Individual provider Active NPI

Jonathan Darrell Couch, D.O.

  • Neurological Surgery Physician
  • Paducah, KY
National Provider Identifier
1689808107
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
03961 Issued in KY
Practice address
1532 Lone Oak Rd
Suite 143
Paducah, KY 42003-7913
Phone
(270) 538-6700
NPI assigned
May 12, 2009
Last updated
Sep 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X AS2593778-C17 NJ
Neurological Surgery Physician 207T00000X 03961 KY Primary

Addresses

Primary practice location

1532 Lone Oak Rd
Suite 143
Paducah, KY 42003-7913

Mailing address

2200 Jefferson Ave FL 5
Toledo, OH 43604-7102
Phone (419) 251-2032

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
I20160722002191 KY Practitioner - Neurosurgery 0244544484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Kentucky Specialty Care LLCGroup PAC ID 1456777069, 144 clinicians

Practice addresses (Care Compare)

1532 Lone Oak Rd
Suite 143
Paducah, KY 42003-7913
Phone (270) 538-6600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.22 of 100Reported as individual
Quality
62.71
Promoting interoperability
100
Improvement activities
40
Cost
61.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion52
Laminectomy or laminotomy (partial removal of spine bones)29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
03961KYMDNeurological Surgery Physician
AS2593778-C17NJMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Sep 1, 2020 Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Sep 1, 2020 Accepting new patients
Mercy Health-Lourdes Hospital LLC Past Accepting new patients

Locations

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

1532 Lone Oak Rd
Ste 143
Paducah, KY 42003
Phone (270) 538-6600

1532 Lone Oak Rd
Ste 150
Paducah, KY 42003
Phone (270) 538-6700

1532 Lone Oak Rd
Ste 245
Paducah, KY 42003
Phone (270) 538-5537

1532 Lone Oak Rd
Ste 320
Paducah, KY 42003
Phone (270) 415-3830

Interoperability endpoints

  • Direct secure messaging: jcouch224929@direct.bsmhealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1689808107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 JEFFERSON AVE FL 5",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436047102",
            "telephone_number": "419-251-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 LONE OAK RD",
            "address_2": "SUITE 143",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037913",
            "telephone_number": "270-538-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUCH",
        "first_name": "JONATHAN",
        "middle_name": "DARRELL",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-12",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NJ",
            "license": "AS2593778-C17",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "KY",
            "license": "03961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.