TRAVIS MASSENGALE (D.O.) – Family Medicine Physician, NPI 1083145874

TRAVIS MASSENGALE (D.O.) is a healthcare provider. based in Somerset, Kentucky. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 04599 (KY). The NPI Number for TRAVIS MASSENGALE (D.O.) is 1083145874

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
TRAVIS MASSENGALE (D.O.)
NPI
1083145874
Phone
(606) 451-2624
Address
350 HOSPITAL WAY
Enumeration Date
23 March 2017
Last Update Date
9 May 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6064512600
Graduation Year
2017 (9 years ago)
PAC ID
8820429368
Group Practice PAC ID
7214909456
Professional Enrollment ID
I20200515001944
Address ID
KY425031873SO350XXWAYX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,718 FAMILY PRACTICE in KY

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Provider Addresses for TRAVIS MASSENGALE (D.O.)

  • Hospital Way, Somerset, Pulaski County, Kentucky, 42503, United States

    SOMERSET, KY 425032872

    Phone: (606) 451-2624

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $56.

Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.

Last reported payment date: 2024-12-01 • Largest payer in this snapshot: Amgen Inc. ($19).

Total Amount

$56

General + Research + Ownership

Payments

3

Total payment records

General Amount

$56

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-01

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-05-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200515001944IFamily PracticeKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7829$0
99238Hospital discharge day management, 30 minutes or less1515$0
View full utilization report →

Insurance plans in this area (ZIP 42503)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214909456View full group profile
NameSpecialtyState
Family PracticeKY
Emergency Medicine, Internal MedicineKY
-FL
Internal MedicineKY
-KY
Family PracticeKY
Infectious DiseaseKY
Nurse PractitionerKY
-KY
Family PracticeKY

Reviews

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Frequently asked questions

How do I look up TRAVIS MASSENGALE (D.O.) by NPI?
Use NPI 1083145874 when you need to reference TRAVIS MASSENGALE (D.O.) in forms, claims, or directories.
Is TRAVIS MASSENGALE (D.O.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does TRAVIS MASSENGALE (D.O.) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for TRAVIS MASSENGALE (D.O.). Clinical services aligned with this taxonomy classification.
What location metadata exists for TRAVIS MASSENGALE (D.O.)?
The page summarizes Somerset, Kentucky for TRAVIS MASSENGALE (D.O.); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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