Individual provider Active NPI

Andrew Brown

  • Sports Medicine (Family Medicine) Physician
  • Paintsville, KY
National Provider Identifier
1801385083
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
05176 Issued in KY
Practice address
354 North Mayo Trail
Paintsville, KY 41240
Phone
(606) 372-0224
Fax
(606) 372-0223
NPI assigned
May 3, 2018
Last updated
Mar 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 05176 KY Primary

Addresses

Primary practice location

354 North Mayo Trail
Paintsville, KY 41240

Mailing address

PO Box 2379
Ashland, KY 41105-2379

Other practice location 1

1600 Medical Center Dr Ste 1500
Huntington, WV 25701-3657
Phone (304) 691-1100

Other practice location 2

1279 Old Abbott Mountain Rd
Prestonsburg, KY 41653-1889
Phone (606) 886-1260

Other practice location 3

613 23rd St Ste G30
Ashland, KY 41101-2881
Phone (606) 327-0036

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
I20220808003134 KY Practitioner - Family PracticePractitioner - Sports Medicine 0042561334 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

613 23Rd St
Suite G30
Ashland, KY 41101-2881
Phone (606) 327-0036

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.04 of 100Reported as group
Quality
60.55
Promoting interoperability
100
Improvement activities
40
Cost
78.81

Merit-based Incentive Payment System (MIPS)

Final score
89.16 of 100Reported as group
Quality
77.42
Promoting interoperability
100
Improvement activities
40
Cost
77.62

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ashland Hospital Corporation Current Accepting new patients
Ashland Hospital Corporation CurrentSince Jul 25, 2022 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Jul 25, 2022 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Jul 25, 2022 Accepting new patients
Kings Daughters Medical Specialties Inc Current Accepting new patients
Ashland Hospital Corporation CurrentSince Jul 25, 2022 Accepting new patients
Kings Daughters Medical Specialties Inc Past Accepting new patients

Locations

12100 Princeland Spur
Ashland, KY 41102
Phone (606) 928-2963

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

613 23rd St
Ste G30
Ashland, KY 41101
Phone (606) 327-0036

354 N Mayo Trl
Paintsville, KY 41240
Phone (606) 372-0221

Interoperability endpoints

  • Direct secure messaging: abrown85687@direct.kdhealth.us

Organizations & group practices 7

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 1

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": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1801385083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2379",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411052379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 NORTH MAYO TRAIL",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "41240",
            "telephone_number": "606-372-0224",
            "fax_number": "606-372-0223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Medical Center Dr Ste 1500",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257013657",
            "country_code": "US",
            "telephone_number": "304-691-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1279 Old Abbott Mountain Rd",
            "address_purpose": "LOCATION",
            "city": "Prestonsburg",
            "state": "KY",
            "postal_code": "416531889",
            "country_code": "US",
            "telephone_number": "606-886-1260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "613 23rd St Ste G30",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "KY",
            "postal_code": "411012881",
            "country_code": "US",
            "telephone_number": "606-327-0036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-03",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "KY",
            "license": "05176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paintsville, KY

Sources for this page

Verify at the official NPI Registry.