EAR NOSE & THROAT SPECIALIST OF SOUTH CENTRAL KENTUCKY
NPI 1790924785
Otolaryngology in Somerset, KY
About Ear Nose & Throat Specialist Of South Central Kentucky NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAR NOSE & THROAT SPECIALIST OF SOUTH CENTRAL KENTUCKY (NPI 1790924785) is a healthcare organization registered as an otolaryngology in Somerset, Kentucky and active in the NPI registry since February 2009. The organization lists Sara Miller, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
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)
Ear Nose & Throat Specialist Of South Central Kentucky 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 Ear Nose & Throat Specialist Of South Central Kentucky, which bills Medicare for the services they deliver. Of these, 1 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 78Somerset, KY 42503
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 Lake Cumberland Physician Practices, LLC's NPI number?
The NPI number for Lake Cumberland Physician Practices, LLC is 1790924785. It was assigned to this organization in the NPPES registry on February 13, 2009. The provider is doing business as Ear Nose & Throat Specialist Of South Central Kentucky.
Where is Lake Cumberland Physician Practices, LLC located?
Lake Cumberland Physician Practices, LLC is located at 143A Bogle Office Park Dr, Somerset, KY 42503. The listed phone number is (606) 451-3890.
What is Lake Cumberland Physician Practices, LLC's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
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, 1 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.
# Ear Nose & Throat Specialist Of South Central Kentucky · NPI 1790924785
Otolaryngology organization in Somerset, Kentucky. Organization record, active in the CMS NPPES registry since February 13, 2009.
## Identity
- **NPI:** 1790924785 (Entity type: Organization)
- **Enumerated:** February 13, 2009
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **Legal business name:** Lake Cumberland Physician Practices, Llc
- **Organization subpart:** No
- **Authorized official:** Sara Miller, DIRECTOR
## Practice location
- **Address:** 143A BOGLE OFFICE PARK DR, Somerset, KY 42503-2810
- **Phone:** (606) 451-3890 · **Fax:** (606) 451-3896
## 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); 1 practice at this address and 42 within 10 miles; [full list](https://npiprofile.com/npi/1790924785/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 27, 2017
- **Other identifiers:** Medicare PIN 00971 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1790924785) · Data from the CMS NPPES public registry.