Active NPI
Vincent Prusick, M.D.
- Pediatric Orthopaedic Surgery Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- License
- 51561
- Practice address
- 110 Conn Ter
Lexington, KY 40508 - Phone
- (586) 268-5741
- NPI assigned
- May 3, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | 56224 | TN | |
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | 51561 | KY | Primary |
Addresses
Primary practice location
110 Conn Ter
Lexington, KY 40508
Mailing address
110 Conn Ter
Lexington, KY 40508-3206
Phone (859) 268-5622
Other practice location 1
University Of Kentucky
800 Rose Street HQ101
Lexington, KY 40536-0001
Phone (859) 218-3044
Other practice location 2
2200 Childrens Way
Nashville, TN 37232
Phone (615) 875-6184
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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 85.77 of 100
- Quality
- 68.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51561 | KY | MD | Pediatric Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Kentucky Medical Services Foundation, Inc | Current | Accepting new patients | |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| University of Kentucky | Past | Accepting new patients | |
| Commission for Children With Special Health Car | Past | Accepting new patients | |
| Shriners Hospitals for Children | Past | Accepting new patients |
Locations
800 Rose St
#101
Lexington, KY 40536
Phone (859) 323-5871
2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800
215 Radio Dr
Ste 100
Woodbury, MN 55125
Phone (612) 596-6100
Interoperability endpoints
- vprusick17982@ukhcdirect.org
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1326091448
-
- Medical Specialty Clinic/Center
- Lexington, KY
- NPI 1801249925
-
- Orthopaedic Surgery Physician
- Philadelphia, PA
- NPI 1275271462
-
- Clinic/Center
- Aiea, HI
- NPI 1568299857
-
- Public Health or Welfare Agency
- Louisville, KY
- NPI 1831197953
-
- Orthopaedic Surgery Physician
- Lexington, KY
- NPI 1700223559
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1770771974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1902164411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 CONN TER",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405083206",
"telephone_number": "859-268-5622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 CONN TER",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "40508",
"telephone_number": "586-268-5741"
}
],
"practiceLocations": [
{
"address_1": "University Of Kentucky",
"address_2": "800 Rose Street HQ101",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405360001",
"country_code": "US",
"telephone_number": "859-218-3044",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2200 Childrens Way",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "37232",
"country_code": "US",
"telephone_number": "615-875-6184",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRUSICK",
"first_name": "VINCENT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-03",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "TN",
"license": "56224",
"primary": false
},
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "KY",
"license": "51561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.