Individual provider Active NPI

Lynetta Lynn Stiltner, DO

  • Family Medicine Physician
  • Lexington, KY
National Provider Identifier
1619081502
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02982 Issued in KY
Practice address
1401 Harrodsburg Rd
Suite a-500
Lexington, KY 40504-3751
Phone
(859) 881-4288
Fax
(859) 881-4388
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02982 KY Primary

Addresses

Primary practice location

1401 Harrodsburg Rd
Suite a-500
Lexington, KY 40504-3751

Mailing address

1401 Harrodsburg Rd
Suite a-500
Lexington, KY 40504-3751
Phone (859) 881-4288

Other identifiers 2

IdentifierTypeStateIssuer
K021222OtherKYMEDICARE INDIVIDUAL PTAN
64126329MedicaidKY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070508000633 KY Practitioner - Family Practice 9436255429 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Health Corporation, Inc.Group PAC ID 5496667628, 268 clinicians

Practice addresses (Care Compare)

427 US 31W Byp
Bowling Green, KY 42101-1703
Phone (270) 901-0629

Hospital & facility affiliations

  • Family Home Health Care, LLC Dba Adoration Home Health Home health agency, Columbia, KY, CCN 187119
  • Lifeline Health Care of Warren Home health agency, Bowling Green, KY, CCN 187080
  • The Medical Center Home Care Program Home health agency, Bowling Green, KY, CCN 187044
  • The Medical Center (Bowling Green) Hospital, Bowling Green, KY, CCN 180013
  • Tristar Greenview Regional Hospital Hospital, Bowling Green, KY, CCN 180124
  • The Medical Center at Scottsville Hospital, Scottsville, KY, CCN 181324

Merit-based Incentive Payment System (MIPS)

Final score
91.88 of 100Reported as group
Quality
95.04
Promoting interoperability
99
Improvement activities
40
Cost
78.73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Health Corporation, Inc Current Accepting new patients
The James B. Haggin Memorial Hospital Inc. CurrentSince Jul 17, 2013 Accepting new patients
The James B. Haggin Memorial Hospital Inc Current Accepting new patients
Commonwealth Health Corporation, Inc. CurrentSince Sep 7, 2024 Accepting new patients
Commonwealth Health Corporation, Inc. CurrentSince Sep 7, 2024 Accepting new patients
The James B. Haggin Memorial Hospital Inc CurrentSince Jul 17, 2013 Accepting new patients
Commonwealth Health Corporation Family Medicine Past Accepting new patients

Locations

825 2nd Ave
Ste C3
Bowling Green, KY 42101
Phone (270) 780-2660

350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075

427 US 31W Byp
Bowling Green, KY 42101
Phone (270) 796-8000

250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000

464 Linden Ave
Harrodsburg, KY 40330
Phone (859) 734-5441

466 Burnley Rd
Scottsville, KY 42164
Phone (270) 237-3131

Organizations & group practices 8

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1619081502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 HARRODSBURG RD",
            "address_2": "SUITE A-500",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043751",
            "telephone_number": "859-881-4288",
            "fax_number": "859-881-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 HARRODSBURG RD",
            "address_2": "SUITE A-500",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043751",
            "telephone_number": "859-881-4288",
            "fax_number": "859-881-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILTNER",
        "first_name": "LYNETTA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "02982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "K021222",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64126329",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.