Individual provider Active NPI

Patrick E Muck, MD

  • Vascular Surgery Physician
  • Cincinnati, OH
National Provider Identifier
1790762136
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
35073515 Issued in OH
Practice address
10506 Montgomery Rd Ste 302
Cincinnati, OH 45242-4400
Phone
(513) 865-9898
NPI assigned
Dec 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35073515 OH
Vascular Surgery Physician 2086S0129X 35073515 OH Primary

Addresses

Primary practice location

10506 Montgomery Rd Ste 302
Cincinnati, OH 45242-4400

Mailing address

10506 Montgomery Rd Ste 302
Cincinnati, OH 45242-4400

Other identifiers 7

IdentifierTypeStateIssuer
200416560MedicaidIN
3293506OtherOHAETNA
64093222MedicaidKY
P00038669OtherOHRAILROAD MEDICARE
2257687MedicaidOH
296983OtherOHAMERIGROUP
000000290056OtherOHANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH, KY3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040909001126 IN Practitioner - Vascular SurgeryPractitioner - General Surgery 2466428404 Reassigns benefits to 2 organizations
I20090218000081 OH Practitioner - General SurgeryPractitioner - Vascular Surgery 2466428404 Reassigns benefits to 2 organizations
I20220803000775 KY Practitioner - Vascular Surgery 2466428404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
University of Kentucky College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trihealth H LLCGroup PAC ID 1850570458, 850 clinicians

Practice addresses (Care Compare)

100 Arrow Springs Blvd
Lebanon, OH 45036-7002
Phone (513) 793-2654

10500 Montgomery Rd
Montgomery, OH 45242-4402
Phone (513) 246-2400

10506 A Montgomery Rd
Montgomery, OH 45242-4402

10506 Montgomery Rd
Montgomery, OH 45242-4400

110 N Poplar St
Oxford, OH 45056-1204

1275 N High St
Hillsboro, OH 45133-8273
Phone (513) 246-2400

3055 Hamilton Mason Rd
Fairfield Township, OH 45011-5307

375 Dixmyth Ave
Cincinnati, OH 45220-2475

379 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 246-7000

4420 Aicholtz Rd
Cincinnati, OH 45245-1762

525 Tucker Dr
Maysville, KY 41056-9182
Phone (513) 865-9898

6949 Good Samaritan Dr
Cincinnati, OH 45247-5205

740 W Galbraith Rd
Cincinnati, OH 45231-6002

7777 Beechmont Ave
Cincinnati, OH 45255-4209

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal19
Leg revascularization (restoring blood flow)19
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry County Memorial Hospital CurrentSince Jan 8, 2012 Accepting new patients
Trihealth G, LLC CurrentSince Jan 1, 2016 Accepting new patients
St Elizabeth Medical Center, Inc Surgery CurrentSince Jan 8, 2012 Accepting new patients
Trihealth H LLC Surgery CurrentSince Nov 1, 2021 Accepting new patients
Trihealth Physicians of Indiana, Inc. CurrentSince Mar 17, 2014 Accepting new patients
Trihealth G LLC Surgery CurrentSince Jan 1, 2016 Accepting new patients
Qualified Emergency Specialists Inc Past Accepting new patients
Varicose Vein Centers of Greater Cincinnati, LLC Vascular Surgery Past Accepting new patients
Trihealth Physician Institute Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Queen City General & Vascular Surgeons Group LTD Surgery Past Accepting new patients
The Good Samaritan Hospital of Cincinnati, Ohio Past Accepting new patients

Locations

10058 Cooley Rd
Ste B
Brookville, IN 47012
Phone (765) 647-3557

600 Wilson Creek Rd
Ste 310
Lawrenceburg, IN 47025
Phone (513) 922-4810

600 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 532-2700

525 Tucker Dr
Maysville, KY 41056
Phone (606) 759-0002

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

375 Dixmyth Ave
#5
Cincinnati, OH 45220
Phone (513) 862-1800

4420 Aicholtz Rd
Ste 120
Cincinnati, OH 45245
Phone (513) 732-6200

375 Dixmyth Ave
Fl 5
Cincinnati, OH 45220
Phone (513) 872-2440

7794 5 Mile Rd
Ste 270
Cincinnati, OH 45230
Phone (513) 624-7900

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

3219 Clifton Ave
Ste 335
Cincinnati, OH 45220
Phone (513) 872-3595

10525 Montgomery Rd
Montgomery, OH 45242
Phone (513) 745-9800

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

10506 Montgomery Rd
Ste 302
Montgomery, OH 45242
Phone (513) 793-5772

10506 Montgomery Rd
Ste 209
Montgomery, OH 45242
Phone (513) 794-1601

Interoperability endpoints

  • Direct secure messaging: pmuck4476@direct.trihealth.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 10

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1790762136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10506 MONTGOMERY RD STE 302",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452424400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10506 MONTGOMERY RD STE 302",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452424400",
            "telephone_number": "513-865-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUCK",
        "first_name": "PATRICK",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35073515",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "35073515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200416560",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3293506",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64093222",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00038669",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2257687",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "296983",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000290056",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.