VINCENT PRUSICK (M.D.) – Pediatric Orthopaedic Surgery Physician, NPI 1902164411

VINCENT PRUSICK (M.D.) is a healthcare provider. based in Lexington, Kentucky. specializing in Pediatric Orthopaedic Surgery Physician. They hold the professional credentials M.D.. They hold a License No. 56224 (TN). The NPI Number for VINCENT PRUSICK (M.D.) is 1902164411

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
VINCENT PRUSICK (M.D.)
NPI
1902164411
Phone
(859) 218-3044
Address
University Of Kentucky
Enumeration Date
3 May 2012
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
8592579800
Graduation Year
2012 (14 years ago)
PAC ID
6901124379
Group Practice PAC ID
5698689909
Professional Enrollment ID
I20180920002222
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:14State licenses:2Digital endpointsOther names

Provider Addresses for VINCENT PRUSICK (M.D.)

  • University Of Kentucky

    800 Rose Street HQ101

    Lexington, KY 405360001

    Phone: (859) 218-3044

    Type: Location

  • 2200 Childrens Way

    Nashville, TN 37232

    Phone: (615) 875-6184

    Type: Location

  • 110 CONN TER

    LEXINGTON, KY 405083206

    Phone: (859) 268-5622

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $406.

Total Amount is formed as General ($406) + Research ($0) + Ownership ($0) = $406.

Last reported payment date: 2024-08-17 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($168).

Total Amount

$406

General + Research + Ownership

Payments

4

Total payment records

General Amount

$406

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-17

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: 2018-09-20

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
I20180920002222IOrthopedic SurgeryKYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40536)

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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: 5698689909View full group profile
NameSpecialtyState
Diagnostic RadiologyKY
A N E S T H E S I O L O G YFL
Pediatric MedicineKY
Internal MedicineKY
H O S P I T A L I S TOH
Critical Care (Intensivists), Pulmonary DiseaseKY
Interventional Radiology, Diagnostic RadiologyKY
Internal MedicineKY
Thoracic Surgery, Cardiac SurgeryKY
Pediatric Medicine, Internal MedicineKY

Reviews

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Frequently asked questions

What federal number belongs to VINCENT PRUSICK (M.D.)?
The federal identifier for VINCENT PRUSICK (M.D.) is NPI 1902164411.
Does this profile mean VINCENT PRUSICK (M.D.) is currently active?
Yes — VINCENT PRUSICK (M.D.) appears active in the national provider directory.
Can you summarize VINCENT PRUSICK (M.D.)'s specialty in plain language?
Clinically, the directory lists VINCENT PRUSICK (M.D.) with Pediatric Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
What location shows for VINCENT PRUSICK (M.D.)?
We surface Lexington, Kentucky for VINCENT PRUSICK (M.D.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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