Bryan Austin Shouse (NPI# 1043265069, PAC ID# 3072707710) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1043265069 |
| PAC ID by PECOS | 3072707710 |
| Professional Enrollment ID | I20101027000413 |
| Full Name | Bryan Austin Shouse |
| Organization Legal Name | COMMONWEALTH SPECIALISTS OF KENTUCKY LLC |
| Address |
1 Physicians Park Frankfort KY 40601-4192 |
| Phone Number | 5022237629 |
| Gender | M |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 2466519673 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180127 | FRANKFORT REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1 Physicians Park, Frankfort, KY 40601-4192 | 5022237629 | COMMONWEALTH SPECIALISTS OF KENTUCKY LLC |
| 279 Kings Daughters Dr, Suite 108, Frankfort, KY 40601-6563 | 5022267872 | COMMONWEALTH SPECIALISTS OF KENTUCKY LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 83% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 76% | |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 85% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 88% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 95% |
| Organization Legal Name | COMMONWEALTH SPECIALISTS OF KENTUCKY LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danny W Thacker | Physician Assistant | Commonwealth Specialists of Kentucky LLC | 107 Diagnostic Dr, Frankfort, KY 40601-0001 |
| Scott Raymond Monnin | Internal Medicine | Commonwealth Specialists of Kentucky LLC | 360 Amsden Ave, Suite 305, Versailles, KY 40383-1851 |
| Dolph M Denny | Interventional Cardiology | Commonwealth Specialists of Kentucky LLC | 279 Kings Daughters Dr, Suite 108, Frankfort, KY 40601-6563 |
| John K Shekleton | Internal Medicine | Commonwealth Specialists of Kentucky LLC | 107 Diagnostic Dr, Frankfort, KY 40601-0001 |
| Jason T Bowling | General Surgery | Commonwealth Specialists of Kentucky LLC | 1 Physicians Park, Frankfort, KY 40601-4192 |
| Steven R Vallance | Vascular Surgery | Commonwealth Specialists of Kentucky LLC | 279 Kings Daughters Dr, Suite 108, Frankfort, KY 40601-6563 |
| Amy Antle | Physician Assistant | Commonwealth Specialists of Kentucky LLC | 107 Diagnostic Dr, Frankfort, KY 40601-0001 |
| Street Address |
1 PHYSICIANS PARK |
| City | FRANKFORT |
| State | KY |
| Zip | 40601-4192 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason T Bowling | General Surgery | Commonwealth Specialists of Kentucky LLC | 1 Physicians Park, Frankfort, KY 40601-4192 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Fricker Jr | Podiatry | Frankfort Foot Clinic, Pllc | 5 Physician Park Dr, Suite 3, Frankfort, KY 40601 |
| Irma L Altamirano | Podiatry | Frankfort Foot Clinic, Pllc | 5 Physician Park Dr, Suite 3, Frankfort, KY 40601 |
| Danny W Thacker | Physician Assistant | Commonwealth Specialists of Kentucky LLC | 107 Diagnostic Dr, Frankfort, KY 40601-0001 |
| John K Shekleton | Internal Medicine | Commonwealth Specialists of Kentucky LLC | 107 Diagnostic Dr, Frankfort, KY 40601-0001 |
| Amy Antle | Physician Assistant | Commonwealth Specialists of Kentucky LLC | 107 Diagnostic Dr, Frankfort, KY 40601-0001 |
| Susan L Payton | Nurse Practitioner | 1008 Mojave Trl, Frankfort, KY 40601-1756 | |
| D K Adams | Chiropractic | 692 Teton Trl, Frankfort, KY 40601-1766 | |
| Tammy N Bailey | Nurse Practitioner | Green House and Associates Inc | 421 W Main St, Frankfort, KY 40601-1815 |
| Richard Susner | Clinical Social Worker | Green House and Associates Inc | 421 W Main St, Frankfort, KY 40601-1815 |
| Kimberly A Haubner | Clinical Social Worker | Green House and Associates Inc | 421 W Main St, Frankfort, KY 40601-1815 |
| Find all physicians in zip 40601 | |||
| City | FRANKFORT |
| Zip Code | 40601 |
| Specialty | GENERAL SURGERY |
| City + Specialty | FRANKFORT + GENERAL SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.