Individual provider Active NPI

Owen Patrick McGonigle, MD

  • Orthopaedic Surgery Physician
  • Lexington, KY
National Provider Identifier
1669792156
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
53083 Issued in KY
Practice address
3401 Yorkshire Medical Park
Lexington, KY 40509-2513
Phone
(859) 263-5140
Fax
(859) 263-5141
NPI assigned
Jun 7, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 244573 MA
Orthopaedic Surgery Physician 207X00000X TP543 KY
Orthopaedic Surgery Physician 207X00000X 53083 KY Primary

Addresses

Primary practice location

3401 Yorkshire Medical Park
Lexington, KY 40509-2513

Mailing address

3480 Yorkshire Medical Park
Lexington, KY 40509-1886
Phone (859) 263-5140

Other practice location 1

101 Windsor Path
Georgetown, KY 40324-9617
Phone (859) 263-5140

Other practice location 2

3480 Yorkshire Medical Park
Lexington, KY 40509-1886
Phone (859) 263-5140

Other practice location 3

754 S Highway 27
Somerset, KY 42501-3509
Phone (859) 263-5140

Other practice location 4

145 Newcomb Ave
Mount Vernon, KY 40456-2728
Phone (859) 263-5140

Other practice location 5

111 Cynthia Dr Ste 139
Nicholasville, KY 40356-8062
Phone (859) 263-5140

Other practice location 6

1868 Plaudit Pl
Lexington, KY 40509-2429
Phone (859) 263-5140

Other identifiers 2

IdentifierTypeStateIssuer
TP543OtherKYTEMPORARY KY STATE LICENSE
53083OtherKYKY STATE LICENSE

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
I20190828004041 KY Practitioner - Orthopedic Surgery 5395056683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Tufts University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Proactive Therapy, IncGroup PAC ID 0143245415, 118 clinicians
Bluegrass Orthopaedics PSCGroup PAC ID 4789988981, 62 clinicians
Premier Therapy and Health Centers IncGroup PAC ID 7416859574, shared by 6 NPIs, 263 clinicians
PT Pros, IncGroup PAC ID 0143139337, shared by 14 NPIs, 263 clinicians

Practice addresses (Care Compare)

1004 Leawood Dr
Frankfort, KY 40601-3349
Phone (502) 223-7403

3401 Yorkshire Medical Park
Lexington, KY 40509-2513
Phone (859) 263-5140

710 N Carol Malone Boulevard
Grayson, KY 41143-1126
Phone (606) 474-0157

792 Campbellsville Rd
Greensburg, KY 42743-1460
Phone (270) 973-5400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53083KYMDOrthopaedic Surgery Physician
TP543KYMDOrthopaedic Surgery Physician
244573MAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bluegrass Orthopaedics Surgical Division LLC Current Accepting new patients
Bluegrass Orthopaedics PSC Orthopaedic Surgery CurrentSince Sep 3, 2019 Accepting new patients

Locations

101 Windsor Path
Georgetown, KY 40324
Phone (502) 868-6106

1868 Plaudit Pl
Lexington, KY 40509
Phone (859) 543-0002

3401 Yorkshire Medical Park
Lexington, KY 40509

1760 Harrodsburg Rd
Lexington, KY 40504

3480 Yorkshire Medical Park
Lexington, KY 40509
Phone (859) 303-8803

195 Commercial Dr
London, KY 40744

1350 Flemingsburg Rd
Morehead, KY 40351
Phone (606) 462-8016

145 Newcomb Ave
Mount Vernon, KY 40456
Phone (606) 256-2195

111 Cynthia Dr
Ste 139
Nicholasville, KY 40356

754 S Highway 27
Somerset, KY 42501
Phone (606) 305-2516

Interoperability endpoints

  • Direct secure messaging: omcgonigle311213@direct.stlukeshealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1669792156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 YORKSHIRE MEDICAL PARK",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091886",
            "telephone_number": "859-263-5140",
            "fax_number": "859-263-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 YORKSHIRE MEDICAL PARK",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092513",
            "telephone_number": "859-263-5140",
            "fax_number": "859-263-5141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Windsor Path",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "KY",
            "postal_code": "403249617",
            "country_code": "US",
            "telephone_number": "859-263-5140",
            "fax_number": "859-263-5141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3480 Yorkshire Medical Park",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405091886",
            "country_code": "US",
            "telephone_number": "859-263-5140",
            "fax_number": "859-263-5141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "754 S Highway 27",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "KY",
            "postal_code": "425013509",
            "country_code": "US",
            "telephone_number": "859-263-5140",
            "fax_number": "859-263-5141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 Newcomb Ave",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "KY",
            "postal_code": "404562728",
            "country_code": "US",
            "telephone_number": "859-263-5140",
            "fax_number": "859-263-5141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Cynthia Dr Ste 139",
            "address_purpose": "LOCATION",
            "city": "Nicholasville",
            "state": "KY",
            "postal_code": "403568062",
            "country_code": "US",
            "telephone_number": "859-263-5140",
            "fax_number": "859-263-5141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1868 Plaudit Pl",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405092429",
            "country_code": "US",
            "telephone_number": "859-263-5140",
            "fax_number": "859-263-5141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGONIGLE",
        "first_name": "OWEN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-07",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "244573",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "TP543",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "53083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEMPORARY KY STATE LICENSE",
            "identifier": "TP543",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY STATE LICENSE",
            "identifier": "53083",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.