Frederick Thane Deweese, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

36333 Issued in KY

Practice address

200 Clint Hill Blvd
Paducah, KY 42001-6768

Phone

(270) 442-9461

NPI assigned

Oct 13, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Orthopedic Surgery

Education

Vanderbilt University School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Health Physicians Kentucky Specialty Care LLCGroup PAC ID 1456777069, 144 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Health - Home Care, Paducah Home health agency, Paducah, KY, CCN 187100
• Lifeline Home Health Care of Fulton Home health agency, Fulton, KY, CCN 187181
• LHC-Illinois Home Health Care Home health agency, Marion, IL, CCN 147716
• Mercy Health - Lourdes Hospital Hospital, Paducah, KY, CCN 180102
• Baptist Health Paducah Hospital, Paducah, KY, CCN 180104
• Massac Memorial Hospital Hospital, Metropolis, IL, CCN 141323

Merit-based Incentive Payment System (MIPS)

Final score

62.45 of 100Reported as group

Quality

50.17

Promoting interoperability

100

Improvement activities

0

Cost

74.66

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Mercy Health Physicians Kentucky Specialty Care LLC

  • Surgery Physician
  • Paducah, KY
  • NPI 1700408093

  IL, Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD
• Orthopaedic Institute of Western Kentucky PLLC

  • Orthopaedic Surgery Physician
  • Paducah, KY
  • NPI 1497425177

  IL

  Medicare reassignment NPD
• Southern Orthopedic Associates SC

  • Orthopaedic Surgery Physician
  • Herrin, IL
  • NPI 1396792412
  Medicare reassignment
• Mercy Health Physicians Kentucky Specialty Care LLC

  • Durable Medical Equipment & Medical Supplies
  • Paducah, KY
  • NPI 1043088347

  Orthopaedic Surgery

  NPD
• Mercy Health Physicians Kentucky LLC

  • Family Medicine Physician
  • Paducah, KY
  • NPI 1922243690

  Orthopaedic Surgery

  NPD (past)
• Mercy Health-Lourdes Hospital LLC

  • General Acute Care Hospital
  • Paducah, KY
  • NPI 1346244126
  NPD (past)
• Southern Orthopedic Associates, S.C.

  • Orthopaedic Surgery Physician
  • Paducah, KY
  • NPI 1225021819
  NPD (past)
• The Paducah Orthopaedic Clinic

  • Orthopaedic Surgery Physician
  • Paducah, KY
  • NPI 1639145220
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Healthcare System, Inc

  • General Acute Care Hospital
  • Paducah, KY
  • NPI 1730264128
  Care Compare affiliation
• Compassus BSMH Paducah HHA LLC

  • Home Health Agency
  • Paducah, KY
  • NPI 1235957168
  Care Compare affiliation
• Lifeline Home Health Care of Fulton, LLC

  • Home Health Agency
  • Fulton, KY
  • NPI 1740404540
  Care Compare affiliation
• Mercy Health-Lourdes Hospital LLC

  • Clinical Medical Laboratory
  • Paducah, KY
  • NPI 1245620640

  Hospital

  Care Compare affiliation
• Mercy Health-Lourdes Hospital LLC

  • General Acute Care Hospital
  • Paducah, KY
  • NPI 1346244126
  Care Compare affiliation
• LHCG Xxxvii, LLC

  • Home Health Agency
  • Marion, IL
  • NPI 1740527407
  Care Compare affiliation
• Massac Memorial Hospital

  • Critical Access Hospital
  • Metropolis, IL
  • NPI 1790788578
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1891784757",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CLINT HILL BLVD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420016768",
            "telephone_number": "270-442-9461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4787 Alben Barkley Drive",
            "address_purpose": "LOCATION",
            "city": "Paducah",
            "state": "KY",
            "postal_code": "42002",
            "country_code": "US",
            "telephone_number": "270-442-9461",
            "fax_number": "270-441-0079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEWEESE",
        "first_name": "FREDERICK",
        "middle_name": "THANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "36333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64028889",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma Denton
• Kelly R Derington, APRN
• Dermatology & Skin Surgery Clinic
• James Devries
• Emily Dew
• Jan A Deweese, PTA
• Diagnostic Imaging Consultants, LTD
• Austin Joseph Dias, OD
• Alexander Kristian Diaz, MD, PHD
• Sharon Lynn Dicicco, ARNP

• Orthopaedic Surgery Physician in Paducah, KY
• Providers in Paducah, KY by specialty
• Orthopaedic Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.