Andrew Brown
Individual provider Active NPI Sports Medicine (Family Medicine) Physician · Paintsville, KY
NPI 1801385083 · NPPES record last updated Mar 29, 2024
Key facts
- NPI
- 1801385083
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sports Medicine (Family Medicine) Physician 207QS0010X
- License
- 05176 (KY)
- Practice address
- 354 North Mayo Trail
Paintsville, KY 41240 - Phone
- (606) 372-0224
- Fax
- (606) 372-0223
- NPI assigned
- May 3, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kings Daughters Medical Specialties Inc
Practice addresses (Care Compare)
613 23Rd St
Suite G30
Ashland, KY 41101-2881
Phone (606) 327-0036
Hospital & facility affiliations
- King'S Daughters' Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.04 of 100
- Quality
- 60.55
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.81
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.16 of 100
- Quality
- 77.42
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.62
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220808003134 | KY | Practitioner - Family Practice |
0042561334 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05176 | KY | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashland Hospital Corporation | Current | Accepting new patients | |
| Ashland Hospital Corporation | Current |
Accepting new patients | |
| Kings Daughters Medical Specialties Inc | Current |
Accepting new patients | |
| Kings Daughters Medical Specialties Inc | Current | Accepting new patients | |
| Ashland Hospital Corporation | Current |
Accepting new patients | |
| Kings Daughters Medical Specialties Inc | Current |
Accepting new patients | |
| Kings Daughters Medical Specialties Inc | Past | Accepting new patients |
Locations
2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560
12100 Princeland Spur
Ashland, KY 41102
Phone (606) 928-2963
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
- abrown85687@direct.kdhealth.us
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 05176 | KY | Yes |
Addresses
Primary practice location
354 North Mayo Trail
Paintsville, KY 41240
Mailing address
PO Box 2379
Ashland, KY 41105-2379
Other practice location 1
613 23rd St Ste G30
Ashland, KY 41101-2881
Phone (606) 327-0036
Other practice location 2
1279 Old Abbott Mountain Rd
Prestonsburg, KY 41653-1889
Phone (606) 886-1260
Other practice location 3
1600 Medical Center Dr Ste 1500
Huntington, WV 25701-3657
Phone (304) 691-1100
Other providers in Paintsville, KY
- Donna Boleyn
- Carol Booth
- Lynnette Wells Bragg
- Broadway Clinic Pharmacy Inc
- Broadway Clinic Pharmacy Inc
- Gary D. Brown
- Don Victor Bryson
- Nicole Burchett
- Kari Nicole Burt
- Christa Kay Butcher
All providers in Paintsville, KY · Sports Medicine (Family Medicine) Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.