COMMONWEALTH SPECIALISTS OF KENTUCKY LLC
NPI 1770741498
Pain Medicine - Pain Medicine in Frankfort, KY

Active since May 29, 2008
279 KINGS DAUGHTERS DR, SUITE 308, FRANKFORT, KY 40601(502) 352-2530 Get Directions Write a Review

NPPES record last updated: February 6, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Commonwealth Specialists Of Kentucky Llc NPPES

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

COMMONWEALTH SPECIALISTS OF KENTUCKY LLC (NPI 1770741498) is a healthcare organization registered as a pain medicine in Frankfort, Kentucky and active in the NPI registry since May 2008. The organization lists Tedrick Johnson, Vice President, as its authorized official.

NPPES Registry Identity

NPI1770741498
Entity TypeOrganization
Primary Taxonomy208VP0000X
Legal Business NameCOMMONWEALTH SPECIALISTS OF KENTUCKY LLC
Location Address279 KINGS DAUGHTERS DR, SUITE 308Frankfort, KY 40601-6514
Mailing Address279 Kings Daughters Dr, Suite 100Frankfort, KY 40601-6514 · (502) 352-2530
Organization SubpartNo
Authorized OfficialTedrick JohnsonVice President · (502) 352-2530
Enumeration DateMay 29, 2008
Last NPPES UpdateFebruary 6, 2015
✔ NPI 1770741498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0000X
Definition
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 19 (KY)
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License 19 (KY)
Also ListedSurgeryTaxonomy 208600000X · License 19 (KY)
Also ListedPhysician AssistantTaxonomy 363A00000X · License 19 (KY)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 34 (KY)
279 KINGS DAUGHTERS DR, Frankfort, KY 40601

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Commonwealth Specialists Of Kentucky Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Commonwealth Specialists Of Kentucky LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

General Surgery
NPI 1922240308
1 PHYSICIANS PARK
Frankfort, KY 40601
(502) 223-7629
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1790810992
1 PHYSICIANS PARK
Frankfort, KY 40601
(502) 223-7629
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1043265069
1 PHYSICIANS PARK
Frankfort, KY 40601
(502) 223-7629
✔ PECOS✔ Accepts Medicare0.1 mi
Gastroenterology
NPI 1073975165
740 S LIMESTONE
Lexington, KY 40536
(859) 323-0079
✔ PECOS✔ Accepts Medicare24 mi
General Surgery
NPI 1245433051
4359 NEW SHEPHERDSVILLE RD
Bardstown, KY 40004
(502) 350-5492
✔ PECOS✔ Accepts Medicare39 mi
Nurse Practitioner
NPI 1356640668
9245 W HIGHWAY 80
Nancy, KY 42544
(606) 288-0013
✔ PECOS✔ Accepts Medicare76 mi
Orthopedic Surgery
NPI 1598792780
160 LONDON MOUNTAIN VIEW DR
London, KY 40741
(606) 864-0770
✔ PECOS✔ Accepts Medicare82 mi

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 Commonwealth Specialists Of Kentucky LLC's NPI number?

The NPI number for Commonwealth Specialists Of Kentucky LLC is 1770741498. It was assigned to this organization in the NPPES registry on May 29, 2008.

Where is Commonwealth Specialists Of Kentucky LLC located?

Commonwealth Specialists Of Kentucky LLC is located at 279 Kings Daughters Dr Suite 308, Frankfort, KY 40601. The listed phone number is (502) 352-2530.

What is Commonwealth Specialists Of Kentucky LLC's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Is Commonwealth Specialists Of Kentucky LLC enrolled in Medicare?

Yes. Commonwealth Specialists Of Kentucky LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Commonwealth Specialists Of Kentucky LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 4 Medicare specialties reassign their Medicare billing to Commonwealth Specialists Of Kentucky 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 General Surgery (4), Gastroenterology (1) and Nurse Practitioner (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Commonwealth Specialists Of Kentucky LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Commonwealth Specialists Of Kentucky 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 Commonwealth Specialists Of Kentucky LLC was last updated on February 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.