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DR. BRIAN T ODONOGHUE MD
NPI 1962402842
Family Medicine in Hardinsburg, KY

Active since July 21, 2005PECOS EnrolledAccepts Medicare Assignment
107 OLD HIGHWAY 60, HARDINSBURG, KY 40143(270) 580-2250 Get Directions Write a Review

NPPES record last updated: January 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Brian T Odonoghue Md NPPES

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

DR. BRIAN T ODONOGHUE MD (NPI 1962402842) is an individual family medicine provider in Hardinsburg, Kentucky, licensed in Kentucky (32124) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Owensboro Health Regional Hospital, and is a graduate of University Of Louisville School Of Medicine (1995).

NPPES Registry Identity

NPI1962402842
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BRIAN T ODONOGHUECredential: MD
Location Address107 OLD HIGHWAY 60Hardinsburg, KY 40143-2501
Mailing Address107 Old Highway 60Hardinsburg, KY 40143-2501 · (270) 580-2250
Phone(270) 580-2250
Sole ProprietorYes
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1995
Enumeration DateJuly 21, 2005
Last NPPES UpdateJanuary 28, 2020
✔ NPI 1962402842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 32124
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
107 OLD HIGHWAY 60, Hardinsburg, KY 40143
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Other Identifiers 3

Medicaid65900656KY
Other1072079KY · Passport
Other000000066552KY · Anthem

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, 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

Dr. Brian T Odonoghue Md 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 ID3870553134
PECOS Enrollment IDI20100819000879
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
320 services77 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
105 services81 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
62 services53 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
54 services43 patients

Hospital Affiliations CMS Care Compare 2

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

Owensboro Health Regional Hospital

Acute Care Hospitals · Owensboro, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180038
Location1201 Pleasant Valley RoadOwensboro, KY 42303 · Daviess County
Emergency services Birthing friendly

Breckinridge Memorial Hospital

Critical Access Hospitals · Hardinsburg, KY
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number181319
Location1011 Old Highway 60Hardinsburg, KY 40143 · Breckinridge County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40143 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.

Reported Quality Measures

Breast Cancer Screening
38%214 patients2/55-star benchmark: 93%
Cervical Cancer Screening
9%192 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
45%267 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
25%512 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
45%394 patients2/55-star benchmark: 91%
Diabetes: Eye Exam
2%169 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
34%169 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
86%3,298 patients4/55-star benchmark: 100%
e-Prescribing
97%4,075 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
36%452 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
28%843 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
13%739 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
19%1,393 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 18% · 785 patients
Patients screened: 19% · 785 patients
55%33 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
97%762 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
70%381 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 4% · 437 patients
Patients totalRate: 24% · 472 patients
24%472 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 17

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers50 claims100 services$5.27 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers17 claims17 services$0.73 avg. paid by Medicare
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
4 suppliers13 claims26 services$51.32 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
4 suppliers13 claims78 services$23.36 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
3 suppliers22 claims43 services$1.90 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers17 claims17 services$112.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

CHERIE C MULLINS APRN
Nurse Practitioner (Family)
107 OLD HIGHWAY 60
HARDINSBURG, KY 40143
Breckinridge County (270) 580-2250
BRECKINRIDGE HEALTH INC.
Otolaryngology
107 OLD HIGHWAY 60
HARDINSBURG, KY 40143
Breckinridge County (270) 580-2250
CATHERINE M LEWIS APRN
Nurse Practitioner (Family)
107 OLD HIGHWAY 60
HARDINSBURG, KY 40143
Breckinridge County (705) 802-2502
MRS. MARINETTA VANLAHR ARNP, NP-C
Nurse Practitioner (Adult Health)
107 OLD HIGHWAY 60
HARDINSBURG, KY 40143
Breckinridge County (270) 580-2250

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 Brian Odonoghue's NPI number?

The NPI number for Brian Odonoghue is 1962402842. It was assigned to this individual provider in the NPPES registry on July 21, 2005.

Where is Brian Odonoghue located?

Brian Odonoghue practices at 107 Old Highway 60, Hardinsburg, KY 40143. The listed phone number is (270) 580-2250.

What is Brian Odonoghue's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Brian Odonoghue enrolled in Medicare?

Yes. Brian Odonoghue 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 Brian Odonoghue accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Brian Odonoghue 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 Brian Odonoghue affiliated with any hospitals?

According to CMS data, Brian Odonoghue is affiliated with Owensboro Health Regional Hospital and Breckinridge Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Brian Odonoghue was last updated on January 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.