Individual provider Active NPI

Matthew Lee Bush, M.D.

  • Otology & Neurotology Physician
  • Lexington, KY
National Provider Identifier
1376706762
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
License
43990 Issued in KY
Practice address
Ukmc Department of Otolaryngology
800 Rose Street, Suite C-236
Lexington, KY 40536-0293
Phone
(859) 257-5097
Fax
(859) 257-5096
NPI assigned
Jul 7, 2008
Last updated
Mar 15, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 35.092641 OH
Otology & Neurotology Physician 207YX0901X 43990 KY Primary

Addresses

Primary practice location

Ukmc Department of Otolaryngology
800 Rose Street, Suite C-236
Lexington, KY 40536-0293

Mailing address

800 Rose Street,
Ukmc Department of Otolaryngology Suite C-236
Lexington, KY 40536-0293
Phone (859) 257-5097

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
I20110720000688 KY Practitioner - Otolaryngology 1355519273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
JC Edwards School of Medicine, Marshall University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentucky Medical Services Foundation, IncGroup PAC ID 5698689909, 949 clinicians

Practice addresses (Care Compare)

100 Greatstone PT
Lexington, KY 40504-3274
Phone (859) 257-9800

2400 Greatstone PT
Lexington, KY 40504-3274
Phone (859) 323-7426

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.77 of 100Reported as group
Quality
68.25
Promoting interoperability
100
Improvement activities
40
Cost
72.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.092641OHMDOtolaryngology Physician
43990KYMDOtology & Neurotology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Medical Services Foundation, Inc CurrentSince Jul 1, 2011 Accepting new patients

Locations

110 Johnson Ln
Barbourville, KY 40906
Phone (606) 546-5109

103 Town and Country Ln
Ste M
Hazard, KY 41701

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

333 Waller Ave
Ste 300
Lexington, KY 40504
Phone (859) 252-3170

800 Rose St
Ste C236
Lexington, KY 40536
Phone (859) 257-5097

214 W 1st St
Morehead, KY 40351
Phone (606) 783-8610

401 Bogle St
Ste 104
Somerset, KY 42503
Phone (800) 525-4279

Interoperability endpoints

  • Direct secure messaging: mbush19601@ukhcdirect.org

Organizations & group practices 1

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 1

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": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1376706762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROSE STREET,",
            "address_2": "UKMC DEPARTMENT OF OTOLARYNGOLOGY SUITE C-236",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360293",
            "telephone_number": "859-257-5097",
            "fax_number": "859-257-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UKMC DEPARTMENT OF OTOLARYNGOLOGY",
            "address_2": "800 ROSE STREET, SUITE C-236",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360293",
            "telephone_number": "859-257-5097",
            "fax_number": "859-257-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "MATTHEW",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-07",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "35.092641",
            "primary": false
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "KY",
            "license": "43990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.