Dr. Nancy Stiles, MD
740 South Limestone, Lexington, KY 40536 • +1-305-555-1498
Medical Education: Accredited U.S. Medical School (Class of 2003)
What This Doctor Actually Performs: CMS Medicare Utilization & Lexington Percentiles
NPI #1295764637 • CBSA Regional • Geriatric Medicine
Dr. Nancy Stiles, MD (NPI #1295764637) practices Geriatric Medicine in Lexington, KY (40536) with sub-specialty concentration in 8 Active CMS HCPCS Codes, recording 1,232 annual CMS services across 229 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (50th Lexington percentile) (-0.10σ vs KY state mean, 72.73th statewide percentile).
Among 5 tracked CMS fee-schedule codes for Dr. Stiles (averaging 5.4 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 45% of tracked volume (554 encounters), paired with 99213 (320x).
Direct cash-pay transparency modeling sets Dr. Stiles's baseline new-consult rate near $209.00 in Lexington, KY (cash-pay accepted, hybrid in-clinic and telehealth video consults, 19-minute average reception wait).
Clinical background for Dr. Stiles (MD, NPI #1295764637) includes accredited doctoral training (2003, 23 yrs in practice) and virtual + in-office availability across KY.
Compared against Lexington, KY Geriatric Medicine peers
1,232 annual services across 229 beneficiaries
Standard deviations from KY Geriatric 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 | 554 | 50th | $149 – $205 |
| 99213 | Established Preventive & Chronic Care Visit | 320 | 46th | $114 – $157 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 160 | 55th | $55 – $75 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 123 | 53th | $175 – $240 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 74 | 45th | $208 – $285 |
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Dr. Nancy Stiles, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Stiles National Provider Identifier | NPI #1295764637 (MD) | CMS NPPES Registry (40536) |
| Dr. Stiles Lexington CMS Volume Rank | 50.00th Pct (1,232 CMS svcs; Z -0.098σ) | CMS Medicare Part B (KY Geriatric 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 • 19 min lobby wait | 5 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.91/5 Listening • 4.79/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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