DR. OWEN PATRICK MCGONIGLE MD
NPI 1669792156
Orthopaedic Surgery in Lexington, KY

Active since June 07, 2010PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
3401 YORKSHIRE MEDICAL PARK, LEXINGTON, KY 40509(859) 263-5140(859) 263-5141 Get Directions Write a Review

NPPES record last updated: September 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 20, 2019, Sep 10, 2019, Jan 11, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Owen Patrick Mcgonigle Md NPPES

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

DR. OWEN PATRICK MCGONIGLE MD (NPI 1669792156) is an individual orthopaedic surgery provider in Lexington, Kentucky, licensed in Kentucky (53083) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1669792156
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. OWEN PATRICK MCGONIGLECredential: MD
Location Address3401 YORKSHIRE MEDICAL PARKLexington, KY 40509-2513
Mailing Address3480 Yorkshire Medical ParkLexington, KY 40509-1886 · (859) 263-5140 · Fax (859) 263-5141
Fax(859) 263-5141
Sole ProprietorYes
Medical School CMSTufts University School Of MedicineGraduated 2010
Enumeration DateJune 7, 2010
Last NPPES UpdateSeptember 20, 20194 updates tracked since enumeration
NPI 1669792156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in KY · 53083 Licensed in MA · 244573 Licensed in KY · TP543
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
3401 YORKSHIRE MEDICAL PARK, Lexington, KY 40509

Secondary Practice Locations 6

Location 1101 Windsor PathGeorgetown, KY 40324-9617 · Phone (859) 263-5140 · Fax (859) 263-5141
Location 23480 Yorkshire Medical ParkLexington, KY 40509-1886 · Phone (859) 263-5140 · Fax (859) 263-5141
Location 3754 S Highway 27Somerset, KY 42501-3509 · Phone (859) 263-5140 · Fax (859) 263-5141
Location 4145 Newcomb AveMount Vernon, KY 40456-2728 · Phone (859) 263-5140 · Fax (859) 263-5141
Location 5111 Cynthia Dr Ste 139Nicholasville, KY 40356-8062 · Phone (859) 263-5140 · Fax (859) 263-5141
Location 61868 Plaudit PlLexington, KY 40509-2429 · Phone (859) 263-5140 · Fax (859) 263-5141

Other Identifiers 2

Other53083KY · Ky State License
OtherTP543KY · Temporary Ky State License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Owen Patrick Mcgonigle 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.

PECOS PAC ID5395056683
PECOS Enrollment IDI20190828004041
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.

Areas of Expertise CMS Part B claims 9

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
208 services34 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
91 services65 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
45 services31 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
30 services27 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
25 services25 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.
22 services19 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40509 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
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Physical Therapist
3401 YORKSHIRE MEDICAL PARK
LEXINGTON, KY 40509
Physical Therapist
3401 YORKSHIRE MEDICAL PARK
LEXINGTON, KY 40509
Physician Assistant
3401 YORKSHIRE MEDICAL PARK
LEXINGTON, KY 40509
Physical Therapist
3401 YORKSHIRE MEDICAL PARK
LEXINGTON, KY 40509
Physical Therapist
3401 YORKSHIRE MEDICAL PARK
LEXINGTON, KY 40509
Durable Medical Equipment & Medical Supplies
3401 YORKSHIRE MEDICAL PARK
LEXINGTON, KY 40509
Specialist/Technologist (Athletic Trainer)
3401 YORKSHIRE MEDICAL PARK
LEXINGTON, KY 40509
Physical Therapist
3401 YORKSHIRE MEDICAL PARK
LEXINGTON, KY 40509

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 Owen Mcgonigle's NPI number?

The NPI number for Owen Mcgonigle is 1669792156. It was assigned to this individual provider in the NPPES registry on June 7, 2010.

Where is Owen Mcgonigle located?

Owen Mcgonigle practices at 3401 Yorkshire Medical Park, Lexington, KY 40509. The listed phone number is (859) 263-5140.

What is Owen Mcgonigle's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Owen Mcgonigle enrolled in Medicare?

Yes. Owen Mcgonigle 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.

Is Owen Mcgonigle affiliated with any hospitals?

According to CMS data, Owen Mcgonigle is affiliated with Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Owen Mcgonigle was last updated on September 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.