Individual provider Active NPI

Robert J Klickovich, M.D.

  • Interventional Pain Medicine Physician
  • Florence, KY
National Provider Identifier
1649204306
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
41232 Issued in KY
Practice address
7000 Dixie Hwy
Florence, KY 41042-2010
Phone
(859) 282-2024
Fax
(859) 282-6747
NPI assigned
Jul 10, 2006
Last updated
Oct 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 41232 KY
Interventional Pain Medicine Physician 208VP0014X 35094827 OH
Interventional Pain Medicine Physician 208VP0014X 41232 KY Primary

Addresses

Primary practice location

7000 Dixie Hwy
Florence, KY 41042-2010

Mailing address

7000 Dixie Hwy
Florence, KY 41042-2010
Phone (859) 282-2024

Other practice location 1

160 Prosperous Pl
Lexington, KY 40509-1863
Phone (859) 367-7246

Other practice location 2

5129 Dixie Hwy Ste 201
Louisville, KY 40216-1727
Phone (502) 430-6223

Other practice location 3

101 Financial Pl Ste B103
Elizabethtown, KY 42701-8481
Phone (270) 600-7080

Other identifiers 2

IdentifierTypeStateIssuer
3091372MedicaidOH
7100038250MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080214000023 KY Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 9931106879 Reassigns benefits to 1 organization
Receives reassigned benefits from 3 practitioners
Practice locations: Florence, KY

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Northwestern University Feinberg Medical School, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Relief CentersGroup PAC ID 1254689284, 4 clinicians

Practice addresses (Care Compare)

5129 Dixie Hwy
Suite 201
Louisville, KY 40216-1727
Phone (502) 430-6223

7000 Dixie Hwy
Florence, KY 41042-2010
Phone (859) 282-2024

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.73 of 100Reported as group
Quality
67.22
Improvement activities
40
Cost
70.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41232KYMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Relief Centers Pain Medicine CurrentSince Sep 16, 2024 Accepting new patients
Neuroscience Associates of Northern Kentucky PSC Past Accepting new patients
Hansen Pain and Wellness PastSince Jul 7, 2024 Accepting new patients
Robert J Klickovich MD Interventional Pain Medicine PastSince Jan 1, 2013 Accepting new patients

Locations

101 Financial Pl
Ste B103
Elizabethtown, KY 42701
Phone (270) 307-8177

7000 Dixie Hwy
Florence, KY 41042
Phone (859) 282-2024

160 Prosperous Pl
Lexington, KY 40509
Phone (859) 367-7246

5129 Dixie Hwy
Ste 201
Louisville, KY 40216
Phone (502) 430-6223

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/EEJECA/Endpoint/EEJECA

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 4

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 4

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1649204306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 DIXIE HWY",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410422010",
            "telephone_number": "859-282-2024",
            "fax_number": "859-282-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 DIXIE HWY",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410422010",
            "telephone_number": "859-282-2024",
            "fax_number": "859-282-6747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Prosperous Pl",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405091863",
            "country_code": "US",
            "telephone_number": "859-367-7246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5129 Dixie Hwy Ste 201",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402161727",
            "country_code": "US",
            "telephone_number": "502-430-6223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Financial Pl Ste B103",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427018481",
            "country_code": "US",
            "telephone_number": "270-600-7080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLICKOVICH",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "KY",
            "license": "41232",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OH",
            "license": "35094827",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "KY",
            "license": "41232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3091372",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100038250",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.