PRIMARY CARE CENTERS OF EASTERN KENTUCKY-VICCO
NPI 1184676314
Clinic/Center - Rural Health in Scuddy, KY

Active since May 16, 2006CLIA 18D1046104 · Certificate of Compliance
10616 S KY HWY 15, SUITE A, SCUDDY, KY 41760(606) 476-2274(606) 476-2304 Get Directions Write a Review

NPPES record last updated: May 26, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Primary Care Centers Of Eastern Kentucky-vicco NPPES

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

PRIMARY CARE CENTERS OF EASTERN KENTUCKY-VICCO (NPI 1184676314) is a healthcare organization registered as a rural health in Scuddy, Kentucky and active in the NPI registry since May 2006. The organization holds a CLIA Certificate of Compliance certificate valid through December 17, 2026 and lists Barry K Martin, Ceo, as its authorized official.

NPPES Registry Identity

NPI1184676314
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePRIMARY CARE CENTERS OF EASTERN KENTUCKY, LLC
Location Address10616 S KY HWY 15, SUITE AScuddy, KY 41760-9033
Mailing AddressPo Box 1988, Suite BHazard, KY 41702-1988 · (606) 439-1300 · Fax (606) 439-1400
Fax(606) 476-2304
Organization SubpartNo
Authorized OfficialBarry K MartinCeo · (606) 439-1300
Enumeration DateMay 16, 2006
Last NPPES UpdateMay 26, 2023
NPPES CertifiedMay 18, 2023
✔ NPI 1184676314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
10616 S KY HWY 15, Scuddy, KY 41760

Other Names 1

Doing Business AsPrimary Care Centers Of Eastern Kentucky-vicco

Other Identifiers 2

Other000000560892KY · Bc/bs
Medicaid35002039KY

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)

Primary Care Centers Of Eastern Kentucky-vicco is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

49

Medicare enrollment records show 49 clinicians reassign Medicare billing to Primary Care Centers Of Eastern Kentucky-Vicco, which bills Medicare for the services they deliver. Of these, 35 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Nurse Practitioner33
Family Practice5
Diagnostic Radiology4
Pediatric Medicine3
Mental Health Counselor2
Internal Medicine1
Obstetrics/Gynecology1

Nearest to this location (20)

See all 49
Nurse Practitioner
NPI 1891178851
210 BLACK GOLD BLVD STE 106
Hazard, KY 41701
(606) 436-0711
✔ PECOS✔ Accepts Medicare7.6 mi
Nurse Practitioner
NPI 1679888119
145 CITIZENS LN SUITE B
Hazard, KY 41701
(606) 435-7642
✔ PECOS✔ Accepts Medicare7.7 mi
Nurse Practitioner
NPI 1801720388
101 TOWN AND COUNTRY LN STE 100
Hazard, KY 41701
(606) 439-1300
✔ PECOS✔ Accepts Medicare8.2 mi
Family Practice
NPI 1679269096
101 TOWN AND COUNTRY LN STE 100
Hazard, KY 41701
(606) 439-1300
✔ PECOS8.2 mi
Nurse Practitioner
NPI 1447061635
101 TOWN AND COUNTRY LN STE 100
Hazard, KY 41701
(606) 439-1300
✔ PECOS✔ Accepts Medicare8.2 mi
Mental Health Counselor
NPI 1679224257
101 TOWN AND COUNTRY LN STE 106
Hazard, KY 41701
(606) 435-7557
✔ PECOS8.2 mi
Family Practice
NPI 1750535670
101 TOWN AND COUNTRY LN STE 100
Hazard, KY 41701
(606) 439-1300
✔ PECOS✔ Accepts Medicare8.2 mi
Nurse Practitioner
NPI 1104489186
101 TOWN AND COUNTRY LN STE 100
Hazard, KY 41701
(606) 439-1300
✔ PECOS✔ Accepts Medicare8.2 mi
Nurse Practitioner
NPI 1124093026
101 TOWN AND COUNTRY LN STE 100
Hazard, KY 41701
(606) 439-1300
✔ PECOS✔ Accepts Medicare8.2 mi
Nurse Practitioner
NPI 1053954263
101 TOWN AND COUNTRY LN STE 100
Hazard, KY 41701
(606) 439-1300
✔ PECOS✔ Accepts Medicare8.2 mi
Internal Medicine
NPI 1396974234
101 TOWN AND COUNTRY LN STE 100
Hazard, KY 41701
(606) 439-1300
✔ PECOS✔ Accepts Medicare8.2 mi
Nurse Practitioner
NPI 1730250242
101 TOWN AND COUNTRY LN STE 100
Hazard, KY 41701
(606) 439-1300
✔ PECOS✔ Accepts Medicare8.2 mi
Nurse Practitioner
NPI 1548532401
101 TOWN AND COUNTRY LN STE 100
Hazard, KY 41701
(606) 433-1300
✔ PECOS✔ Accepts Medicare8.2 mi
Nurse Practitioner
NPI 1679040711
101 TOWN AND COUNTRY LN STE 100
Hazard, KY 41701
(606) 439-1300
✔ PECOS✔ Accepts Medicare8.2 mi
Family Practice
NPI 1770202079
101 TOWN AND COUNTRY LN STE 100
Hazard, KY 41701
(606) 439-1300
✔ PECOS✔ Accepts Medicare8.6 mi
Family Practice
NPI 1619619053
101 TOWN AND COUNTRY LN SUITE 100
Hazard, KY 41701
(606) 439-1300
✔ PECOS✔ Accepts Medicare8.6 mi
Mental Health Counselor
NPI 1942608286
101 TOWN AND COUNTRY LN STE 100
Hazard, KY 41701
(606) 439-1300
✔ PECOS8.6 mi
Pediatric Medicine
NPI 1053562561
101 TOWN AND COUNTRY LN STE 100
Hazard, KY 41701
(606) 439-1300
✔ PECOS✔ Accepts Medicare8.6 mi
Pediatric Medicine
NPI 1669553749
101 TOWN AND COUNTRY LN STE 100
Hazard, KY 41701
(606) 439-1300
✔ PECOS8.6 mi
Pediatric Medicine
NPI 1871081919
101 TOWN AND COUNTRY LN STE 100
Hazard, KY 41701
(606) 439-1300
✔ PECOS8.7 mi
See all 49 clinicians

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 18D1046104

Primary Care Centers Of Eastern Kentucky - Vicco · Scuddy, KY
Active · expires Dec 17, 2026
CLIA Number18D1046104
Laboratory TypePhysician Office
Certificate Effective DateDecember 18, 2024
Certificate Expiration DateDecember 17, 2026
Laboratory DirectorMr. Tyler S. Spencer
Laboratory Phone(606) 476-2274
Laboratory LocationPrimary Care Centers Of Eastern Kentucky - Vicco10616 South Ky Hwy 15, Scuddy, KY 41760
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Primary Care Centers Of Eastern Kentucky, LLC's NPI number?

The NPI number for Primary Care Centers Of Eastern Kentucky, LLC is 1184676314. It was assigned to this organization in the NPPES registry on May 16, 2006. The provider is doing business as Primary Care Centers Of Eastern Kentucky-Vicco.

Where is Primary Care Centers Of Eastern Kentucky, LLC located?

Primary Care Centers Of Eastern Kentucky, LLC is located at 10616 S Ky Hwy 15 Suite A, Scuddy, KY 41760. The listed phone number is (606) 476-2274.

What is Primary Care Centers Of Eastern Kentucky, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Primary Care Centers Of Eastern Kentucky, LLC enrolled in Medicare?

Yes. Primary Care Centers Of Eastern Kentucky, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Primary Care Centers Of Eastern Kentucky, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 49 clinicians in 7 Medicare specialties reassign their Medicare billing to Primary Care Centers Of Eastern Kentucky, 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 (33), Family Practice (5) and Diagnostic Radiology (4). Of these, 35 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Primary Care Centers Of Eastern Kentucky, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 18D1046104) is associated with this NPI, valid through December 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Primary Care Centers Of Eastern Kentucky, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Primary Care Centers Of Eastern Kentucky, 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 Primary Care Centers Of Eastern Kentucky, LLC was last updated on May 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.