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GARETT CHARLES FRANCIS DO
NPI 1972125375
Family Medicine in South Williamson, KY

Active since May 08, 2020PECOS EnrolledAccepts Medicare Assignment
306 HOSPITAL DR, SOUTH WILLIAMSON, KY 41503(606) 237-1789(606) 237-1797 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 13, 2026, Jul 18, 2023, May 8, 2020 (3 updates tracked since 2020).

About Garett Charles Francis Do NPPES

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

GARETT CHARLES FRANCIS DO (NPI 1972125375) is an individual family medicine provider in South Williamson, Kentucky, licensed in Kentucky (05410) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Tug Valley Arh Regional Medical Center, and is a graduate of University Of Pikeville, Kentucky College Of Osteopathic Med (2020).

NPPES Registry Identity

NPI1972125375
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGARETT CHARLES FRANCISCredential: DO
Location Address306 HOSPITAL DRSouth Williamson, KY 41503-4095
Mailing Address306 Hospital DrSouth Williamson, KY 41503-4095 · (606) 237-1757 · Fax (606) 237-4946
Phone(606) 237-1789
Fax(606) 237-1797
Sole ProprietorNo
Medical School CMSUniversity Of Pikeville, Kentucky College Of Osteopathic MedGraduated 2020
Enumeration DateMay 8, 2020
Last NPPES UpdateAugust 13, 20263 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
✔ NPI 1972125375 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 · 05410
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.
306 HOSPITAL DR, South Williamson, KY 41503
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Other Identifiers 1

Medicaid7100910740KY

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 and accepts Medicare assignment

Garett Charles Francis Do 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 ID5991166225
PECOS Enrollment IDI20230802001475
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 Garett Francis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Appalachian Regional Healthcare Inc
Same address
Rural Health
306 HOSPITAL DRIVE
South Williamson, KY 41503
  • Reassigned Medicare billing, Kentucky enrollment
  • 419 clinicians in this Medicare group
NPI 1487762399 (606) 237-1757
Green Valley Emergency Physicians, LLC
352 mi
Emergency Medicine
1530 LONE OAK RD
Paducah, KY 42003
  • Reassigned Medicare billing, Kentucky enrollment
  • 220 clinicians in this Medicare group
NPI 1720755739 (271) 444-2444

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

Areas of Expertise CMS Part B claims 3

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.
45 services16 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
22 services11 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Tug Valley Arh Regional Medical Center

Acute Care Hospitals · South Williamson, KY
1/5 CMS rating
OwnershipProprietary
CMS Certification Number180069
Location260 Hospital DriveSouth Williamson, KY 41503 · Pike County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41503 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.

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.

PRIMARY CARE ASSOCIATES OF WILLIAMSON
Family Medicine
306 HOSPITAL DR, SUITE 105
SOUTH WILLIAMSON, KY 41503
Pike County (606) 237-0053
DR. CHADWICK J KNIGHT MD
Surgery
306 HOSPITAL DR
SOUTH WILLIAMSON, KY 41503
Pike County (606) 237-1789
KRISTEN COLLINS
Nurse Practitioner
306 HOSPITAL DR
SOUTH WILLIAMSON, KY 41503
Pike County (606) 237-1757
DR. ALLAN D. DIZON M.D.
Pediatrics
306 HOSPITAL DR
SOUTH WILLIAMSON, KY 41503
Pike County (606) 237-1766
CAITLYN SMITH APRN
Student in an Organized Health Care Education/Training Program
306 HOSPITAL DR
SOUTH WILLIAMSON, KY 41503
Pike County (606) 237-1766
VANESSA DAWN MARCUM APRN
Nurse Practitioner (Family)
306 HOSPITAL DR
SOUTH WILLIAMSON, KY 41503
Pike County (606) 237-1700
ZACHARY GRIMMETT PHARMD
Pharmacist
306 HOSPITAL DR
SOUTH WILLIAMSON, KY 41503
Pike County (606) 237-1735
IMTIAZ HUSSAIN MD
Internal Medicine (Pulmonary Disease)
306 HOSPITAL DR
SOUTH WILLIAMSON, KY 41503
Pike County (606) 237-4943

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 Garett Francis's NPI number?

The NPI number for Garett Francis is 1972125375. It was assigned to this individual provider in the NPPES registry on May 8, 2020.

Where is Garett Francis located?

Garett Francis practices at 306 Hospital Dr, South Williamson, KY 41503. The listed phone number is (606) 237-1789.

What is Garett Francis's specialty?

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

Is Garett Francis enrolled in Medicare?

Yes. Garett Francis 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.

Which organizations bill Medicare for Garett Francis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Garett Francis reassigns Medicare benefits to 2 organizations: Appalachian Regional Healthcare Inc (South Williamson, KY) and Green Valley Emergency Physicians, LLC (Paducah, 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 Garett Francis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Garett Francis accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, CareSource and Highmark Blue Cross Blue Shield West Virginia list Garett Francis 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 Garett Francis affiliated with any hospitals?

According to CMS data, Garett Francis is affiliated with Tug Valley Arh Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Garett Francis was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.