Juan Martin Favetto, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

34804 Issued in KY

Practice address

3480 Yorkshire Medical Park
Lexington, KY 40509

Phone

(859) 263-5140

Fax

(859) 263-5141

NPI assigned

Sep 1, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

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

Specialty

Orthopedic Surgery

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Proactive Therapy, IncGroup PAC ID 0143245415, 118 clinicians

Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Bluegrass Orthopaedics PSCGroup PAC ID 4789988981, 62 clinicians

Premier Therapy and Health Centers IncGroup PAC ID 7416859574, shared by 6 NPIs, 263 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Georgetown Community Hospital Hospital, Georgetown, KY, CCN 180101
• Saint Joseph East Hospital, Lexington, KY, CCN 180143

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Bluegrass Orthopaedics PSC

  dba Bluegrass Orthopaedics

  • Orthopaedic Surgery Physician
  • Lexington, KY
  • NPI 1447622394
  Medicare reassignment Care Compare group NPD
• Proactive Therapy, Inc

  • Occupational Therapist
  • Frankfort, KY
  • NPI 1932132149
  Care Compare group
• Kleinert Kutz and Associates Hand Care Center

  • Physical Therapist
  • Louisville, KY
  • NPI 1487298113
  NPD (past)

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

• Georgetown Community Hospital LLC

  dba Gerogetown Community Hospital

  • Rural Acute Care Hospital
  • Georgetown, KY
  • NPI 1326107319
  Care Compare affiliation
• Saint Joseph Health System, Inc

  dba CHI Saint Joseph East

  • General Acute Care Hospital
  • Lexington, KY
  • NPI 1447457775
  Care Compare affiliation

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494892800000",
    "number": "1942294236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 YORKSHIRE MEDICAL PARK",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40509",
            "telephone_number": "859-263-5140",
            "fax_number": "859-263-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 YORKSHIRE MEDICAL PARK",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40509",
            "telephone_number": "859-263-5140",
            "fax_number": "859-263-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVETTO",
        "first_name": "JUAN",
        "middle_name": "MARTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-01",
        "last_updated": "2017-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "KY",
            "license": "34804",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "IN",
            "license": "01051584A",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "34804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200152130A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64348048",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Faulkner, AU.D.
• Joseph Thomas Faulkner
• Robin Faulkner
• Taylor Faulkner, PA
• Wesley W Faulkner, PA-C
• Tina Denise Fawns, MD
• Fayette County Public Schools
• Fayette Eye Care & Dry Eye Spa
• Fayette Family Dentistry
• Fayette Family Medicine, PSC

• Orthopaedic Surgery Physician in Lexington, KY
• Providers in Lexington, 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 16, 2017; 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.