Tandy Sutton Repass, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

45932 Issued in KY

Practice address

3475 Richmond Rd Ste 200
Lexington, KY 40509-2500

Phone

(859) 296-4400

NPI assigned

May 4, 2009

Last updated

Sep 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Kentucky College of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

John L. Buker, M.D., PSCGroup PAC ID 7113813932, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.2 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Cost

83.99

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• John L. Buker, M.D., PSC

  dba Bluegrass Dermatology and Skin Surgery Center

  • Dermatology Physician
  • Lexington, KY
  • NPI 1114197803
  Medicare reassignment Care Compare group NPD
• John L Buker MD PSC

  dba Bluegrass Dermatology

  • Dermatology Physician
  • Lexington, KY
  • NPI 1215953765
  NPD
• Buker Office Based Surgery, PLLC

  • MOHS-Micrographic Surgery Physician
  • Lexington, KY
  • NPI 1609924018
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1043444219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 RICHMOND RD STE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092500",
            "telephone_number": "859-296-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 RICHMOND RD STE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092500",
            "telephone_number": "859-296-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPASS",
        "first_name": "TANDY",
        "middle_name": "SUTTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-04",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME107728",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KY",
            "license": "45932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003894900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nita Ann Renfrow, M.S.
• Claire Rennie
• Victoria Ashley Rennu, B.S.
• Amanda Jane Rentas, GC
• Gregory Luther Repass, MD
• Tana Lynn Repella, M.D., PH.D.
• Katherine Elaine Resinger, M.S., CCC-SLP
• Resource Anesthesiology Associates of Ky PSC
• Respect Mental Healthcare LLC
• Restorative Oxygen Care, LLC

• Dermatology Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Dermatology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.