Active NPI
Donald Wayne Brown, D.O.
- Vascular Surgery Physician
- Somerset, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 02750
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64051659 | Medicaid | KY |
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
Enrollment records 1
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
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
- Baptist Health Corbin
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.49 of 100
- Quality
- 94.77
- Improvement activities
- 40
- Cost
- 62.41
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Varicose vein removal | 272 |
| Leg revascularization (restoring blood flow) | 153 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Kentucky Vascular Clinic PLLC | Vascular Surgery | Current | Accepting new patients |
| Southern Kentucky Vascular Procedure Center, PLLC | Vascular Surgery | Current | Accepting new patients |
| Southern Kentucky Vascular ASC PLLC | Current | 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
- 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.
-
- Vascular Surgery Physician
- Somerset, KY
- NPI 1760111553
-
- Vascular Surgery Physician
- Somerset, KY
- NPI 1720713506
-
- Ambulatory Surgical Clinic/Center
- Somerset, KY
- NPI 1598525289
-
- Rural Acute Care Hospital
- Somerset, KY
- NPI 1619038247
-
- Emergency Medicine Physician
- Barnesville, OH
- NPI 1043699200
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Corbin, KY
- NPI 1902865389
-
- Rural Acute Care Hospital
- Somerset, KY
- NPI 1619038247
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.