LAKE CUMBERLAND SURGERY CENTER LP NPI 1720143779

NPI Information

  • NPI: 1720143779
  • Provider Name: LAKE CUMBERLAND SURGERY CENTER LP
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: LAKE CUMBERLAND SURGERY CENTER
  • Address: 301 LANGDON ST
    SOMERSET, KY
    ZIP 42503
  • Phone: (606) 678-9688

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NPI Details

LAKE CUMBERLAND SURGERY CENTER LP is an ambulatory surgical clinic center in Somerset, KY. LAKE CUMBERLAND SURGERY CENTER LP NPI is 1720143779. The provider is registered as an organization entity type.
The provider Is Doing Business As Lake Cumberland Surgery Center.

The provider's business location address is:

301 LANGDON ST
SOMERSET, KY
ZIP 42503-750
Phone: (606) 678-9688
Fax: (606) 679-7479

The provider's authorized official is Terrance Dillon .
The authorized official title is Assistant Secretary and has the following contact phone number (502) 596-7220.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Dilation to improve eye fluid flow (HCPCS:66174)
  • Removal of cataract with insertion of prosthetic lens and laser treatment to decrease fluid production in eye (HCPCS:66988)
  • Extensive repair of turning-outward eyelid defect (HCPCS:67917)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
  • Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants (HCPCS:C9740)

The enumeration date for this NPI number is 12/27/2006 and was last updated on 4/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical300141KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
136001246MEDICAIDKENTUCKY
2000000288161OTHERKENTUCKYBCBS
3P00000869OTHERKENTUCKYRAILROAD MEDICARE ASC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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