DANIEL R YANICKO JR MD
NPI 1104261403
Orthopaedic Surgery in Somerset, KY

Active since May 01, 2013
353 BOGLE ST, SUITE B, SOMERSET, KY 42503(606) 678-2663(606) 678-0576 Get Directions Write a Review

NPPES record last updated: September 27, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Daniel R Yanicko Jr Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIEL R YANICKO JR MD (NPI 1104261403) is a healthcare organization registered as an orthopaedic surgery in Somerset, Kentucky and active in the NPI registry since May 2013. The organization lists Sara Miller, Director, as its authorized official.

NPPES Registry Identity

NPI1104261403
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameLAKE CUMBERLAND PHYSICIAN PRACTICES LLC
Location Address353 BOGLE ST, SUITE BSomerset, KY 42503-2888
Mailing Address330 Seven Springs WayBrentwood, TN 37027 · (615) 920-7000 · Fax (615) 920-8775
Fax(606) 678-0576
Organization SubpartNo
Authorized OfficialSara MillerDirector · (615) 920-7514
Enumeration DateMay 1, 2013
Last NPPES UpdateSeptember 27, 2017
✔ NPI 1104261403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
353 BOGLE ST, Somerset, KY 42503

Other Names 1

Doing Business AsDaniel R Yanicko Jr Md

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daniel R Yanicko Jr Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

78

Medicare enrollment records show 78 clinicians reassign Medicare billing to Daniel R Yanicko Jr MD, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 42 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 18

Nurse Practitioner39
General Surgery8
Gastroenterology5
Orthopedic Surgery4
Neurology3
Neurosurgery3
Family Practice2
Internal Medicine2
10 other specialties12

Nearest to this location (20)

See all 78
Endocrinology
NPI 1336307792
353 BOGLE ST SUITE B
Somerset, KY 42503
(606) 451-6060
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1801360524
349 BOGLE ST STE A
Somerset, KY 42503
(606) 451-6005
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1851373096
401 BOGLE ST STE 101
Somerset, KY 42503
(606) 676-0275
✔ PECOS✔ Accepts Medicare0.1 mi
Neurosurgery
NPI 1275504730
75 HAIL KNOB RD
Somerset, KY 42503
(606) 678-9617
✔ PECOS✔ Accepts Medicare0.1 mi
Neurosurgery
NPI 1033180757
350 HOSPITAL WAY SUITE 270
Somerset, KY 42503
(606) 678-9617
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1710381124
350 HOSPITAL WAY
Somerset, KY 42503
(606) 451-2601
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1770617854
350 HOSPITAL WAY SUITE 270
Somerset, KY 42503
(606) 425-4298
✔ PECOS✔ Accepts Medicare0.1 mi
Otolaryngology
NPI 1447887377
350 HOSPITAL WAY
Somerset, KY 42503
(606) 451-3890
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1417921883
350 HOSPITAL WAY SUITE 100
Somerset, KY 42503
(606) 451-2650
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1912832767
350 HOSPITAL WAY STE 100
Somerset, KY 42503
(606) 451-3890
✔ PECOS0.1 mi
Urology
NPI 1063419133
30 MEDPARK SQUARE SUITE 1
Somerset, KY 42503
(606) 677-8360
✔ PECOS✔ Accepts Medicare0.1 mi
Interventional Pain Management
NPI 1184666521
305 LANGDON ST STE P
Somerset, KY 42503
(606) 676-0206
✔ PECOS✔ Accepts Medicare0.1 mi
Neurology
NPI 1720439540
103 HARDIN LN STE A
Somerset, KY 42503
(606) 451-0300
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1609879758
298 BOGLE ST STE A
Somerset, KY 42503
(606) 679-9213
✔ PECOS0.2 mi
Orthopedic Surgery
NPI 1477505634
118 TRADEPARK DR STE B
Somerset, KY 42503
(606) 679-7464
✔ PECOS✔ Accepts Medicare0.2 mi
Internal Medicine
NPI 1982793790
110 HARDIN LN SUITE 9
Somerset, KY 42503
(606) 679-7317
✔ PECOS0.2 mi
Gastroenterology
NPI 1447349329
110 HARDIN LN SUITE 9
Somerset, KY 42503
(606) 679-7317
✔ PECOS0.2 mi
Physical Medicine and Rehabilitation
NPI 1881273472
305 LANGDON ST
Somerset, KY 42503
(606) 679-7441
✔ PECOS0.2 mi
Podiatry
NPI 1134784978
163 TOWER CIR
Somerset, KY 42503
(606) 679-7441
✔ PECOS✔ Accepts Medicare0.3 mi
Pulmonary Disease
NPI 1568720167
305 MEDPARK DR
Somerset, KY 42503
(606) 451-2950
✔ PECOS✔ Accepts Medicare0.4 mi
See all 78 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Cumberland Physician Practices LLC's NPI number?

The NPI number for Lake Cumberland Physician Practices LLC is 1104261403. It was assigned to this organization in the NPPES registry on May 1, 2013. The provider is doing business as Daniel R Yanicko Jr MD.

Where is Lake Cumberland Physician Practices LLC located?

Lake Cumberland Physician Practices LLC is located at 353 Bogle St Suite B, Somerset, KY 42503. The listed phone number is (606) 678-2663.

What is Lake Cumberland Physician Practices LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Lake Cumberland Physician Practices LLC enrolled in Medicare?

Yes. Lake Cumberland Physician Practices LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lake Cumberland Physician Practices LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 78 clinicians in 18 Medicare specialties reassign their Medicare billing to Lake Cumberland Physician Practices LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (39), General Surgery (8) and Gastroenterology (5). Of these, 2 practice at this address and 42 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lake Cumberland Physician Practices LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Lake Cumberland Physician Practices LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lake Cumberland Physician Practices LLC was last updated on September 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.