DR. DAVID P II BOSOMWORTH (MD) – Interventional Pain Medicine Physician, NPI 1164518080

DR. DAVID P II BOSOMWORTH (MD) is a healthcare provider. based in Lexington, Kentucky. specializing in PAIN MANAGEMENT, ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 30546 (KY). The NPI Number for DR. DAVID P II BOSOMWORTH (MD) is 1164518080

Main info

Male
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID P II BOSOMWORTH (MD)
NPI
1164518080
Phone
(859) 523-1776
Address
2700 OLD ROSEBUD RD STE 330
Enumeration Date
5 October 2006
Last Update Date
13 February 2026

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
8595231776
Graduation Year
1993 (33 years ago)
PAC ID
7416942867
Group Practice PAC ID
0840638789
Professional Enrollment ID
I20040416000183
Address ID
KY405098630LE2700XRDXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

138 PAIN MANAGEMENT in KY

Provider Addresses for DR. DAVID P II BOSOMWORTH (MD)

  • 2700 OLD ROSEBUD RD STE 330

    LEXINGTON, KY 405098630

    Phone: (859) 523-1776

    Fax: (859) 788-7150

    Type: Mailing

  • East Virginia Street, Evansville, Vanderburgh County, Indiana, 47711, United States

    EVANSVILLE, IN 477159144

    Phone: (812) 962-7890

    Fax: (812) 476-6162

    Type: Mailing

  • Kings Daughters Drive, Frankfort, Franklin County, Kentucky, 40601, United States

    FRANKFORT, KY 40601

    Phone: (502) 353-2530

    Fax: (502) 352-2534

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 56 Open Payments records for all available years, with a total value of $1,560.

Total Amount is formed as General ($1,560) + Research ($0) + Ownership ($0) = $1,560.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Abbott Laboratories ($309).

Total Amount

$1,560

General + Research + Ownership

Payments

56

Total payment records

General Amount

$1,560

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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: 2020-09-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20040416000183IPain ManagementKYTBD
I20200909001439IPain ManagementINTBD

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
Q9966Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml5,00054$0
99213Established patient office or other outpatient visit, 20-29 minutes2,239536$0
80307Testing for presence of drug, by chemistry analyzers2,156507$0
G0483Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms673423$0
J1100Injection, dexamethasone sodium phosphate, 1 mg53029$0
View full utilization report →

Insurance plans in this area (ZIP 40509)

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Provider's Procedures

DR. DAVID P II BOSOMWORTH (MD) performs procedures in PAIN MANAGEMENT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PAIN MANAGEMENTKY64493Injections of lower or sacral spine facet joint using imaging guidance8557

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: 0840638789View full group profile
NameSpecialtyState
Nurse PractitionerKY
Physical Medicine And RehabilitationKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

What is the registry number for DR. DAVID P II BOSOMWORTH (MD)?
The registry entry for DR. DAVID P II BOSOMWORTH (MD) shows NPI 1164518080.
Does the public listing show DR. DAVID P II BOSOMWORTH (MD) as active?
DR. DAVID P II BOSOMWORTH (MD)'s NPI record reflects an active status in NPPES.
What type of care does DR. DAVID P II BOSOMWORTH (MD) provide?
DR. DAVID P II BOSOMWORTH (MD)'s profile centers on Interventional Pain Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. DAVID P II BOSOMWORTH (MD)?
DR. DAVID P II BOSOMWORTH (MD) is associated with Lexington, Kentucky in the same public data insurers reference.
Why is information missing for DR. DAVID P II BOSOMWORTH (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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