NPIMap

Individual provider Active NPI

Robert Paul Knetsche, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Danville, KY
National Provider Identifier
1891805982
Registry record updated Apr 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
42368 Issued in KY
Practice address
236 W Main St
Suite 202
Danville, KY 40422-1876
Phone
(859) 238-7746
Fax
(859) 236-0261
NPI assigned
Aug 30, 2006
Last updated
Apr 15, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Orthopaedic Surgery of the Spine Physician 207XS0117X 42368 KY Primary

Addresses

Primary practice location

236 W Main St
Suite 202
Danville, KY 40422-1876

Mailing address

236 W Main St
Suite 202
Danville, KY 40422-1876
Phone (859) 238-7746

Other identifiers 1

IdentifierTypeStateIssuer
7100090390MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081014000820 KY Practitioner - Orthopedic Surgery 8224029566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Medical University of South Carolina College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Kentucky Spine Surgery, PLLCGroup PAC ID 1153489455, 2 clinicians
Champion Physical Therapy Kentucky, LLCGroup PAC ID 3476818519, shared by 3 NPIs, 43 clinicians
H2 Rehabilitation Services of Kentucky, LLCGroup PAC ID 5799682688, shared by 7 NPIs, 187 clinicians

Practice addresses (Care Compare)

236 W Main St
Suite 202
Danville, KY 40422-1876
Phone (859) 238-7746

2835 S Hwy 27
Somerset, KY 42501-3062
Phone (606) 302-2831

649 Meyers Baker Rd
London, KY 40741-3006
Phone (606) 864-7316

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.66 of 100Reported as group
Quality
39.23
Promoting interoperability
99
Improvement activities
40
Cost
43.79

Merit-based Incentive Payment System (MIPS)

Final score
86.72 of 100Reported as individual
Quality
83.93
Promoting interoperability
91
Improvement activities
40
Cost
79.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion98
Laminectomy or laminotomy (partial removal of spine bones)40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42368KYMDOrthopaedic Surgery of the Spine Physician
TP119KYMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Kentucky Spine Surgery, PLLC Orthopaedic Surgery of the Spine CurrentSince Aug 1, 2008 Accepting new patients
Bluegrass Brace Shop, LLC Durable Medical Equipment & Medical Supplies PastSince Aug 26, 2009 Accepting new patients
Third Street Surgical Center Orthopaedic Surgery of the Spine Past Accepting new patients

Locations

236 W Main St
Ste 202
Danville, KY 40422
Phone (859) 238-7746

Organizations & group practices 3

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 11

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271289600000",
    "number": "1891805982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 W MAIN ST",
            "address_2": "SUITE 202",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221876",
            "telephone_number": "859-238-7746",
            "fax_number": "859-236-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 W MAIN ST",
            "address_2": "SUITE 202",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221876",
            "telephone_number": "859-238-7746",
            "fax_number": "859-236-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNETSCHE",
        "first_name": "ROBERT",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "KY",
            "license": "42368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100090390",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, KY

Sources for this page

Verify at the official NPI Registry.