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Pain management doctors who accept Medicare in Lexington, KY
CMS lists 24 clinicians in this specialty with a practice address in Lexington. Accept Medicare assignment (the Medicare-approved amount as full payment): 24. Offer telehealth: 8.
Typical amounts Medicare approves in ZIP 40509 (2024 Medicare rates, the latest CMS has published): a new-patient visit $123, of which you pay about $31; a follow-up visit $94, of which you pay about $23 — the 20% coinsurance after the yearly Part B deductible. Clinicians who don't accept assignment can charge up to 15% more; with a Medicare Advantage plan, your plan's copay applies instead.
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Order: clinicians who accept assignment first, then by MIPS score (highest first), then by last name.
Luis A. Vascello, MD
✓ Accepts Medicare assignmentMIPS score (2024): 94.3/100✓ TelehealthGraduated 1989 · University of Kentucky College of MedicineMaleOther offices in Lexington: 1Drug and device company payments (2025): $2,557Brendon M. Coughtry, MD
✓ Accepts Medicare assignmentMIPS score (2024): 90/100Graduated 2003 · Medical College of Georgia School of MedicineMaleDrug and device company payments (2025): $86James W. Jackson Jr., MD
✓ Accepts Medicare assignmentMIPS score (2024): 90/100Graduated 2002 · University of Louisville School of MedicineMaleDrug and device company payments (2025): $332Shawn T. Milburn, MD
✓ Accepts Medicare assignmentMIPS score (2024): 90/100Graduated 2016MaleOther offices in Lexington: 1Drug and device company payments (2025): $3,274Violet Shackleford, MD
✓ Accepts Medicare assignmentMIPS score (2024): 90/100Graduated 2018 · University of Kentucky College of MedicineFemaleDrug and device company payments (2025): $605Christian Unick, MD
✓ Accepts Medicare assignmentMIPS score (2024): 90/100Graduated 2007MaleDrug and device company payments (2025): $515Jay S. Grider, DO
✓ Accepts Medicare assignmentMIPS score (2024): 85.8/100✓ TelehealthGraduated 1999 · Ohio University, College of Osteopathic MedicineMaleOther offices in Lexington: 1Drug and device company payments (2025): $8,488Christopher J. Mallard, MD
✓ Accepts Medicare assignmentMIPS score (2024): 85.8/100✓ TelehealthGraduated 2014MaleDrug and device company payments (2025): $18,597Brock H. Marrs, MD
✓ Accepts Medicare assignmentMIPS score (2024): 85.8/100✓ TelehealthGraduated 2018 · University of Kentucky College of MedicineMaleDrug and device company payments (2025): $843Jerrod T. McCarty, MD
✓ Accepts Medicare assignmentMIPS score (2024): 85.8/100Graduated 2014 · University of Kentucky College of MedicineMaleAlvin R. Wu, MD
✓ Accepts Medicare assignmentMIPS score (2024): 85.8/100Graduated 2019MaleDrug and device company payments (2025): $58Oliver C. James II, MD
✓ Accepts Medicare assignmentMIPS score (2024): 75/100Graduated 1991 · University of Louisville School of MedicineMaleDrug and device company payments (2025): $721David P. Bosomworth, MD
✓ Accepts Medicare assignmentMIPS score (2024): 27.7/100✓ TelehealthGraduated 1993 · University of Kentucky College of MedicineMaleDrug and device company payments (2025): $386Rebecca J. Freeland, MD
✓ Accepts Medicare assignmentGraduated 2017FemaleOther offices in Lexington: 1Drug and device company payments (2025): $806Brandon E. Gish
✓ Accepts Medicare assignmentGraduated 2012 · University of Kentucky College of MedicineMaleDrug and device company payments (2025): $3,965Edward Kowlowitz, MD
✓ Accepts Medicare assignmentGraduated 1987 · New York Medical CollegeMaleDrug and device company payments (2025): $1,557Ihab Y. Labatia, MD
✓ Accepts Medicare assignmentGraduated 1992MaleLauren K. Larson, MD
✓ Accepts Medicare assignmentGraduated 1998 · University of Kentucky College of MedicineFemaleOther offices in Lexington: 1Drug and device company payments (2025): $43Richard A. Lingreen, MD
✓ Accepts Medicare assignmentGraduated 1986 · University of Kansas School of Med (kc/wich/sal)MaleDrug and device company payments (2025): $74Karim Rasheed, MD
✓ Accepts Medicare assignmentGraduated 1982MaleOther offices in Lexington: 1Drug and device company payments (2025): $83Katherine S. Roden, MD
✓ Accepts Medicare assignmentGraduated 2012 · University of North Carolina at Chapel Hill School of MedicineFemaleDrug and device company payments (2025): $1,065Vikram Sengupta, MD
✓ Accepts Medicare assignment✓ TelehealthGraduated 2011 · Yale University School of MedicineMaleDrug and device company payments (2025): $3,560Joseph W. Smith, MD
✓ Accepts Medicare assignment✓ TelehealthGraduated 2008 · University of Louisville School of MedicineMaleDrug and device company payments (2025): $42Peter D. Wright, MD
✓ Accepts Medicare assignment✓ TelehealthGraduated 1993 · University of Kentucky College of MedicineMaleOther offices in Lexington: 1Drug and device company payments (2025): $81
Before you book
This list comes from Medicare's enrollment records, not from reviews. Call the office to confirm the clinician is taking new Medicare patients. With Original Medicare, a clinician who accepts assignment can only charge you the Medicare deductible and coinsurance; one who doesn't may charge up to 15% more than the Medicare-approved amount. If you have a Medicare Advantage plan, check that the clinician is in the plan's network.
The MIPS final score (0–100) comes from Medicare's Merit-based Incentive Payment System for 2024. It combines quality measures, cost, improvement activities and use of certified health records, and it sets a payment adjustment. Clinicians who report as a group share the group's score. It is not a patient rating, and many clinicians have no published score.
Payments from drug and medical device companies come from CMS Open Payments (2025 general payments: meals, travel, consulting and speaking fees, gifts and similar), summed for each clinician. Receiving payments is legal and common and does not mean a clinician did anything wrong.
Other specialists in Lexington
- Primary care doctors373
- Nurse practitioners1,006
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- Dermatologists28
- Orthopedic surgeons70
- Neurologists89
- Gastroenterologists39
- Ophthalmologists64
- Optometrists65
- Podiatrists18
- Urologists29
- Pulmonologists40
- Nephrologists33
- Endocrinologists17
- Rheumatologists17
- ENT doctors27
- Oncologists38
- Psychiatrists67
- Psychologists38
- Therapists and counselors267
- Physical therapists188
- Occupational therapists109
- Speech therapists43
- Audiologists29
- Chiropractors44
- Gynecologists81
- General surgeons68
- Vascular surgeons19
- Physiatrists36
- Allergists14
- Dietitians9
- Neurosurgeons22
- Infectious disease doctors24
Other care in Lexington
Hospitals · Nursing homes · Dialysis centers · Home health agencies · Hospices
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Enrollment, addresses and scores are as reported to CMS and can change. This is not a list of in-network providers for any Medicare Advantage plan, and it is not medical advice. Source: CMS Provider Data Catalog — Doctors and Clinicians National Downloadable File, Clinician MIPS Performance 2024 and Facility Affiliation Data (released Oct 2, 2026).