Individual provider Active NPI

Ferdinand F Salvacion, M.D.

  • Pain Medicine Physician
  • Paducah, KY
National Provider Identifier
1710958640
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
51484 Issued in KY
Practice address
100 Clint Hill Blvd
Paducah, KY 42001-6771
Phone
(270) 442-9461
Fax
(270) 441-0079
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036098067 IL
Anesthesiology Physician 207L00000X 036098016 IL
Family Medicine Physician 207Q00000X 036098016 IL
Family Medicine Physician 207Q00000X 036098067 IL
Pain Medicine Physician 208VP0000X 036098016 IL
Pain Medicine Physician 208VP0000X 51484 KY Primary

Addresses

Primary practice location

100 Clint Hill Blvd
Paducah, KY 42001-6771

Mailing address

200 Clint Hill Blvd
Paducah, KY 42001-6768
Phone (270) 442-9461

Other identifiers 2

IdentifierTypeStateIssuer
036098067OtherILBC OF IL
036098067MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090403000293 IL Practitioner - Pain ManagementPractitioner - Interventional Pain Management 3870640063 Reassigns benefits to 7 organizations
I20210407002109 KY Practitioner - Pain Management 3870640063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Washington University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1201 Pine St
Eldorado, IL 62930-1634
Phone 61827333611660

1306 Maple St
Eldorado, IL 62930-1662
Phone (618) 297-9665

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.6 of 100Reported as group
Quality
75.56
Improvement activities
40
Cost
59.98

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as apm
Quality
72.1
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036098067ILMDAnesthesiology Physician
036098016ILMDFamily Medicine Physician
51484KYMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall Browning Hospital Association CurrentSince Jan 1, 2024 Accepting new patients
Ferrell Hospital Community Foundation Family Medicine CurrentSince Apr 1, 2025 Accepting new patients
Massac Memorial Hospital Current Accepting new patients
Massac Memorial Hospital CurrentSince Nov 1, 2023 Accepting new patients
Massac Memorial Hospital Current Accepting new patients
Pain Management Group LLC Pain Medicine CurrentSince Apr 1, 2023 Accepting new patients
Franklin Hospital District CurrentSince Nov 1, 2024 Accepting new patients
Ferrell Hospital Community Foundation Current Accepting new patients
Orthopaedic Institute of Western Kentucky PLLC CurrentSince Jan 1, 2022 Accepting new patients
Franklin Hospital District CurrentSince Nov 1, 2024 Accepting new patients
Marshall Browning Hospital Association CurrentSince Jan 1, 2024 Accepting new patients
Massac Memorial Hospital CurrentSince Nov 1, 2023 Accepting new patients
Ferrell Hospital Community Foundation CurrentSince Apr 1, 2025 Accepting new patients
Massac Memorial Hospital Past Accepting new patients
Ferrell Hospital Community Foundation Past Accepting new patients
Clinical Radiologists, S.C. Past Accepting new patients
Associated Anesthesiologists of Springfield, LTD Anesthesiology Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Memorial Medical Center Past Accepting new patients

Locations

201 Bailey Ln
Benton, IL 62812
Phone (618) 438-3113

900 N Washington St
Du Quoin, IL 62832
Phone (618) 542-1050

1201 Pine St
Eldorado, IL 62930
Phone (618) 273-3361

1306 Maple St
Eldorado, IL 62930
Phone (618) 273-2360

2200 State St
Lawrenceville, IL 62439
Phone (618) 943-1000

1204 W 10th St
Ste Ab
Metropolis, IL 62960
Phone (618) 524-2176

28 Chick St
Metropolis, IL 62960
Phone (618) 427-2680

1204 W 10th St
Ste A
Metropolis, IL 62960
Phone (618) 524-3572

1811 E 5th St
Metropolis, IL 62960
Phone (270) 442-9461

1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131

100 Clint Hill Blvd
Paducah, KY 42001
Phone (270) 442-9461

200 Clint Hill Blvd
Paducah, KY 42001
Phone (270) 442-9461

Interoperability endpoints

  • Direct secure messaging: fsalvacion236665@direct.deaconess.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 7

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1710958640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CLINT HILL BLVD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420016768",
            "telephone_number": "270-442-9461",
            "fax_number": "270-441-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CLINT HILL BLVD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420016771",
            "telephone_number": "270-442-9461",
            "fax_number": "270-441-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALVACION",
        "first_name": "FERDINAND",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036098067",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036098016",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036098016",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036098067",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "IL",
            "license": "036098016",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "KY",
            "license": "51484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC OF IL",
            "identifier": "036098067",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036098067",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.