DR. GLENN R PROUDFOOT MD
NPI 1225068109
Emergency Medicine in Lexington, KY
About Dr. Glenn R Proudfoot Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GLENN R PROUDFOOT MD (NPI 1225068109) is an individual emergency medicine provider in Lexington, Kentucky, licensed in Kentucky (24423) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Manchester Memorial Hospital, and maintains a secondary practice location in Somerset.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Glenn R Proudfoot Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Glenn Proudfoot reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Maysville, KY 41056
- Reassigned Medicare billing, Kentucky enrollment
- 828 clinicians in this Medicare group
Monticello, KY 42633
- Reassigned Medicare billing, Kentucky enrollment
- Medicare enrollment name: Wayne County Hospital Inc
- 26 clinicians in this Medicare group
Hardinsburg, KY 40143
- Reassigned Medicare billing, Kentucky enrollment
- 182 clinicians in this Medicare group
Paducah, KY 42003
- Reassigned Medicare billing, Kentucky enrollment
- 220 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Manchester Memorial Hospital
Acute Care Hospitals · Manchester, KYBaptist Health Corbin
Acute Care Hospitals · Corbin, KYWayne County Hospital
Critical Access Hospitals · Monticello, KYKnox County Hospital
Critical Access Hospitals · Barbourville, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Glenn Proudfoot's NPI number?
The NPI number for Glenn Proudfoot is 1225068109. It was assigned to this individual provider in the NPPES registry on July 4, 2006.
Where is Glenn Proudfoot located?
Glenn Proudfoot practices at 1221 S Broadway, Lexington, KY 40504. The listed phone number is (859) 258-4000.
What is Glenn Proudfoot's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Glenn Proudfoot enrolled in Medicare?
Yes. Glenn Proudfoot is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Glenn Proudfoot's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Glenn Proudfoot reassigns Medicare benefits to 4 organizations: Southeastern Emergency Physicians LLC (Maysville, KY), Wayne County Surgical Services (Monticello, KY), Concord Medical Group Of Kentucky PLLC (Hardinsburg, KY) and Green Valley Emergency Physicians, LLC (Paducah, KY). Each 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 Glenn Proudfoot's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Glenn Proudfoot affiliated with any hospitals?
According to CMS data, Glenn Proudfoot is affiliated with Manchester Memorial Hospital, Baptist Health Corbin, Wayne County Hospital and Knox County Hospital.
When was this NPI record last updated?
The NPPES record for Glenn Proudfoot was last updated on June 15, 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.
# Dr. Glenn R Proudfoot, MD · NPI 1225068109
Emergency Medicine physician in Lexington, Kentucky. Individual provider, active in the CMS NPPES registry since July 4, 2006.
## Identity
- **NPI:** 1225068109 (Entity type: Individual)
- **Enumerated:** July 4, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 24423 (Kentucky)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1221 S BROADWAY, Lexington, KY 40504-2701
- **Phone:** (859) 258-4000 · **Fax:** (859) 258-6203
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Southeastern Emergency Physicians LLC (NPI 1356379382, Maysville, KY); Wayne County Surgical Services (NPI 1841811866, Monticello, KY); Concord Medical Group Of Kentucky PLLC (NPI 1346746385, Hardinsburg, KY); Green Valley Emergency Physicians, LLC (NPI 1720755739, Paducah, KY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Kentucky College Of Medicine, class of 1983
## Record status
- **NPPES last updated:** June 15, 2023
- **Other identifiers:** Medicaid 64244239 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1225068109) · Data from the CMS NPPES public registry.