Individual provider Active NPI

Jon A. Brinkman, D.O.

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Ashland, KY
National Provider Identifier
1497785737
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
02952 Issued in KY
Practice address
613 23Rd St Ste 420
Ashland, KY 41101-2885
Phone
(606) 836-3681
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X 02952 KY Primary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X 34.007963 OH

Addresses

Primary practice location

613 23Rd St Ste 420
Ashland, KY 41101-2885

Mailing address

PO Box 2379
Ashland, KY 41105-2379
Phone (606) 408-6200

Other practice location 1

1729 Kinneys Ln Ste 201
Portsmouth, OH 45662-3167
Phone (740) 353-8100

Other identifiers 2

IdentifierTypeStateIssuer
64126204MedicaidKY
2386029MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbrinkman11094@direct.kdhealth.us Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051025001128 OH Practitioner - Otolaryngology 6901823343 Reassigns benefits to 1 organization
I20070103000469 KY Practitioner - OtolaryngologyPractitioner - Other (Physician) 6901823343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kings Daughters Medical Specialties IncGroup PAC ID 6103968029, shared by 2 NPIs, 397 clinicians

Practice addresses (Care Compare)

1242 Crescent Dr
Wheelersburg, OH 45694-9376
Phone (740) 574-8441

1729 Kinneys LN
Portsmouth, OH 45662-3167

1901 Argonne Rd
Portsmouth, OH 45662-2827
Phone (740) 353-1978

2201 Lexington Ave
Ashland, KY 41101-2843
Phone (606) 408-4000

617 23Rd St
Ashland, KY 41101-2880

Hospital & facility affiliations

  • King'S Daughters' Medical Center Hospital, Ashland, KY, CCN 180009
  • Kings Daughters Medical Center Ohio Hospital, Portsmouth, OH, CCN 360361
  • Southern Ohio Medical Center Hospital, Portsmouth, OH, CCN 360008

Merit-based Incentive Payment System (MIPS)

Final score
84.04 of 100Reported as group
Quality
60.55
Promoting interoperability
100
Improvement activities
40
Cost
78.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02952KYMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Urgent Care Offices Medical Group Inc Current Accepting new patients
Kings Daughters Medical Specialties Inc Current Accepting new patients
Kings Daughters Medical Specialties Inc Current Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Apr 1, 2013 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Apr 1, 2013 Accepting new patients
Kings Daughters Medical Specialties Inc. CurrentSince Apr 1, 2013 Accepting new patients
Three Rivers Medical Clinics Inc Past Accepting new patients
Kings Daughters Medical Specialties Inc Past Accepting new patients

Locations

613 23rd St
Ste 420
Ashland, KY 41101
Phone (606) 324-2600

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

2550 Carter Ave
Ashland, KY 41101
Phone (606) 325-8561

2483 Highway 644
Ste 107
Louisa, KY 41230
Phone (606) 638-1154

5000 Ky Route 321
Prestonsburg, KY 41653
Phone (606) 886-7645

935 State Route 28
Milford, OH 45150
Phone (513) 831-5955

1729 Kinneys Ln
Ste 202
Portsmouth, OH 45662
Phone (740) 353-8100

1729 Kinneys Ln
Ste 201
Portsmouth, OH 45662
Phone (740) 353-8100

2001 Scioto Trl
Portsmouth, OH 45662
Phone (740) 353-1978

1242 Crescent Dr
Wheelersburg, OH 45694
Phone (740) 574-8441

Interoperability endpoints

  • Direct secure messaging: jbrinkman11094@direct.kdhealth.us

Organizations & group practices 8

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 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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1497785737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2379",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411052379",
            "telephone_number": "606-408-6200",
            "fax_number": "606-408-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 23RD ST STE 420",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012885",
            "telephone_number": "606-836-3681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1729 Kinneys Ln Ste 201",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "OH",
            "postal_code": "456623167",
            "country_code": "US",
            "telephone_number": "740-353-8100",
            "fax_number": "740-353-8908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRINKMAN",
        "first_name": "JON",
        "middle_name": "A.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "KY",
            "license": "02952",
            "primary": true
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "OH",
            "license": "34.007963",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64126204",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2386029",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbrinkman11094@direct.kdhealth.us",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "TXT",
            "address_1": "613 23rd St Ste 420",
            "city": "Ashland",
            "state": "KY",
            "country_code": "US",
            "postal_code": "411012885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.