Individual provider Active NPI

Graysen Robert Petersen-Fitts, M.D.

  • Orthopaedic Surgery Physician
  • Lexington, KY
National Provider Identifier
1033560032
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
TP876 Issued in KY
Practice address
3480 Yorkshire Medical Park
Lexington, KY 40509-1886
Phone
(859) 263-5140
Fax
(859) 263-5141
NPI assigned
Jun 30, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 4301110822 MI
Orthopaedic Surgery Physician 207X00000X TP876 KY Primary

Addresses

Primary practice location

3480 Yorkshire Medical Park
Lexington, KY 40509-1886

Mailing address

3480 Yorkshire Medical Park
Lexington, KY 40509-1886
Phone (859) 263-5140

Other practice location 1

111 Cynthia Dr Ste 135
Nicholasville, KY 40356-8062
Phone (859) 263-5140

Other practice location 2

145 Newcomb Ave
Mount Vernon, KY 40456-2728
Phone (859) 263-5140

Other practice location 3

1868 Plaudit Pl
Lexington, KY 40509-2429
Phone (859) 263-5140

Other practice location 4

1760 Harrodsburg Rd
Lexington, KY 40504-3602
Phone (859) 263-5140

Other practice location 5

3401 Yorkshire Medical Park
Lexington, KY 40509-2513
Phone (859) 263-5140

Other practice location 6

850 Hail Knob Rd Ste B
Somerset, KY 42503-3418
Phone (859) 263-5140

Other practice location 7

195 Commercial Dr
London, KY 40744-8234
Phone (859) 263-5140

Other practice location 8

101 Windsor Path
Georgetown, KY 40324-9617
Phone (859) 263-5140

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gpetersenfitts269622@direct.wvuhsdirect.com Health Information Exchange (HIE)

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
I20220620001994 KY Practitioner - Orthopedic Surgery 0941543458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Cincinnati College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Proactive Therapy, IncGroup PAC ID 0143245415, 118 clinicians
H2 Rehabilitation Services of Kentucky, LLCGroup PAC ID 5799682688, shared by 7 NPIs, 187 clinicians
Bluegrass Orthopaedics PSCGroup PAC ID 4789988981, 62 clinicians
PT Pros, IncGroup PAC ID 0143139337, shared by 14 NPIs, 263 clinicians

Practice addresses (Care Compare)

1004 Leawood Dr
Frankfort, KY 40601-3349
Phone (502) 223-7403

116 Meridian Way
Richmond, KY 40475-2876
Phone (859) 623-6334

193 Glades Rd
Berea, KY 40403-2261
Phone (859) 956-1055

3480 Yorkshire Medical Park
Lexington, KY 40509-1886
Phone (859) 263-5140

792 Campbellsville Rd
Greensburg, KY 42743-1460
Phone (270) 973-5400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
26.92 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
89.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion211
Laminectomy or laminotomy (partial removal of spine bones)69
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP876KYMDInternal Medicine Physician
4301110822MIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bluegrass Orthopaedics PSC Orthopaedic Surgery CurrentSince Aug 1, 2022 Accepting new patients

Locations

101 Windsor Path
Georgetown, KY 40324
Phone (502) 868-6106

1868 Plaudit Pl
Lexington, KY 40509
Phone (859) 543-0002

3480 Yorkshire Medical Park
#100
Lexington, KY 40509
Phone (859) 514-0260

3480 Yorkshire Medical Park
Lexington, KY 40509
Phone (859) 303-8803

1760 Harrodsburg Rd
Lexington, KY 40504

3401 Yorkshire Medical Park
Lexington, KY 40509

195 Commercial Dr
London, KY 40744

1350 Flemingsburg Rd
Morehead, KY 40351
Phone (606) 462-8016

145 Newcomb Ave
Mount Vernon, KY 40456
Phone (606) 256-2195

111 Cynthia Dr
Ste 139
Nicholasville, KY 40356

111 Cynthia Dr
Ste 135
Nicholasville, KY 40356

850 Hail Knob Rd
#B
Somerset, KY 42503
Phone (270) 318-3399

Interoperability endpoints

  • Direct secure messaging: gpetersenfiits304974@direct.stlukeshealth.org

Organizations & group practices 2

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 7

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": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1033560032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 YORKSHIRE MEDICAL PARK",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091886",
            "telephone_number": "859-263-5140",
            "fax_number": "859-263-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 YORKSHIRE MEDICAL PARK",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091886",
            "telephone_number": "859-263-5140",
            "fax_number": "859-263-5141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Cynthia Dr Ste 135",
            "address_purpose": "LOCATION",
            "city": "Nicholasville",
            "state": "KY",
            "postal_code": "403568062",
            "country_code": "US",
            "telephone_number": "859-263-5140",
            "fax_number": "859-263-5141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 Newcomb Ave",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "KY",
            "postal_code": "404562728",
            "country_code": "US",
            "telephone_number": "859-263-5140",
            "fax_number": "859-263-5141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1868 Plaudit Pl",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405092429",
            "country_code": "US",
            "telephone_number": "859-263-5140",
            "fax_number": "859-263-5141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1760 Harrodsburg Rd",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405043602",
            "country_code": "US",
            "telephone_number": "859-263-5140",
            "fax_number": "859-263-5141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3401 Yorkshire Medical Park",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405092513",
            "country_code": "US",
            "telephone_number": "859-263-5140",
            "fax_number": "859-263-5141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 Hail Knob Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "KY",
            "postal_code": "425033418",
            "country_code": "US",
            "telephone_number": "859-263-5140",
            "fax_number": "859-263-5141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "195 Commercial Dr",
            "address_purpose": "LOCATION",
            "city": "London",
            "state": "KY",
            "postal_code": "407448234",
            "country_code": "US",
            "telephone_number": "859-263-5140",
            "fax_number": "859-263-5141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Windsor Path",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "KY",
            "postal_code": "403249617",
            "country_code": "US",
            "telephone_number": "859-263-5140",
            "fax_number": "859-263-5141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSEN-FITTS",
        "first_name": "GRAYSEN",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-30",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301110822",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "TP876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gpetersenfitts269622@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Center Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265061200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.