SOUTHERN KENTUCKY VASCULAR CLINIC PLLC
NPI 1760111553
Surgery - Vascular Surgery in Somerset, KY
About Southern Kentucky Vascular Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN KENTUCKY VASCULAR CLINIC PLLC (NPI 1760111553) is a healthcare organization registered as a vascular surgery in Somerset, Kentucky and active in the NPI registry since June 2022. The organization lists Donald W. Brown, Physician/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 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)
Southern Kentucky Vascular Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Southern Kentucky Vascular Clinic PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
Philadelphia, PA 19111
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 Southern Kentucky Vascular Clinic PLLC's NPI number?
The NPI number for Southern Kentucky Vascular Clinic PLLC is 1760111553. It was assigned to this organization in the NPPES registry on June 7, 2022.
Where is Southern Kentucky Vascular Clinic PLLC located?
Southern Kentucky Vascular Clinic PLLC is located at 50 Medpark Square Dr Ste 3, Somerset, KY 42503. The listed phone number is (606) 531-4100.
What is Southern Kentucky Vascular Clinic PLLC's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.
Is Southern Kentucky Vascular Clinic PLLC enrolled in Medicare?
Yes. Southern Kentucky Vascular Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Kentucky Vascular Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Southern Kentucky Vascular Clinic PLLC. 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 (5), Vascular Surgery (2) and Thoracic Surgery (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Southern Kentucky Vascular Clinic PLLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Southern Kentucky Vascular Clinic PLLC 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 Southern Kentucky Vascular Clinic PLLC was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Southern Kentucky Vascular Clinic Pllc · NPI 1760111553
Vascular Surgery organization in Somerset, Kentucky. Organization record, active in the CMS NPPES registry since June 7, 2022.
## Identity
- **NPI:** 1760111553 (Entity type: Organization)
- **Enumerated:** June 7, 2022
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **Organization subpart:** No
- **Authorized official:** Donald Brown, PHYSICIAN/OWNER
## Practice location
- **Address:** 50 MEDPARK SQUARE DR STE 3, Somerset, KY 42503-1708
- **Phone:** (606) 531-4100 · **Fax:** (606) 220-2116
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Vascular Surgery (2), Thoracic Surgery (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1760111553) · Data from the CMS NPPES public registry.