Active NPI
David Bailey Mayer, DO
- Surgery Physician
- Monticello, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 02397
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64023971 | Medicaid | KY |
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
- 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
Practice addresses (Care Compare)
1 S Creek Dr
Suite 112
Monticello, KY 42633-9472
Phone (606) 348-3341
Hospital & facility affiliations
- Wayne County Hospital
- Lake Cumberland Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.05 of 100
- Quality
- 81.71
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 98.44
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 42 |
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 41 |
| Melanoma (skin cancer) excision | 36 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 178 |
| Skin biopsy | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02397 | KY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wayne County Hospital, Inc | Current | Accepting new patients | |
| Southeastern Physician Services PC | Current | Accepting new patients | |
| Wayne County Hospital, Inc | Emergency Medicine | Current | Accepting new patients |
| Kentucky Post-Acute Medical Services 1 PSC | Current | Accepting new patients | |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | 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
- wcodmayer@yourcarecommunity.org
- 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.
-
- Critical Access Hospital
- Monticello, KY
- NPI 1871548016
Emergency Medicine
-
- Behavioral Neurology & Neuropsychiatry Physician
- Flemingsburg, KY
- NPI 1831628783
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
-
- Medicare Defined Swing Bed Hospital Unit
- Monticello, KY
- NPI 1992744536
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Somerset, KY
- NPI 1619038247
-
- Critical Access Hospital
- Monticello, KY
- NPI 1871548016
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.