NPIMap

Individual provider Active NPI

Oliver Thomas Newcomb III, M.D.

  • Urology Physician
  • Morehead, KY
National Provider Identifier
1619901816
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
24696 Issued in KY
Practice address
245 Flemingsburg Rd
Morehead, KY 40351-1015
Phone
(606) 783-7689
Fax
(606) 784-5671
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 24696 KY Primary

Addresses

Primary practice location

245 Flemingsburg Rd
Morehead, KY 40351-1015

Mailing address

PO Box 1145
Morehead, KY 40351-5145
Phone (606) 783-7689

Other identifiers 1

IdentifierTypeStateIssuer
64246960MedicaidKY

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
I20041230000507 KY Practitioner - UrologyPractitioner - General Surgery 9234197658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
UrologyAlso: General Surgery
Education
University of Louisville School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Claire Medical Center IncGroup PAC ID 4486559085, 181 clinicians

Practice addresses (Care Compare)

222 Medical Cir
Morehead, KY 40351-1179
Phone (606) 783-6500

Hospital & facility affiliations

  • St Claire Regional Medical Center Hospital, Morehead, KY, CCN 180018
  • Meadowview Regional Medical Center Hospital, Maysville, KY, CCN 180019

Merit-based Incentive Payment System (MIPS)

Final score
73.64 of 100Reported as group
Quality
56.63
Improvement activities
40
Cost
74.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24696KYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Proudfoot & Associates, PSC Urology CurrentSince Feb 19, 2023 Accepting new patients
St Claire Medical Center, Inc CurrentSince Jan 1, 2005 Accepting new patients
St Claire Medical Center, Inc Urology CurrentSince Jan 1, 2005 Accepting new patients
St Claire Medical Center, Inc., Current Accepting new patients
Sprocket Medical Management LLC Past Accepting new patients

Locations

555 W Sun St
Morehead, KY 40351
Phone (606) 207-2931

245 Flemingsburg Rd
Morehead, KY 40351
Phone (606) 780-5500

222 Medical Cir
Morehead, KY 40351
Phone (606) 783-6455

425 Clinic Dr
Morehead, KY 40351
Phone (606) 784-1049

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St Claire Regional Medical CenterMorehead, KY, CCN 18T018 Hospital Corporate Director Jul 1, 2011

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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 5

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1619901816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1145",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403515145",
            "telephone_number": "606-783-7689",
            "fax_number": "606-784-5671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 FLEMINGSBURG RD",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511015",
            "telephone_number": "606-783-7689",
            "fax_number": "606-784-5671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWCOMB",
        "first_name": "OLIVER",
        "middle_name": "THOMAS",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "KY",
            "license": "24696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64246960",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead, KY

Sources for this page

Verify at the official NPI Registry.