Dr. Justin Pile, DO
1221 S Broadway, Lexington, KY 40504 • +1-593-555-6164
Medical Education: Accredited U.S. Medical School (Class of 2012)
What This Doctor Actually Performs: CMS Medicare Utilization & Lexington Percentiles
NPI #1811492788 • CBSA Regional • Emergency Medicine
Dr. Justin Pile, DO (NPI #1811492788) practices Emergency Medicine in Lexington, KY (40504) with sub-specialty concentration in 21 Active CMS HCPCS Codes, recording 871 annual CMS services across 656 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (31.03th Lexington percentile) (-0.28σ vs KY state mean, 43.51th statewide percentile).
Among 5 tracked CMS fee-schedule codes for Dr. Pile (averaging 1.3 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 45% of tracked volume (392 encounters), paired with 99213 (226x).
Uninsured and high-deductible cash patients visiting Dr. Justin Pile in Lexington (40504) face an estimated $209.00 initial evaluation fee at 1221 S Broadway (hybrid in-clinic and telehealth video consults; 13-minute average reception wait; bedside manner 4.90/5 from 23 verified reports).
Spanning 14 years of clinical practice following 2012 graduation from medical training, Dr. Justin Pile integrates 21 Active CMS HCPCS Codes diagnostics for Lexington metro patients.
Compared against Lexington, KY Emergency Medicine peers
871 annual services across 656 beneficiaries
Standard deviations from KY Emergency Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 392 | 31.03th | $109 – $149 |
| 99213 | Established Preventive & Chronic Care Visit | 226 | 30.03th | $83 – $114 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 113 | 34.03th | $40 – $55 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 87 | 33.03th | $128 – $175 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 52 | 35.03th | $152 – $208 |
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Dr. Justin Pile, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Pile National Provider Identifier | NPI #1811492788 (DO) | CMS NPPES Registry (40504) |
| Dr. Pile Lexington CMS Volume Rank | 31.03th Pct (871 CMS svcs; Z -0.278σ) | CMS Medicare Part B (KY Emergency Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Lexington, KY) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 13 min lobby wait | 23 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.90/5 Listening • 4.89/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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