DR. CLINTON SHAIN KITECK D.O.
NPI 1447437116
Family Medicine in Columbia, KY

Q: What is Clinton Kiteck's NPI number?

The NPI number for Clinton Kiteck is 1447437116. It was assigned to this individual provider in the NPPES registry on January 24, 2008.

Q: What is Clinton Kiteck's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Clinton Kiteck was last updated on March 2, 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.

Active since January 24, 2008PECOS EnrolledAccepts Medicare Assignment

810 JAMESTOWN ST, COLUMBIA, KY 42728(270) 384-4764(270) 384-6228 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 2, 2023, Apr 12, 2021, Feb 24, 2016 (3 updates tracked since 2016).

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About Dr. Clinton Shain Kiteck D.o. NPPES

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

DR. CLINTON SHAIN KITECK D.O. (NPI 1447437116) is an individual family medicine provider in Columbia, Kentucky, licensed in Kentucky (03065) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with T J Samson Community Hospital, and is a graduate of University Of Pikeville, Kentucky College Of Osteopathic Med (2005).

NPPES Registry Identity

NPI1447437116

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. CLINTON SHAIN KITECKCredential: D.O.

Location Address810 JAMESTOWN STColumbia, KY 42728-1010

Mailing Address810 Jamestown StColumbia, KY 42728-1010 · (270) 384-4764 · Fax (270) 384-6228

Phone(270) 384-4764

Fax(270) 384-6228

Sole ProprietorNo

Medical School CMSUniversity Of Pikeville, Kentucky College Of Osteopathic MedGraduated 2005

Enumeration DateJanuary 24, 2008

Last NPPES UpdateMarch 2, 20233 updates tracked since enumeration

NPPES CertifiedFebruary 21, 2023

✔ NPI 1447437116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in KY · 03065

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

810 JAMESTOWN ST, Columbia, KY 42728

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Other Identifiers 1

Medicaid7100058480KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

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. Clinton Shain Kiteck D.o. 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.

PECOS PAC ID7416023429

PECOS Enrollment IDI20080827000344

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Clinton Kiteck reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

T J Health Columbia Inc

Same address

Rural Health

810 JAMESTOWN ST
Columbia, KY 42728

Reassigned Medicare billing, Kentucky enrollment
Also billed through NPI 1235595653 (Kentucky), NPI 1912358011 (Kentucky), NPI 1821454349 (Kentucky), NPI 1831555358 (Kentucky)
34 clinicians in this Medicare group

NPI 1942666466 (270) 384-4764

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

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

T J Samson Community Hospital

Acute Care Hospitals · Glasgow, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number180017

Location1301 North Race StreetGlasgow, KY 42141 · Barren County

Emergency services Birthing friendly

Taylor Regional Hospital

Acute Care Hospitals · Campbellsville, KY

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number180087

Location1700 Old Lebanon RoadCampbellsville, KY 42718 · Taylor County

Emergency services

Tj Health Columbia

Acute Care Hospitals · Columbia, KY

OwnershipGovernment - Hospital District or Authority

CMS Certification Number180149

Location901 Westlake DriveColumbia, KY 42728 · Adair County

Emergency services

Russell County Hospital

Critical Access Hospitals · Russell Springs, KY

OwnershipGovernment - Local

CMS Certification Number181330

Location153 Dowell RoadRussell Springs, KY 42642 · Russell County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42728 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

13 suppliers59 claims117 services$6.07 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

8 suppliers34 claims39 services$1.02 avg. paid by Medicare

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500

DME-Orthotic Devices · category DF000N

5 suppliers11 claims22 services$60.09 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

2 suppliers18 claims40 services$3.21 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier19 claims19 services$75.42 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers34 claims34 services$20.64 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADAIR COUNTY HOSPITAL GROUP

Family Medicine