SPORTS MEDICINE AND ORTHOPAEDIC CENTER OF LAKE CUMBERLAND
NPI 1700198884
Orthopaedic Surgery - Sports Medicine in Somerset, KY
About Sports Medicine And Orthopaedic Center Of Lake Cumberland NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SPORTS MEDICINE AND ORTHOPAEDIC CENTER OF LAKE CUMBERLAND (NPI 1700198884) is a healthcare organization registered as a sports medicine in Somerset, Kentucky and active in the NPI registry since July 2010. The organization lists Sara Miller, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Other Names 1
Other Identifiers 2
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)
Sports Medicine And Orthopaedic Center Of Lake Cumberland 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 Sports Medicine And Orthopaedic Center Of Lake Cumberland, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 42 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 LLC's NPI number?
The NPI number for Lake Cumberland Physician Practices LLC is 1700198884. It was assigned to this organization in the NPPES registry on July 6, 2010. The provider is doing business as Sports Medicine And Orthopaedic Center Of Lake Cumberland.
Where is Lake Cumberland Physician Practices LLC located?
Lake Cumberland Physician Practices LLC is located at 353 Bogle St Suite C, Somerset, KY 42503. The listed phone number is (606) 678-2220.
What is Lake Cumberland Physician Practices LLC's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.
Is Lake Cumberland Physician Practices LLC enrolled in Medicare?
Yes. Lake Cumberland Physician Practices LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lake Cumberland Physician Practices LLC?
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 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 (39), General Surgery (8) and Gastroenterology (5). Of these, 2 practice at this address and 42 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Lake Cumberland Physician Practices LLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Lake Cumberland Physician Practices 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 Lake Cumberland Physician Practices LLC was last updated on September 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Sports Medicine And Orthopaedic Center Of Lake Cumberland · NPI 1700198884
Sports Medicine organization in Somerset, Kentucky. Organization record, active in the CMS NPPES registry since July 6, 2010.
## Identity
- **NPI:** 1700198884 (Entity type: Organization)
- **Enumerated:** July 6, 2010
- **Primary specialty:** Orthopaedic Surgery - Sports Medicine · taxonomy 207XX0005X
- **Legal business name:** Lake Cumberland Physician Practices Llc
- **Organization subpart:** No
- **Authorized official:** Sara Miller, DIRECTOR
## Practice location
- **Address:** 353 BOGLE ST, SUITE C, Somerset, KY 42503-2888
- **Phone:** (606) 678-2220 · **Fax:** (606) 451-0595
## 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); 2 practice at this address and 42 within 10 miles; [full list](https://npiprofile.com/npi/1700198884/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 27, 2017
- **Other identifiers:** Medicaid 7100136480 (KY); Medicare PIN P100022773 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1700198884) · Data from the CMS NPPES public registry.