Beall Recovery Clinics – Addiction Medicine (Preventive Medicine) Physician, NPI 1356997449
Addiction Medicine (Preventive Medicine) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Beall Recovery Clinics
112, West High Street, Central Business District, Lexington, Fayette County, Kentucky, 40507, United States
LEXINGTON, KY 405071826
Phone: (859) 523-3009
Fax: (859) 523-5007
Type: Mailing
1134 US Highway 27 S Ste 2
Cynthiana, KY 410314177
Phone: (859) 234-9799
Fax: (859) 234-9858
Type: Location
5860 Main St Ste D
Clay City, KY 403121329
Phone: (606) 612-5092
Fax: (606) 512-5094
Type: Location
1145 W LEXINGTON AVE STE C
WINCHESTER, KY 403911290
Phone: (859) 385-4093
Fax: (859) 355-4058
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-12-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-06-30 (347 days ago).
Enrollment records
1
Earliest due date
2025-06-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20191205003050 | O | Clinic/Group Practice | KY | 2025-06-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 40507)
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