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ANDREW BROWN
NPI 1801385083
Family Medicine - Sports Medicine in Paintsville, KY

Active since May 03, 2018PECOS EnrolledAccepts Medicare Assignment
85.07/100
CMS Quality Rating
354 NORTH MAYO TRAIL, PAINTSVILLE, KY 41240(606) 372-0224(606) 372-0223 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 19, 2023, Jul 13, 2022, May 3, 2018 (3 updates tracked since 2018).

About Andrew Brown NPPES

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

ANDREW BROWN (NPI 1801385083) is an individual sports medicine provider in Paintsville, Kentucky, licensed in Kentucky (05176) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1801385083
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameANDREW BROWN
Location Address354 NORTH MAYO TRAILPaintsville, KY 41240
Mailing AddressPo Box 2379Ashland, KY 41105-2379
Phone(606) 372-0224
Fax(606) 372-0223
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 3, 2018
Last NPPES UpdateMarch 29, 20243 updates tracked since enumeration
NPPES CertifiedMarch 27, 2024
✔ NPI 1801385083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in KY · 05176
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
354 NORTH MAYO TRAIL, Paintsville, KY 41240
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Secondary Practice Locations 3

Location 11279 Old Abbott Mountain RdPrestonsburg, KY 41653-1889 · Phone (606) 886-1260
Location 2613 23rd St Ste G30Ashland, KY 41101-2881 · Phone (606) 327-0036
Location 31600 Medical Center Dr Ste 1500Huntington, WV 25701-3657 · Phone (304) 691-1100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Andrew Brown 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 ID42561334
PECOS Enrollment IDI20220808003134
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 6

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.

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.
161 services88 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.
126 services94 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
77 services77 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.
72 services43 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.
17 services17 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
15 services11 patients

Hospital Affiliations CMS Care Compare

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

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180009
Location2201 Lexington AvenueAshland, KY 41101 · Boyd County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41240 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
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
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.

85.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.96
Promoting Interoperability100
Improvement Activities40
Cost64.52

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLAND HOSPITAL COPORATION
Family Medicine
354 NORTH MAYO TRAIL
PAINTSVILLE, KY 41240
Johnson County (606) 372-0221
ASHLAND HOSPITAL CORPORATION
Pharmacy (Community/Retail Pharmacy)
354 NORTH MAYO TRAIL
PAINTSVILLE, KY 41240
Johnson County (606) 408-4000
KINGS DAUGHTERS MEDCIAL SPECIALTIES INC
Internal Medicine
354 NORTH MAYO TRAIL
PAINTSVILLE, KY 41240
Johnson County (606) 372-0221

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 Andrew Brown's NPI number?

The NPI number for Andrew Brown is 1801385083. It was assigned to this individual provider in the NPPES registry on May 3, 2018.

Where is Andrew Brown located?

Andrew Brown practices at 354 North Mayo Trail, Paintsville, KY 41240. The listed phone number is (606) 372-0224.

What is Andrew Brown's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Andrew Brown enrolled in Medicare?

Yes. Andrew Brown 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.

What insurance does Andrew Brown accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Andrew Brown 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.

Is Andrew Brown affiliated with any hospitals?

According to CMS data, Andrew Brown is affiliated with King's Daughters' Medical Center.

When was this NPI record last updated?

The NPPES record for Andrew Brown was last updated on March 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.