DANNY W THACKER (PA-C) – Medical Physician Assistant, NPI 1205139631

DANNY W THACKER (PA-C) is a healthcare provider. based in Frankfort, Kentucky. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA1619 (KY). The NPI Number for DANNY W THACKER (PA-C) is 1205139631

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DANNY W THACKER (PA-C)
NPI
1205139631
Phone
(502) 875-9885
Address
279 KINGS DAUGHTERS DR
Enumeration Date
7 December 2010
Last Update Date
21 May 2024

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
4074695088
Graduation Year
2010 (16 years ago)
PAC ID
7517129281
Group Practice PAC ID
0749714707
Professional Enrollment ID
I20250307003147
Address ID
FL328117192OR4901XRDXX301
Telehealth
Yes

Contacts

Secure Messaging
DANNY.THACKER@hca6.eclinicaldirectplus.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

1,728 PHYSICIAN ASSISTANT in KY

Provider Addresses for DANNY W THACKER (PA-C)

  • 279 KINGS DAUGHTERS DR

    SUITE 204

    FRANKFORT, KY 406016561

    Phone: (502) 875-9885

    Type: Mailing

  • PO BOX 909

    LOUISVILLE, KY 402010909

    Phone: (502) 875-9885

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 265 Open Payments records for all available years, with a total value of $4,433.

Total Amount is formed as General ($4,433) + Research ($0) + Ownership ($0) = $4,433.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($634).

Total Amount

$4,433

General + Research + Ownership

Payments

265

Total payment records

General Amount

$4,433

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2025-03-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20120426000171IPhysician AssistantKYTBD
I20250307003147IPhysician AssistantFLTBD
I20250331003254IPhysician AssistantSCTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes353196$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report137123$0
93296Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days3314$0
99213Established patient office or other outpatient visit, 20-29 minutes2421$0
99204New patient office or other outpatient visit, 45-59 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 40601)

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Provider's Procedures

DANNY W THACKER (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTKY85610Blood test, clotting time21354

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: 0749714707View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Physician AssistantFL
Physician AssistantTN
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerOK
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Does DANNY W THACKER (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DANNY W THACKER (PA-C) uses 1205139631.
Does CMS list DANNY W THACKER (PA-C) as active?
Yes — DANNY W THACKER (PA-C) is active in the NPI listing used on this page.
What healthcare role does DANNY W THACKER (PA-C) hold?
Scheduling teams often label DANNY W THACKER (PA-C) under Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Does DANNY W THACKER (PA-C) list a practice location?
Patients near Frankfort, Kentucky may find DANNY W THACKER (PA-C) in results; validate coverage separately.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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