Individual provider Active NPI

Donald Wayne Brown, D.O.

  • Vascular Surgery Physician
  • Somerset, KY
National Provider Identifier
1891794277
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
02750 Issued in KY
Practice address
25 Medpark Drive
Suite 3
Somerset, KY 42501
Phone
(270) 796-3330
Fax
(270) 796-3338
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 02750 KY Primary

Addresses

Primary practice location

25 Medpark Drive
Suite 3
Somerset, KY 42501

Mailing address

25 Medpark Drive Ste 3
Somerset, KY 42501
Phone (606) 531-4100

Other identifiers 1

IdentifierTypeStateIssuer
64051659MedicaidKY

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
I20220812002568 KY Practitioner - Vascular Surgery 7719013226 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Oklahoma State University College of Osteopathic Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Kentucky Vascular Procedure Center, PLLCGroup PAC ID 4284001579, 3 clinicians
Southern Kentucky Vascular Clinic PLLCGroup PAC ID 6901289628, 7 clinicians

Practice addresses (Care Compare)

50 Medpark Square Dr
Suite 2
Somerset, KY 42503-1708
Phone (606) 531-4100

Hospital & facility affiliations

  • Lake Cumberland Regional Hospital Hospital, Somerset, KY, CCN 180132
  • Baptist Health Corbin Hospital, Corbin, KY, CCN 180080

Merit-based Incentive Payment System (MIPS)

Final score
95.49 of 100Reported as group
Quality
94.77
Improvement activities
40
Cost
62.41

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Varicose vein removal272
Leg revascularization (restoring blood flow)153
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Kentucky Vascular Clinic PLLC Vascular Surgery CurrentSince Jul 1, 2022 Accepting new patients
Southern Kentucky Vascular Procedure Center, PLLC Vascular Surgery CurrentSince Jul 20, 2022 Accepting new patients
Southern Kentucky Vascular ASC PLLC CurrentSince Mar 24, 2024 Accepting new patients
Nes Ohio Inc Past Accepting new patients
Lake Cumberland Regional Hospital LLC Past Accepting new patients

Locations

462 Furys Ferry Rd
Martinez, GA 30907
Phone (706) 868-0319

504 Tenikat St
Danville, KY 40422
Phone (859) 236-4442

305 Langdon St
Somerset, KY 42503
Phone (606) 451-2994

50 Medpark Square Dr
Somerset, KY 42503

50 Medpark Dr
Ste 2
Somerset, KY 42503
Phone (606) 451-4100

25 Medpark Square Dr
Ste 3
Somerset, KY 42503

25 Medpark Dr
Ste 3
Somerset, KY 42503

50 Medpark Dr
Ste 3
Somerset, KY 42503

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEIHCD

Organizations & group practices 5

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 2

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1891794277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MEDPARK DRIVE STE 3",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "42501",
            "telephone_number": "606-531-4100",
            "fax_number": "606-220-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MEDPARK DRIVE",
            "address_2": "SUITE 3",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "42501",
            "telephone_number": "270-796-3330",
            "fax_number": "270-796-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DONALD",
        "middle_name": "WAYNE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "KY",
            "license": "02750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64051659",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.