Casey Lane Clark
Individual provider Active NPI Internal Medicine Physician · Winchester, KY
NPI 1306340286 · NPPES record last updated Aug 20, 2026
Key facts
- NPI
- 1306340286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 56386 (KY)
- Practice address
- 1850 Bypass Rd
Winchester, KY 40391-2300 - Phone
- (859) 744-5111
- Fax
- (859) 744-1177
- NPI assigned
- Mar 23, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Kentucky College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kentuckyone Health Medical Group Inc
Practice addresses (Care Compare)
1850 Bypass Rd
Winchester, KY 40391-2300
Phone (859) 744-5111
Hospital & facility affiliations
- Amedisys SP-Ky, LLC Dba Adoration Home Health
- Vna Health at Home
- Saint Joseph East
- Clark Regional Medical Center
- Saint Joseph Mount Sterling
- Baptist Health Lexington
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220902002251 | KY | Practitioner - Internal Medicine |
5193052447 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentuckyone Health Medical Group, Inc. | Internal Medicine | Current |
Accepting new patients |
Locations
305 Estill St
Berea, KY 40403
Phone (859) 986-1415
1401 Harrodsburg Rd
Ste A300
Lexington, KY 40504
Phone (859) 313-4744
1850 Bypass Rd
Winchester, KY 40391
Phone (859) 744-5111
Interoperability endpoints
- cclark303245@direct.stlukeshealth.org
- cclark17089@ukhcdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 56386 | KY | |
| Internal Medicine Physician | 207R00000X | 56386 | KY | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1850 Bypass Rd
Winchester, KY 40391-2300
Mailing address
PO Box 936
London, KY 40743-0936
Phone (859) 744-5111
Other practice location 1
900 S Limestone Ctw 304
Lexington, KY 40536-0001
Phone (859) 323-6561
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100615740 | Medicaid | KY |
Other providers in Winchester, KY
- Clark Regional Physician Practices LLC
- Clark Regional Physician Practices LLC
- Clark Regional Physician Practices LLC
- Clark Regional Physician Practices LLC
- Clark Regional Physician Practices, LLC
- Magdalene Cooper Cloyd
- April Coldiron
- Commonwealth Speech & Language Pathology Services
- Commonwealth Urology Winchester
- Communication Works
All providers in Winchester, KY · Internal Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.