Individual provider Active NPI

Kimberly Wurth-Frazier, MD

  • Obstetrics & Gynecology Physician
  • Campbellsville, KY
National Provider Identifier
1427030766
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
39011 Issued in KY
Practice address
105 Greenbriar Dr Ste B
Campbellsville, KY 42718-9617
Phone
(270) 465-3568
NPI assigned
Nov 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 39011 KY Primary

Addresses

Primary practice location

105 Greenbriar Dr Ste B
Campbellsville, KY 42718-9617

Mailing address

1698 Old Lebanon Rd
Campbellsville, KY 42718-3319
Phone (270) 789-6087

Other practice location 1

215 N Depot St
Lebanon, KY 40033-1419
Phone (270) 465-3568

Other identifiers 1

IdentifierTypeStateIssuer
64078744MedicaidKY

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
I20040716000623 KY Practitioner - Obstetrics/Gynecology 6305825969 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Kentucky College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Taylor Regional Medical Group LLCGroup PAC ID 4880616622, 60 clinicians

Practice addresses (Care Compare)

3066 Campbellsville Rd
Columbia, KY 42728-9511
Phone (270) 789-0587

Hospital & facility affiliations

  • Taylor Regional Hospital Hospital, Campbellsville, KY, CCN 180087

Merit-based Incentive Payment System (MIPS)

Final score
69.66 of 100Reported as group
Quality
39.23
Promoting interoperability
99
Improvement activities
40
Cost
43.79

Merit-based Incentive Payment System (MIPS)

Final score
73.96 of 100Reported as group
Quality
62.41
Promoting interoperability
69
Improvement activities
40
Cost
71.3

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Kentucky, P.S.C. Obstetrics & Gynecology CurrentSince Sep 10, 2015 Accepting new patients
Taylor Regional Medical Group, LLC CurrentSince Nov 2, 2022 Accepting new patients
Taylor Regional Medical Group LLC CurrentSince Nov 2, 2022 Accepting new patients
Taylor Regional Medical Group,LLC Obstetrics & Gynecology Current Accepting new patients
Taylor Regional Medical Group Past Accepting new patients
Taylor County Hospital District Health Facilities Corporation Past Accepting new patients

Locations

105 Greenbriar Dr
#B
Campbellsville, KY 42718
Phone (270) 465-0191

105 Greenbriar Dr
Campbellsville, KY 42718
Phone (270) 283-4253

1698 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

3066 Campbellsville Rd
Columbia, KY 42728
Phone (270) 384-6451

215 N Depot St
Lebanon, KY 40033
Phone (270) 465-3568

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

Organizations & group practices 6

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 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": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1427030766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1698 OLD LEBANON RD",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427183319",
            "telephone_number": "270-789-6087",
            "fax_number": "270-789-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 GREENBRIAR DR STE B",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427189617",
            "telephone_number": "270-465-3568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 N Depot St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "KY",
            "postal_code": "400331419",
            "country_code": "US",
            "telephone_number": "270-465-3568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WURTH-FRAZIER",
        "first_name": "KIMBERLY",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "39011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64078744",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbellsville, KY

Sources for this page

Verify at the official NPI Registry.