GEORGETOWN BARIATRICS & ADVANCED SURGICAL SERVICES
NPI 1508101460
Surgery in Georgetown, KY

Q: What is Kentucky Mso LLC's NPI number?

The NPI number for Kentucky Mso LLC is 1508101460. It was assigned to this organization in the NPPES registry on December 4, 2012. The provider is also known as Georgetown Bariatrics & Advanced Surgical Services.

Q: What is Kentucky Mso LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Kentucky Mso LLC was last updated on September 22, 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.

Active since December 04, 2012

1138 LEXINGTON RD, SUITE 230, GEORGETOWN, KY 40324(502) 570-3727(502) 570-3753 Get Directions Write a Review

NPPES record last updated: September 22, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Georgetown Bariatrics & Advanced Surgical Services NPPES

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

GEORGETOWN BARIATRICS & ADVANCED SURGICAL SERVICES (NPI 1508101460) is a healthcare organization registered as a surgery in Georgetown, Kentucky and active in the NPI registry since December 2012. The organization lists Timothy D Vaughn, Vice President, as its authorized official.

NPPES Registry Identity

NPI1508101460

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameKENTUCKY MSO LLC

Location Address1138 LEXINGTON RD, SUITE 230Georgetown, KY 40324-9672

Mailing Address1138 Lexington Rd, Suite 230Georgetown, KY 40324-9672 · (502) 570-3727 · Fax (502) 570-3753

Phone(502) 570-3727

Fax(502) 570-3753

Organization SubpartNo

Authorized OfficialTimothy D VaughnVice President · (615) 372-8500

Enumeration DateDecember 4, 2012

Last NPPES UpdateSeptember 22, 2016

✔ NPI 1508101460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X

Also ListedPhysician AssistantTaxonomy 363A00000X

1138 LEXINGTON RD, Georgetown, KY 40324

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Other Names 1

Other NameGeorgetown Bariatrics & Advanced Surgical Services

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

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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)

Georgetown Bariatrics & Advanced Surgical Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 92 clinicians reassign Medicare billing to Georgetown Bariatrics & Advanced Surgical Services, which bills Medicare for the services they deliver. Of these, 13 practice at this address and 29 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 22

Nurse Practitioner38

Family Practice8

General Surgery8

Pediatric Medicine6

Radiation Oncology4

Internal Medicine3

Pulmonary Disease3

Urology3

14 other specialties19

Nearest to this location (20)

See all 92

Danielle Dietz, M.D.

General Surgery

NPI 1558468462

1138 LEXINGTON RD SUITE 230
Georgetown, KY 40324

(502) 570-3778

✔ PECOS✔ Accepts MedicareSame address

Tricia Greer

Nurse Practitioner

NPI 1518336445

1138 LEXINGTON RD SUITE 140
Georgetown, KY 40324

(502) 570-3721

✔ PECOS✔ Accepts MedicareSame address

Raymond Wechman, MD

Family Practice

NPI 1063497113

1138 LEXINGTON RD STE 130
Georgetown, KY 40324

(502) 867-0222

✔ PECOSSame address

Marisol Clark, MD

Family Practice

NPI 1578613030

1138 LEXINGTON RD STE 290
Georgetown, KY 40324

(502) 863-0721

✔ PECOS✔ Accepts MedicareSame address

Amanda Estep, MD

Family Practice

NPI 1275978207

1138 LEXINGTON RD SUITE 130
Georgetown, KY 40324

(502) 867-0222

✔ PECOS✔ Accepts MedicareSame address

Firas Koura, M.D.

Pulmonary Disease

NPI 1790888683

1138 LEXINGTON RD STE 230
Georgetown, KY 40324

(502) 570-3706

✔ PECOSSame address

Hugh Loeffler, MD

Infectious Disease

NPI 1255584223

1138 LEXINGTON RD STE 290
Georgetown, KY 40324

(502) 863-0721

✔ PECOS✔ Accepts MedicareSame address

Brittany Petty, MSN, APRN, FNP-C

Nurse Practitioner

NPI 1770288169

1138 LEXINGTON RD STE 230A
Georgetown, KY 40324

(502) 570-3721

✔ PECOS✔ Accepts MedicareSame address

Henry Preston, MD

Family Practice

NPI 1154306207

1138 LEXINGTON ROAD SUITE 130
Georgetown, KY 40324

(502) 867-0222

✔ PECOS✔ Accepts MedicareSame address

Morgan Riley, APRN

Nurse Practitioner

NPI 1164140695

1138 LEXINGTON RD STE 230A
Georgetown, KY 40324

(502) 570-3721

✔ PECOS✔ Accepts MedicareSame address

Crystal Julian, APRN

Nurse Practitioner

NPI 1790222354

1140 LEXINGTON RD STE 203
Georgetown, KY 40324

(502) 570-3757

✔ PECOS✔ Accepts MedicareSame address

Kent Taylor, M.D.

Medical Oncology

NPI 1013141431

1140 LEXINGTON RD SUITE 202
Georgetown, KY 40324

(502) 868-1100

✔ PECOS✔ Accepts MedicareSame address

Todd Reinhart, MD

Family Practice

NPI 1427098250

1138 LEXINGTON RD STE 130
Georgetown, KY 40324

(502) 867-0222

✔ PECOS✔ Accepts MedicareSame address

Sarah Bond, AG-ACNP-BC

Nurse Practitioner

NPI 1871045856

1140 LEXINGTON RD
Georgetown, KY 40324

(502) 868-1100

✔ PECOS✔ Accepts Medicare0.1 mi

Vinod Muniswamy, M.D., M.P.H

Anesthesiology

NPI 1891055877

1140 LEXINGTON RD
Georgetown, KY 40324

(502) 570-3767

✔ PECOS✔ Accepts Medicare0.1 mi

Joseph Thomas, MD

Cardiovascular Disease (Cardiology)

NPI 1144315102

1140 LEXINGTON RD
Georgetown, KY 40324

(502) 863-3303

✔ PECOS✔ Accepts Medicare0.1 mi

Mary Morgan, RD, LD

Registered Dietitian or Nutrition Professional

NPI 1003510132

1002 LEXINGTON RD STE 25B
Georgetown, KY 40324

(502) 735-4577

0.2 mi

Andrew Balbaugh, M.D.

Internal Medicine

NPI 1265640411

196 BEVINS LN SUITE F
Georgetown, KY 40324

(502) 863-2818

✔ PECOS✔ Accepts Medicare0.5 mi

Mobolanle Elder, MD

Pediatric Medicine

NPI 1245896224

196 BEVINS LN STE F
Georgetown, KY 40324

(502) 863-2818

✔ PECOS0.5 mi

Kelly Burgess, M.D.

Family Practice

NPI 1265454409

202 BEVINS LANE
Georgetown, KY 40324

(859) 323-9333

✔ PECOS✔ Accepts Medicare0.6 mi

See all 92 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 Kentucky Mso LLC's NPI number?

The NPI number for Kentucky Mso LLC is 1508101460. It was assigned to this organization in the NPPES registry on December 4, 2012. The provider is also known as Georgetown Bariatrics & Advanced Surgical Services.

Where is Kentucky Mso LLC located?

Kentucky Mso LLC is located at 1138 Lexington Rd Suite 230, Georgetown, KY 40324. The listed phone number is (502) 570-3727.

What is Kentucky Mso LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kentucky Mso LLC enrolled in Medicare?

Yes. Kentucky Mso LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kentucky Mso LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 92 clinicians in 22 Medicare specialties reassign their Medicare billing to Kentucky Mso 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 (38), Family Practice (8) and General Surgery (8). Of these, 13 practice at this address and 29 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kentucky Mso LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Kentucky Mso 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 Kentucky Mso LLC was last updated on September 22, 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.