Active NPI 1134257710 Individual Practitioner Male Practitioner

Dr. Richard David Baehler , MD

Surgery • Lexington, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Richard Baehler, MD is a certified Surgery practicing in Lexington, KY. With approximately 23 years of clinical experience since graduating from Northeastern Ohio University College Of Medicine in 2003, Dr. Baehler delivers high-quality medical care to the local community at 1760 NICHOLASVILLE RD.

Dr. Baehler maintains professional affiliations with Baptist Health Medical Group Inc, Lexington Surgical Specialists and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

1760 Nicholasville Rd
Suite 202

Lexington, KY 405031472

Telephone 8592775711

Fax 8592771487

Associated Practice Facility / Clinic

🏢 Orthopedic Consultants Psc Facility NPI 1114911286

Medicare Profile & Education

Medical School

Northeastern Ohio University College Of Medicine

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Lexington, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs +3.0 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

In-Person Office Visits Only

Medicare Pricing Discount

53.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Baehler (23 Years) 23 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
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	42	42	$361.00	$210.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	29	$187.00	$121.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$289.00	$161.57
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	11	$128.00	$76.88
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	28	13	$184.00	$116.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	20	$252.00	$171.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$244.00	$127.53
99213 Established patient office or other outpatient visit, typically 15 minutes	13	11	$126.00	$86.90
47562 Removal of gallbladder using an endoscope	13	13	$1884.00	$621.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$358.00	$169.02

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	58	44	$187.00	$120.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$289.00	$157.65
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	35	35	$361.00	$208.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$244.00	$125.35
47562 Removal of gallbladder using an endoscope	19	19	$1884.00	$630.84
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	16	$252.00	$169.50
49505 Repair of groin hernia (5 years or older)	16	16	$1469.25	$531.19
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$358.00	$167.19
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$126.00	$85.07
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$179.00	$79.95

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	73	52	$187.00	$120.68
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	51	51	$361.00	$210.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	32	$244.00	$129.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$289.00	$159.39
47562 Removal of gallbladder using an endoscope	18	18	$1884.00	$619.24
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$126.00	$85.93
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$252.00	$172.06
49505 Repair of groin hernia (5 years or older)	11	11	$1662.18	$575.99

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	66	49	$187.00	$122.96
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	46	46	$361.00	$209.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$289.00	$160.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	11	$128.00	$69.61
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	21	$252.00	$162.37
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$126.00	$87.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$358.00	$193.90
36821 Relocation of arm vein with connection to arm artery, open procedure	14	13	$1857.00	$622.42
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$244.00	$131.66
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	12	11	$825.00	$196.11
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	11	$52.00	$18.30
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$179.00	$97.74

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	53	12	$128.00	$71.32
99213 Established patient office or other outpatient visit, typically 15 minutes	39	33	$126.00	$70.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	31	$187.00	$104.18
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	38	38	$361.00	$200.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$289.00	$157.60
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	31	29	$52.00	$17.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	25	$75.00	$42.68
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	27	25	$825.00	$236.10
76098 X-ray of surgical specimen	21	20	$22.00	$14.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$358.00	$198.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	46	44	$52.00	$18.29
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	45	24	$128.00	$70.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$289.00	$149.82
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	38	38	$361.00	$196.69
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	37	35	$825.00	$249.42
99213 Established patient office or other outpatient visit, typically 15 minutes	37	34	$126.00	$68.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	30	$75.00	$42.07
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	31	$358.00	$195.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	15	$187.00	$102.79
76937 Ultrasonic guidance for blood vessel access	15	15	$50.20	$14.19
49505 Repair of groin hernia (5 years or older)	15	15	$1654.27	$573.04
47562 Removal of gallbladder using an endoscope	15	15	$1884.00	$619.97
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$244.00	$132.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	41	$75.00	$40.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	53	21	$128.00	$69.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$289.00	$152.90
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	49	46	$52.00	$18.08
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	45	42	$922.22	$251.67
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	36	36	$361.00	$190.99
99213 Established patient office or other outpatient visit, typically 15 minutes	23	21	$126.00	$68.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	20	$244.00	$131.28
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$358.00	$194.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$188.00	$100.91
47562 Removal of gallbladder using an endoscope	14	14	$1884.00	$632.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$187.00	$97.06
49505 Repair of groin hernia (5 years or older)	13	13	$1607.38	$555.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	48	$75.00	$40.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	50	27	$128.00	$68.98
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	46	43	$57.26	$18.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$289.00	$153.55
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	36	34	$822.22	$247.56
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	30	30	$361.00	$193.57
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$244.00	$130.64
47562 Removal of gallbladder using an endoscope	20	20	$1884.00	$599.65
99213 Established patient office or other outpatient visit, typically 15 minutes	20	18	$126.00	$67.81
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$358.00	$193.45
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$179.00	$96.73
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$130.00	$69.20
36821 Relocation of arm vein with connection to arm artery, open procedure	11	11	$1857.00	$647.13

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License KY R0664

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

7100058090 (KY)

Hospital & Practice Group Affiliations

Lexington Surgical Specialists

1760 Nicholasville Rd, Lexington, KY 405031472

Phone: 8592775711

Baptist Health Medical Group Inc

1760 Nicholasville Rd, Lexington, KY 405031454

Phone: 8592602179

Practice Associates & Co-Workers

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

12 Associated Practitioners

Dr. Gustavo Huerta , MD

Surgery

NPI 1134501679

Doctor of Medicine (M.D.)

Dr. Lawrence Shirley , MD

Surgery - Surgical Oncology

NPI 1205046620

Doctor of Medicine (M.D.)

William Witt

Surgery

NPI 1275162349

Dr. George Page , MD

Surgery

NPI 1376540476

Doctor of Medicine (M.D.)

Dr. Matthew Shane , MD

Surgery

NPI 1407894850

Doctor of Medicine (M.D.)

Dr. Sean Stokes , MD

Surgery - Surgical Oncology

NPI 1437576402

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 04, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location August 04, 2015

Registered at 1760 NICHOLASVILLE RD, SUITE 202, LEXINGTON, KY 405031472 (Tel: 8592775711)

📍

Updated Business Mailing Address August 04, 2015

Registered at 1760 NICHOLASVILLE RD, SUITE 202, LEXINGTON, KY 405031472 (Tel: 8592775711)

👤

Provider Name / Credentials Updated August 04, 2015

Recorded as RICHARD BAEHLER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2015

Surgery (License #R0664 in KY)

🟢

Initial NPI Registration & Enumeration March 02, 2007

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: 1134257710

Entity Type:

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

Enumeration Date: March 02, 2007

Last Update: August 04, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1760 Nicholasville Rd, Suite 202

Lexington, KY 405031472

Phone: 8592775711

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

⚠️ Medical Disclaimer

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