Active NPI
Owen Patrick McGonigle, MD
- Orthopaedic Surgery Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 53083
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TP543 | Other | KY | TEMPORARY KY STATE LICENSE |
| 53083 | Other | KY | KY 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
Enrollment records 1
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
- Premier Therapy and Health Centers IncPT Pros, Inc
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
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 1-10 |
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 53083 | KY | MD | Orthopaedic Surgery Physician |
| TP543 | KY | MD | Orthopaedic Surgery Physician |
| 244573 | MA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluegrass Orthopaedics Surgical Division LLC | Current | Accepting new patients | |
| Bluegrass Orthopaedics PSC | Orthopaedic Surgery | Current | 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
- 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.
-
- Orthopaedic Surgery Physician
- Lexington, KY
- NPI 1447622394
-
- Occupational Therapist
- Frankfort, KY
- NPI 1932132149
-
- Ambulatory Surgical Clinic/Center
- Lexington, KY
- NPI 1164460812
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1538244918
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.