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DR. BRENTLEY FROSSARD D.O.
NPI 1508218504
Internal Medicine - Pulmonary Disease in Paducah, KY

Active since July 01, 2016PECOS EnrolledAccepts Medicare Assignment
546 LONE OAK RD, PADUCAH, KY 42003(270) 442-3647(270) 442-3777 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 21, 2024, Jul 1, 2016 (2 updates tracked since 2016).

About Dr. Brentley Frossard D.o. NPPES

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

DR. BRENTLEY FROSSARD D.O. (NPI 1508218504) is an individual pulmonary disease provider in Paducah, Kentucky, licensed in Kentucky (05883) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Mercy Health - Lourdes Hospital, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2016).

NPPES Registry Identity

NPI1508218504
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. BRENTLEY FROSSARDCredential: D.O.
Location Address546 LONE OAK RDPaducah, KY 42003-4526
Mailing Address546 Lone Oak RdPaducah, KY 42003-4526 · (270) 442-3647 · Fax (270) 442-3777
Phone(270) 442-3647
Fax(270) 442-3777
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2016
Enumeration DateJuly 1, 2016
Last NPPES UpdateJune 21, 20242 updates tracked since enumeration
NPPES CertifiedJune 21, 2024
✔ NPI 1508218504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in KY · 05883
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 05883 (KY)
546 LONE OAK RD, Paducah, KY 42003
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Oscar Health Plan, Inc., Oscar Insurance Company.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. Brentley Frossard 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 ID9436414000
PECOS Enrollment IDI20240718003231
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 Reassignments

4

Medicare enrollment records show Brentley Frossard reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baptist Health Medical Group Inc
0.9 mi
Family Medicine
2605 KENTUCKY AVE, SUITE 306
Paducah, KY 42003
  • Reassigned Medicare billing, Kentucky enrollment
  • 967 clinicians in this Medicare group
NPI 1922401611 (270) 415-7653
Boa Vida Hospital Of Aberdeen, Ms, LLC
224 mi
Multi-Specialty
400 S CHESTNUT ST
Aberdeen, MS 39730
  • Reassigned Medicare billing, Mississippi enrollment
  • 168 clinicians in this Medicare group
NPI 1710405741 (219) 395-0667
Southeastern Physician Services PC
255 mi
Hospitalist
990 OAK RIDGE TPKE
Oak Ridge, TN 37830
  • Reassigned Medicare billing, Kentucky enrollment
  • 358 clinicians in this Medicare group
NPI 1083835441 (865) 481-1000
Correct Care, Inc.
464 mi
Emergency Medicine
229 SAINT JOHN LN
Covington, LA 70433
  • Reassigned Medicare billing, Mississippi enrollment
  • 116 clinicians in this Medicare group
NPI 1215987441 (985) 773-1847

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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
151 services48 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
38 services38 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
27 services11 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
26 services15 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
21 services19 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Mercy Health - Lourdes Hospital

Acute Care Hospitals · Paducah, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180102
Location1530 Lone Oak RoadPaducah, KY 42003 · Mc Cracken County
Emergency services Birthing friendly

Baptist Health Paducah

Acute Care Hospitals · Paducah, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180104
Location2501 Kentucky AvenuePaducah, KY 42003 · Mc Cracken County
Emergency services Birthing friendly

Caldwell Medical Center

Critical Access Hospitals · Princeton, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181322
Location100 Medical Center DrivePrinceton, KY 42445 · Caldwell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42003 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 4

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

MRS. EVAN LEIGH CLARK APRN
Nurse Practitioner (Family)
546 LONE OAK RD
PADUCAH, KY 42003
McCracken County (270) 441-4850
CORNER HOMECARE
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
546 LONE OAK RD
PADUCAH, KY 42003
McCracken County (270) 443-3311
CORNER HOMECARE INC
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
546 LONE OAK RD
PADUCAH, KY 42003
McCracken County (270) 443-3311
DR. NISHANT ALLENA MD
Internal Medicine (Pulmonary Disease)
546 LONE OAK RD
PADUCAH, KY 42003
McCracken County (270) 442-3647

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 Brentley Frossard's NPI number?

The NPI number for Brentley Frossard is 1508218504. It was assigned to this individual provider in the NPPES registry on July 1, 2016.

Where is Brentley Frossard located?

Brentley Frossard practices at 546 Lone Oak Rd, Paducah, KY 42003. The listed phone number is (270) 442-3647.

What is Brentley Frossard's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Brentley Frossard enrolled in Medicare?

Yes. Brentley Frossard 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 Brentley Frossard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brentley Frossard reassigns Medicare benefits to 4 organizations: Baptist Health Medical Group Inc (Paducah, KY), Boa Vida Hospital Of Aberdeen, Ms, LLC (Aberdeen, MS), Southeastern Physician Services PC (Oak Ridge, TN) and Correct Care, Inc. (Covington, LA). 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 Brentley Frossard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brentley Frossard accept?

Health plans from Anthem Blue Cross and Blue Shield, Oscar Health Plan, Inc. and Oscar Insurance Company list Brentley Frossard 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.

Is Brentley Frossard affiliated with any hospitals?

According to CMS data, Brentley Frossard is affiliated with Mercy Health - Lourdes Hospital, Baptist Health Paducah and Caldwell Medical Center.

When was this NPI record last updated?

The NPPES record for Brentley Frossard was last updated on June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.