LAKE CUMBERLAND WEIGHT LOSS PHYSICIANS
NPI 1417214669
Surgery in Somerset, KY
About Lake Cumberland Weight Loss Physicians NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE CUMBERLAND WEIGHT LOSS PHYSICIANS (NPI 1417214669) is a healthcare organization registered as a surgery in Somerset, Kentucky and active in the NPI registry since April 2012. The organization lists Timothy D Vaughn, Vice President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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)
Lake Cumberland Weight Loss Physicians is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
78Medicare enrollment records show 78 clinicians reassign Medicare billing to Lake Cumberland Weight Loss Physicians, which bills Medicare for the services they deliver. Of these, 42 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 18
Nearest to this location (20)
See all 78Source: 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's NPI number?
The NPI number for Lake Cumberland Physician Practices is 1417214669. It was assigned to this organization in the NPPES registry on April 12, 2012. The provider is doing business as Lake Cumberland Weight Loss Physicians.
Where is Lake Cumberland Physician Practices located?
Lake Cumberland Physician Practices is located at 154 Bogle Office Park Dr Suite A, Somerset, KY 42503. The listed phone number is (606) 425-4695.
What is Lake Cumberland Physician Practices's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Lake Cumberland Physician Practices enrolled in Medicare?
Yes. Lake Cumberland Physician Practices is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lake Cumberland Physician Practices?
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. 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, 42 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Lake Cumberland Physician Practices accept?
Health plans from Anthem Blue Cross and Blue Shield list Lake Cumberland Physician Practices 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 was last updated on October 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Lake Cumberland Weight Loss Physicians · NPI 1417214669
Surgery organization in Somerset, Kentucky. Organization record, active in the CMS NPPES registry since April 12, 2012.
## Identity
- **NPI:** 1417214669 (Entity type: Organization)
- **Enumerated:** April 12, 2012
- **Primary specialty:** Surgery · taxonomy 208600000X
- **Legal business name:** Lake Cumberland Physician Practices
- **Organization subpart:** No
- **Authorized official:** Timothy Vaughn, VICE PRESIDENT
## Practice location
- **Address:** 154 BOGLE OFFICE PARK DR, SUITE A, Somerset, KY 42503-2810
- **Phone:** (606) 425-4695 · **Fax:** (606) 425-4696
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 78 clinicians in 18 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (39), General Surgery (8), Gastroenterology (5); 42 practice within 10 miles; [full list](https://npiprofile.com/npi/1417214669/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 21, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1417214669) · Data from the CMS NPPES public registry.