Individual provider Active NPI

John Rogers Price, M.D.

  • Family Medicine Physician
  • Liberty, KY
National Provider Identifier
1558322966
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17903 Issued in KY
Practice address
84 Hustonville St
Liberty, KY 42539-3469
Phone
(606) 303-9011
Fax
(606) 303-9170
NPI assigned
Mar 28, 2006
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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 17903 KY Primary

Addresses

Primary practice location

84 Hustonville St
Liberty, KY 42539-3469

Mailing address

PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 864-1472

Other practice location 1

376 Randolph St
Liberty, KY 42539-3382
Phone (606) 787-6246

Other identifiers 1

IdentifierTypeStateIssuer
64179039MedicaidKY

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
I20110120000476 KY Practitioner - Family Practice 8628257854 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Family Medical Clinic LibertyGroup PAC ID 3173891926, 5 clinicians

Practice addresses (Care Compare)

84 Hustonville St
Liberty, KY 42539-3469
Phone (606) 706-7473

Hospital & facility affiliations

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17903KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Family Medical Clinic Liberty Family Medicine CurrentSince Apr 25, 2016 Accepting new patients
Advanced Family Medical Clinic Mount Vernon Family Medicine CurrentSince Mar 1, 2024 Accepting new patients
Family Home Health Care LLC PastSince Apr 25, 2016 Accepting new patients

Locations

84 Hustonville St
Liberty, KY 42539
Phone (606) 706-7473

79 Sarahs Ln
Somerset, KY 42503
Phone (606) 386-1917

Organizations & group practices 3

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1558322966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1080",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427171080",
            "telephone_number": "270-864-1472",
            "fax_number": "270-864-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 HUSTONVILLE ST",
            "city": "LIBERTY",
            "state": "KY",
            "postal_code": "425393469",
            "telephone_number": "606-303-9011",
            "fax_number": "606-303-9170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "376 Randolph St",
            "address_purpose": "LOCATION",
            "city": "Liberty",
            "state": "KY",
            "postal_code": "425393382",
            "country_code": "US",
            "telephone_number": "606-787-6246",
            "fax_number": "606-787-6248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRICE",
        "first_name": "JOHN",
        "middle_name": "ROGERS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "17903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64179039",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, KY

Sources for this page

Verify at the official NPI Registry.