Individual provider Active NPI

David Bailey Mayer, DO

  • Surgery Physician
  • Monticello, KY
National Provider Identifier
1245207349
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
02397 Issued in KY
Practice address
One South Creek Dr
Suite 112
Monticello, KY 42633
Phone
(606) 348-3341
Fax
(606) 348-6579
NPI assigned
Mar 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 02397 KY Primary
Emergency Medicine Physician 207P00000X 02397 KY

Addresses

Primary practice location

One South Creek Dr
Suite 112
Monticello, KY 42633

Mailing address

One South Creek Dr
Suite 112
Monticello, KY 42633
Phone (606) 348-3341

Other identifiers 1

IdentifierTypeStateIssuer
64023971MedicaidKY

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
I20100701000499 KY Practitioner - General Surgery 2062543200 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wayne County Hospital IncGroup PAC ID 7113814740, 15 clinicians

Practice addresses (Care Compare)

1 S Creek Dr
Suite 112
Monticello, KY 42633-9472
Phone (606) 348-3341

Hospital & facility affiliations

  • Wayne County Hospital Hospital, Monticello, KY, CCN 181321
  • Lake Cumberland Regional Hospital Hospital, Somerset, KY, CCN 180132

Merit-based Incentive Payment System (MIPS)

Final score
99.05 of 100Reported as individual
Quality
81.71
Promoting interoperability
100
Improvement activities
40
Cost
98.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy42
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux41
Melanoma (skin cancer) excision36
Removal of tissue1-10
Removal of skin lesions178
Skin biopsy13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02397KYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne County Hospital, Inc CurrentSince Jan 15, 2019 Accepting new patients
Southeastern Physician Services PC CurrentSince May 1, 2020 Accepting new patients
Wayne County Hospital, Inc Emergency Medicine CurrentSince Jan 15, 2019 Accepting new patients
Kentucky Post-Acute Medical Services 1 PSC CurrentSince May 1, 2020 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince May 1, 2020 Accepting new patients

Locations

723 Burkesville Rd
Albany, KY 42602
Phone (606) 387-6421

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

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

1 S Creek Dr
Ste 112
Monticello, KY 42633
Phone (606) 348-3341

166 Hospital St
Monticello, KY 42633
Phone (606) 340-3251

1501 S Dixie St
Park, KY 42749
Phone (270) 745-1255

Interoperability endpoints

  • Direct secure messaging: wcodmayer@yourcarecommunity.org
  • Direct secure messaging: david.mayer.1@15293.direct.athenahealth.com

Organizations & group practices 5

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 2

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": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1245207349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE SOUTH CREEK DR",
            "address_2": "SUITE 112",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "42633",
            "telephone_number": "606-348-3341",
            "fax_number": "606-348-6579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE SOUTH CREEK DR",
            "address_2": "SUITE 112",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "42633",
            "telephone_number": "606-348-3341",
            "fax_number": "606-348-6579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER",
        "first_name": "DAVID",
        "middle_name": "BAILEY",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "02397",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "02397",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64023971",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, KY

Sources for this page

Verify at the official NPI Registry.