Individual provider Active NPI

Richard W Proudfoot, M.D.

  • Surgery Physician
  • Morehead, KY
National Provider Identifier
1740202167
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
20216 Issued in KY
Practice address
425 Clinic Dr
Morehead, KY 40351-1077
Phone
(606) 784-7551
Fax
(606) 780-2373
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 20216 KY Primary

Addresses

Primary practice location

425 Clinic Dr
Morehead, KY 40351-1077

Mailing address

425 Clinic Dr
Morehead, KY 40351-1077
Phone (606) 784-1049

Other identifiers 1

IdentifierTypeStateIssuer
64202161MedicaidKY

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
I20041030000194 KY Practitioner - General Surgery 6507828704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Louisville School of Dentistry, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Claire Medical Center IncGroup PAC ID 4486559085, 181 clinicians

Practice addresses (Care Compare)

245 Flemingsburg Rd
Morehead, KY 40351-1015
Phone (606) 780-5500

Hospital & facility affiliations

  • St Claire Regional Medical Center Hospital, Morehead, KY, CCN 180018

Merit-based Incentive Payment System (MIPS)

Final score
73.64 of 100Reported as group
Quality
56.63
Improvement activities
40
Cost
74.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue23
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Claire Medical Center, Inc CurrentSince Jan 1, 2005 Accepting new patients
St Claire Medical Center, Inc., Surgery CurrentSince Jan 1, 2005 Accepting new patients
St Claire Medical Center, Inc., Current Accepting new patients

Locations

222 Medical Cir
Morehead, KY 40351
Phone (606) 783-6455

555 W Sun St
Morehead, KY 40351
Phone (606) 207-2931

245 Flemingsburg Rd
Morehead, KY 40351
Phone (606) 780-5500

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 3

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1740202167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 CLINIC DR",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511077",
            "telephone_number": "606-784-1049",
            "fax_number": "606-783-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 CLINIC DR",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511077",
            "telephone_number": "606-784-7551",
            "fax_number": "606-780-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROUDFOOT",
        "first_name": "RICHARD",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "20216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64202161",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead, KY

Sources for this page

Verify at the official NPI Registry.