NPIMap

Individual provider Active NPI

Kellee D. Frogge, M.D.

  • Family Medicine Physician
  • Campbellsville, KY
National Provider Identifier
1467434928
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36533 Issued in KY
Practice address
105 Greenbriar Dr
Suite B
Campbellsville, KY 42718
Phone
(270) 465-0191
Fax
(270) 465-0463
NPI assigned
Nov 18, 2005
Last updated
Jul 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 36533 KY Primary

Addresses

Primary practice location

105 Greenbriar Dr
Suite B
Campbellsville, KY 42718

Mailing address

410 Hotchkiss St
Campbellsville, KY 42718-1340
Phone (270) 465-0191

Other identifiers 1

IdentifierTypeStateIssuer
6404239300MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070615000358 KY Practitioner - Family Practice 5698874618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Carolina School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PT Pros, IncGroup PAC ID 0143139337, shared by 14 NPIs, 263 clinicians

Practice addresses (Care Compare)

410 Hotchkiss St
Campbellsville, KY 42718-1340
Phone (270) 465-0191

792 Campbellsville Rd
Greensburg, KY 42743-1460
Phone (270) 973-5400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.9 of 100Reported as group
Quality
85.93
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions24
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36533KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kellee D Frogge, MD,PSC Family Medicine CurrentSince Mar 5, 2007 Accepting new patients

Locations

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

410 Hotchkiss St
Campbellsvlle, KY 42718
Phone (270) 465-0191

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 7

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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1467434928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 HOTCHKISS ST",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427181340",
            "telephone_number": "270-465-0191",
            "fax_number": "270-464-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 GREENBRIAR DR",
            "address_2": "SUITE B",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "42718",
            "telephone_number": "270-465-0191",
            "fax_number": "270-465-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROGGE",
        "first_name": "KELLEE",
        "middle_name": "D.",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "36533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6404239300",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbellsville, KY

Sources for this page

Verify at the official NPI Registry.