Active NPI
David Lee Dornbos III, M.D.
- Neurological Surgery Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 55547
- Practice address
- 740 S Limestone
Ste B101
Lexington, KY 40536 - Phone
- (859) 323-5661
- Fax
- (859) 323-5943
- NPI assigned
- Jul 24, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 57.021021 | OH | |
| Neurological Surgery Physician | 207T00000X | TP065 | KY | |
| Neurological Surgery Physician | 207T00000X | 55547 | KY | Primary |
Addresses
Primary practice location
740 S Limestone
Ste B101
Lexington, KY 40536
Mailing address
57 Clark PL
Columbus, OH 43201-2462
Phone (616) 915-8560
Other practice location 1
57 Clark Pl
Columbus, OH 43201-2462
Phone (616) 915-8560
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Wayne State University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
740 S Limestone St
Lexington, KY 40508-1683
Phone (859) 257-8562
Hospital & facility affiliations
- University of Kentucky Hospital
- Ephraim McDowell Regional Medical Center
- Lake Cumberland Regional Hospital
- Highlands Arh Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.77 of 100
- Quality
- 68.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.39
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Laminectomy or laminotomy (partial removal of spine bones) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57.021021 | OH | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky Medical Services Foundation, Inc | Current | Accepting new patients | |
| University of Kentucky | Past | Accepting new patients |
Locations
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800
Interoperability endpoints
- ddornbos125210@ukhcdirect.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.
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1326091448
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1518911338
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Prestonsburg, KY
- NPI 1043878325
-
- Multi-Specialty Clinic/Center
- Prestonsburg, KY
- NPI 1700445319
Hospital
-
- Rehabilitation Hospital Unit
- Danville, KY
- NPI 1639360472
-
- General Acute Care Hospital
- Danville, KY
- NPI 1821135963
-
- Rural Acute Care Hospital
- Somerset, KY
- NPI 1619038247
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1518911338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651449600000",
"number": "1053667303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 CLARK PL",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432012462",
"telephone_number": "616-915-8560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 S LIMESTONE",
"address_2": "STE B101",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "40536",
"telephone_number": "859-323-5661",
"fax_number": "859-323-5943"
}
],
"practiceLocations": [
{
"address_1": "57 Clark Pl",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432012462",
"country_code": "US",
"telephone_number": "616-915-8560",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DORNBOS",
"first_name": "DAVID",
"middle_name": "LEE",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-24",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "OH",
"license": "57.021021",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "KY",
"license": "TP065",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "KY",
"license": "55547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.