Active NPI
Robert J Klickovich, M.D.
- Interventional Pain Medicine Physician
- Florence, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 41232
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3091372 | Medicaid | OH | |
| 7100038250 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Northwestern University Feinberg Medical School, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 41232 | KY | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Relief Centers | Pain Medicine | Current | Accepting new patients |
| Neuroscience Associates of Northern Kentucky PSC | Past | Accepting new patients | |
| Hansen Pain and Wellness | Past | Accepting new patients | |
| Robert J Klickovich MD | Interventional Pain Medicine | Past | 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
- https://fhir.meditouchehr.com/api/fhir/r4/
- 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.
-
- Family Nurse Practitioner
- Florence, KY
- NPI 1396375952
-
- Nurse Practitioner
- Florence, KY
- NPI 1932136264
-
- Interventional Pain Medicine Physician
- Crestview Hills, KY
- NPI 1083888325
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.
-
- Interventional Pain Medicine Physician
- Louisville, KY
- NPI 1457851578
-
dba Paradigm Pain and Spine Consultants
- Interventional Pain Medicine Physician
- Florence, KY
- NPI 1811231954
-
- Pain Medicine Physician
- Crestview Hills, KY
- NPI 1235975749
-
- Primary Care Nurse Practitioner
- Crestview Hills, KY
- NPI 1215936240
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Elizabeth Grant
- Critical Access Hospital
- Williamstown, KY
- NPI 1114974813
-
dba St Elizabeth Florence
- General Acute Care Hospital
- Florence, KY
- NPI 1154365062
-
- General Acute Care Hospital
- Edgewood, KY
- NPI 1467492421
-
dba St Elizabeth Ft. Thomas
- General Acute Care Hospital
- Fort Thomas, KY
- NPI 1740221795
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.