Active NPI
Abigail Debusk, D.O.
- Sports Medicine (Family Medicine) Physician
- Bowling Green, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 03735
- Practice address
- 825 2ND Ave
Suite C2
Bowling Green, KY 42101-1786 - Phone
- (270) 780-2750
- NPI assigned
- May 15, 2011
- Last updated
- Jan 12, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 03735 | KY | Primary |
Addresses
Primary practice location
825 2ND Ave
Suite C2
Bowling Green, KY 42101-1786
Mailing address
239 Chippewa Dr
Bowling Green, KY 42103-1376
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 376962 | Medicaid | SC |
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
- Family Practice
- Education
- Lincoln Memorial University Medical Department, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
250 Park St
Bowling Green, KY 42101-1760
Phone (270) 781-7178
456 Burnley Rd
Scottsville, KY 42164-6355
Phone (270) 780-2760
466 Burnley Rd
Scottsville, KY 42164-6355
Phone (270) 780-2750
825 2ND Ave E
Bowling Green, KY 42101-1786
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Health Corporation, Inc. | Current | Accepting new patients | |
| Commonwealth Health Corporation, Inc | Current | Accepting new patients | |
| Commonwealth Health Corporation, Inc. | Sports Medicine | Current | Accepting new patients |
| Commonwealth Health Corporation | Past | Accepting new patients |
Locations
250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000
350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075
825 2nd Ave
Ste C2
Bowling Green, KY 42101
Phone (270) 780-2750
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Med Center Health Neurology
- Neurology Physician
- Bowling Green, KY
- NPI 1881109304
-
dba Med Center Health Plastic & Reconstructive Surgery
- Plastic and Reconstructive Surgery Physician
- Bowling Green, KY
- NPI 1104470699
-
dba Med Center Health Primary Care
- Internal Medicine Physician
- Bowling Green, KY
- NPI 1992180772
Sports Medicine
-
dba SMP Physicians
- Family Medicine Physician
- Scottsville, KY
- NPI 1508899089
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba The Medical Center
- General Acute Care Hospital
- Bowling Green, KY
- NPI 1043293608
-
dba The Medical Center at Scottsville
- Critical Access Hospital
- Scottsville, KY
- NPI 1710906565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484179200000",
"number": "1154613768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "239 CHIPPEWA DR",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421031376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 2ND AVE",
"address_2": "SUITE C2",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421011786",
"telephone_number": "270-780-2750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBUSK",
"first_name": "ABIGAIL",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-15",
"last_updated": "2017-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "KY",
"license": "03735",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "376962",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.