Individual provider Active NPI

David J Lauber, M.D.

  • Surgery Physician
  • Corbin, KY
National Provider Identifier
1104879519
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
29631 Issued in KY
Practice address
1 Trillium Way
Suite 301
Corbin, KY 40701-8727
Phone
(606) 526-7363
Fax
(606) 526-8695
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 29631 KY Primary

Addresses

Primary practice location

1 Trillium Way
Suite 301
Corbin, KY 40701-8727

Mailing address

PO Box 1325
Corbin, KY 40702-1325
Phone (606) 526-8131

Other identifiers 1

IdentifierTypeStateIssuer
64296312MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dlauber7675@bhkydirect.com

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
I20060614000231 KY Practitioner - General Surgery 4880606797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Oral Roberts University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

4071 Tates Creek Centre Dr
Suite 202
Lexington, KY 40517-3094
Phone (859) 260-4390

Hospital & facility affiliations

  • Baptist Health Corbin Hospital, Corbin, KY, CCN 180080

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy44
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux43
Melanoma (skin cancer) excision17
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2015 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2015 Accepting new patients
Dialysis Clinic Inc Past Accepting new patients
Baptist Healthcare System, Inc Past Accepting new patients

Locations

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

1 Trillium Way
Ste 301
Corbin, KY 40701
Phone (606) 526-7363

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

Organizations & group practices 4

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 1

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1104879519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1325",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407021325",
            "telephone_number": "606-526-8131",
            "fax_number": "606-528-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TRILLIUM WAY",
            "address_2": "SUITE 301",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407018727",
            "telephone_number": "606-526-7363",
            "fax_number": "606-526-8695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUBER",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "29631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64296312",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dlauber7675@bhkydirect.com",
            "affiliation": "N",
            "address_1": "1 Trillium Way",
            "address_2": "SUITE 301",
            "city": "Corbin",
            "state": "KY",
            "country_code": "US",
            "postal_code": "407018727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.