Mailing Address May 22, 2018

Registered at PO BOX 936, LONDON, KY 407430936

✅

NPI Profile Active August 12, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location August 12, 2015

Registered at 1401 HARRODSBURG RD, STE B-355, LEXINGTON, KY 405043763 (Tel: 8592765262)

📍

Updated Business Mailing Address August 12, 2015

Registered at 1401 HARRODSBURG RD, STE B-355, LEXINGTON, KY 405043763 (Tel: 8592765262)

👤

Provider Name / Credentials Updated August 12, 2015

Recorded as JOHN HARRIS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2015

Surgery (License #29517 in KY)

🟢

Initial NPI Registration & Enumeration June 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: 1083619886

Entity Type:

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

Enumeration Date: June 17, 2005

Last Update: July 19, 2019

Sole Proprietor: No

Update or Correct Profile

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.