Individual provider Active NPI

Robert Casey Unger, PA-C

  • Physician Assistant
  • Paducah, KY
National Provider Identifier
1336561901
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2011 Issued in KY
Practice address
200 Clint Hill Blvd
Paducah, KY 42001-6768
Phone
(270) 442-9461
Fax
(270) 441-0079
NPI assigned
Jan 15, 2014
Last updated
Dec 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2487 TN
Physician Assistant 363A00000X PA2011 KY Primary

Addresses

Primary practice location

200 Clint Hill Blvd
Paducah, KY 42001-6768

Mailing address

200 Clint Hill Blvd
Paducah, KY 42001-6768
Phone (270) 442-9461

Other identifiers 1

IdentifierTypeStateIssuer
7100404150MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN, OH3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150817000899 KY Practitioner - Physician Assistant 2668787995 Reassigns benefits to 5 organizations
I20171227002946 TN Practitioner - Physician Assistant 2668787995 Reassigns benefits to 3 organizations
I20260601002739 OH Practitioner - Physician Assistant 2668787995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green Valley Hospital Medicine Physicians LLCGroup PAC ID 3779973839, 27 clinicians
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians

Practice addresses (Care Compare)

1530 Lone Oak Rd
Paducah, KY 42003-7901
Phone (270) 444-2444

2501 Kentucky Ave
Paducah, KY 42003-3813
Phone (270) 575-2100

310 S Limestone
Lexington, KY 40508-3008
Phone (859) 226-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
62.45 of 100Reported as group
Quality
50.17
Promoting interoperability
100
Improvement activities
0
Cost
74.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Kentucky Specialty Care LLC Physician Assistant CurrentSince Jan 1, 2024 Accepting new patients
Cardiovascular Anesthesiologists PC Physician Assistant CurrentSince Sep 1, 2020 Accepting new patients
Amago Inpatient Services LLC Physician Assistant Past Accepting new patients
Mercy Health Physicians Kentucky LLC Physician Assistant Past Accepting new patients

Locations

1532 Lone Oak Rd
Ste 320
Paducah, KY 42003
Phone (270) 415-3830

200 Clint Hill Blvd
Paducah, KY 42001
Phone (270) 442-9461

4230 Harding Pike
Ste 435
Nashville, TN 37205
Phone (615) 385-3704

Interoperability endpoints

  • Direct secure messaging: nba6957@yourcarecommunity.org

Organizations & group practices 11

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.

Hospital & facility affiliations 3

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": "1389744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1336561901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CLINT HILL BLVD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420016768",
            "telephone_number": "270-442-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CLINT HILL BLVD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420016768",
            "telephone_number": "270-442-9461",
            "fax_number": "270-441-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNGER",
        "first_name": "ROBERT",
        "middle_name": "CASEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-15",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "2487",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA2011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100404150",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.