Ian Andres Boggero, PH.D.
Individual provider Active NPI Clinical Psychologist · Lexington, KY
NPI 1619599362 · NPPES record last updated Sep 15, 2020
Key facts
- NPI
- 1619599362
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 265758 (KY)
- Practice address
- 740 S Limestone
Lexington, KY 40536-7001 - Phone
- (859) 323-3368
- NPI assigned
- May 15, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 16
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Kentucky
Practice addresses (Care Compare)
740 S Limestone St
Lexington, KY 40508-0001
Phone (859) 233-5950
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.76 of 100
- Quality
- 78.19
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.17
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200922001225 | KY | Practitioner - Clinical Psychologist | 3870911910 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Kentucky | Current |
Accepting new patients |
Locations
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 265758 | KY | Yes |
Addresses
Primary practice location
740 S Limestone
Lexington, KY 40536-7001
Mailing address
800 Rose St
Lexington, KY 40536-7001
Phone (859) 323-3368
Other providers in Lexington, KY
- Marissa Marcinek Boelhauf
- Abigail Jane Boente
- Ashley Boerrigter
- Phayao Boese
- Rano Bofill
- Lloyd Boggess
- Christian Boggs
- Haley Morgan Boggs
- Jatana Boggs
- Lisa Michelle Boggs
All providers in Lexington, KY · Clinical Psychologist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.