NPPES file of Aug 9, 2026

Ted Richard Qualls, M.D.

Emergency Medicine Physician · Lexington, KY

Ted Richard Qualls, M.D. is an emergency medicine physician with a practice address in Lexington, Kentucky, and NPI 1790938405, issued on Oct 25, 2008. Check the license (Kentucky R1537, as entered in NPPES) on the Kentucky Board of Medical Licensure; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1790938405
Name
Ted Richard Qualls
Credential
M.D.
Primary taxonomy
Emergency Medicine Physician 207P00000X
License number
R1537 KY
Self-reported in NPPES; status is on the state search
Practice location
800 Rose St, Lexington, KY 40536
Phone
(859) 323-5000
Enumerated
Oct 25, 2008
Record last updated
Oct 25, 2008 (not updated in 18 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20090722000454); accepts Medicare assignment
Medical or professional school
University Of Texas Medical School At Houston, 2006
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 800 Rose St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Hicham Abada, MDVascular & Interventional Radiology Physician1790895159
  2. Ahmed Abdelfattah, MDHospitalist Physician1467014993
  3. Saba Abdulsada, MDInternal Medicine Physician1750906418
  4. Richard AbneyCertified Registered Nurse Anesthetist1093280760
  5. Andrew Abraham, MDInternal Medicine Physician1306424627
  6. Sonu Abraham, M.D.Advanced Heart Failure and Transplant Cardiology Physician1164975835

Verify Ted Richard Qualls in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersKentucky Board of Medical Licensure
    Search for license R1537
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Kentucky license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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97% more Medicare Part D claims than the average emergency medicine physician in 2024

446 Medicare Part D claims for 303 beneficiaries, against an average of 226 among the 54,106 providers of this specialty who prescribed in Part D. Brand-name drugs were 9% of claims. 73 claims were for opioids.

  1. Ted Qualls446
  2. Specialty average226

Most prescribed

  1. Hydrocodone-Acetaminophen64 claims
  2. Cyclobenzaprine Hcl47 claims
  3. Naproxen36 claims
  4. Doxycycline Monohydrate31 claims
  5. Amoxicillin-Clavulanate Potass30 claims
  6. Ondansetron Odt26 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 46.4 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score30.0
  2. Costout of 100 · 30%19.3
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Southeastern Emergency Physicians LLCSomerset, KY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Ted Richard Qualls among 903 emergency medicine physician records in Kentucky

Ted Richard Qualls, M.D. is one of 903 emergency medicine physician records with a practice address in Kentucky. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 52% of them.

  • NPI issued2008 · 52% of these records are older, 44% newer
  • In a Medicare fileYes · 81% of these records are
  • In the CMS Doctors and Clinicians fileYes · 62% of these records are
  • Graduated2006 · median 2011 among the 557 with a school on file
  • Record last updated2008 · 52% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207P00000X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

211 emergency medicine physician records list a practice address in Lexington

They are 211 of the 14,031 NPPES records with a practice address in Lexington, and 903 emergency medicine physician records in Kentucky.

The 8 emergency medicine physician records with the nearest ZIP codes

  1. Brian Adkins, M.D.Lexington, KY 405361598710717
  2. Rebecca Bowers, MDLexington, KY 405361043242746
  3. Craig CarterLexington, KY 405361275573818
  4. Amy Dahlgren, MDLexington, KY 405361942240486
  5. Christopher Doty, MDLexington, KY 405361639161433
  6. Charles Eckerline, MDLexington, KY 405361447289616
  7. Jessica Horne, M.D.Lexington, KY 405361598732174
  8. Roger Humphries, MDLexington, KY 405361649202268

Common questions

What is Ted Richard Qualls, M.D.'s NPI number?

Ted Richard Qualls, M.D.'s National Provider Identifier (NPI) is 1790938405, issued on Oct 25, 2008. An NPI identifies a provider in billing; it is not a license.

Where is Ted Richard Qualls, M.D. located?

The NPPES record lists a practice address at 800 Rose St, Lexington, KY, 40536. Phone: (859) 323-5000. Providers update this record themselves, so call before visiting.

How can I verify Ted Richard Qualls, M.D.'s license?

NPPES lists Kentucky license number R1537, as entered by the provider. Search the Kentucky Board of Medical Licensure at https://web1.ky.gov/GenSearch/LicenseSearch.aspx?AGY=5. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Ted Richard Qualls, M.D. prescribe under Medicare Part D?

In 2024, Ted Richard Qualls, M.D. had 446 Medicare Part D claims for 303 beneficiaries; the average among emergency medicine physician prescribers was 226. Part D covers Medicare prescriptions only.

What is Ted Richard Qualls, M.D.'s MIPS final score?

The 2023 MIPS final score is 46.4 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.