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VINCENT PRUSICK M.D.
NPI 1902164411
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Lexington, KY

Active since May 03, 2012PECOS Enrolled
100/100
CMS Quality Rating
110 CONN TER, LEXINGTON, KY 40508(586) 268-5741 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2022, Aug 22, 2019, Jul 25, 2018 and 2 more (5 updates tracked since 2017).

About Vincent Prusick M.d. NPPES

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

VINCENT PRUSICK M.D. (NPI 1902164411) is an individual pediatric orthopaedic surgery provider in Lexington, Kentucky, licensed in Kentucky (51561) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1902164411
Entity TypeIndividualMale
Primary Taxonomy207XP3100X
Provider Legal NameVINCENT PRUSICKCredential: M.D.
Location Address110 CONN TERLexington, KY 40508
Mailing Address110 Conn TerLexington, KY 40508-3206 · (859) 268-5622
Phone(586) 268-5741
Sole ProprietorNo
Enumeration DateMay 3, 2012
Last NPPES UpdateJuly 21, 20225 updates tracked since enumeration
✔ NPI 1902164411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Pediatric Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XP3100X
Licenses✔ Licensed in KY · 51561✔ Licensed in TN · 56224
Definition
An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
110 CONN TER, Lexington, KY 40508
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1University Of Kentucky, 800 Rose Street HQ101Lexington, KY 40536-0001 · Phone (859) 218-3044
Location 22200 Childrens WayNashville, TN 37232 · Phone (615) 875-6184

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vincent Prusick M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Vincent Prusick reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shriners Hospitals For Children
Same address
Anesthesiology
110 CONN TER
Lexington, KY 40508
  • Reassigned Medicare billing, Kentucky enrollment
  • 43 clinicians in this Medicare group
NPI 1336639780 (859) 266-2101
Kentucky Medical Services Foundation, Inc
3.6 mi
Internal Medicine
2333 ALUMNI PARK PLZ, SUITE 200
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,502 clinicians in this Medicare group
NPI 1326091448 (859) 257-7910

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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

Other Providers at the Same Location NPPES 20

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

AMANDA SIMMERMAN LDO
Technician/Technologist (Optician)
110 CONN TER
LEXINGTON, KY 40508
Fayette County (859) 323-3045
SHRINERS HOSPITALS FOR CHILDREN
Clinic/Center (Ambulatory Surgical)
110 CONN TER
LEXINGTON, KY 40508
Fayette County (859) 268-5630
DR. JONATHAN GRABAU MD
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
110 CONN TER
LEXINGTON, KY 40508
Fayette County (859) 266-2101
SHRINERS HOSPITALS FOR CHILDREN
Anesthesiology
110 CONN TER
LEXINGTON, KY 40508
Fayette County (859) 266-2101
SHRINERS HOSPITALS FOR CHILDREN
Clinic/Center (Rehabilitation)
110 CONN TER
LEXINGTON, KY 40508
Fayette County (859) 266-2101
ABIGAIL POWERS MC CAUGHLEY PA-C
Physician Assistant
110 CONN TER
LEXINGTON, KY 40508
Fayette County (859) 268-5622
SCOTT A RILEY MD
Orthopaedic Surgery
110 CONN TER
LEXINGTON, KY 40508
Fayette County (859) 266-2101
SHRINERS HOSPITALS FOR CHILDREN
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
110 CONN TER
LEXINGTON, KY 40508
Fayette County (859) 266-2101

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 Vincent Prusick's NPI number?

The NPI number for Vincent Prusick is 1902164411. It was assigned to this individual provider in the NPPES registry on May 3, 2012.

Where is Vincent Prusick located?

Vincent Prusick practices at 110 Conn Ter, Lexington, KY 40508. The listed phone number is (586) 268-5741.

What is Vincent Prusick's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

Is Vincent Prusick enrolled in Medicare?

Yes. Vincent Prusick is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Vincent Prusick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vincent Prusick reassigns Medicare benefits to 2 organizations: Shriners Hospitals For Children (Lexington, KY) and Kentucky Medical Services Foundation, Inc (Lexington, KY). Each 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 Vincent Prusick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vincent Prusick accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, AmeriHealth Caritas Next and Anthem Blue Cross and Blue Shield list Vincent Prusick 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 Vincent Prusick was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.