Published on June 20, 2024

OH Opens First Neurosurgery Practice

By Freddie Bourne Messenger-Inquirer

Neurosurgery Team
Photo by Alan Warren, Messenger-Inquirer

Owensboro Health Medical Group has recently opened its new neurosurgery practice — the first of its kind to the healthcare system.

The facility — located in Building C, Suite 101, at The Springs Health Centre off East Parrish Avenue — opened June 12 and has been called by officials as “a significant addition to the Owensboro Health system that marks a major step forward in comprehensive healthcare services offered in the region.”

“At Owensboro Health, we are committed to providing our community with access to the most advanced treatment options and personalized care, close to home. That’s why we are thrilled to announce the opening of Owensboro Health Neurosurgery and the addition of an on-staff neurosurgeon to our organization for the first time,” said Mark Marsh, OH’s president and chief executive officer, in a release. “This is a significant milestone in our efforts to provide comprehensive neurological care to our patients.

“Our new neurosurgery program will offer a wide range of services and we are confident that this new program will make a positive impact on the lives of our patients and their families.”

For the staff — which includes neurosurgeon Dr. Adrian Smith, Ian Clark, PA-C and Courtney Biddle, RN and the practice’s administrator — they are looking forward to serving Owensboro and the surrounding areas by offering a service that was absent locally.

“There was a great need in the community (for this),” Smith said. “As patients get older, that need becomes more and more. This was the perfect area and the perfect time.

“We see the aging of the baby boomer population that requires more and more neurosurgery.”

“It was a deficit in medical care in the community and a gap that we are fortunate enough to close,” Clark said. “It’s a very important part of not just trauma and those things …, but the aging population has a certain set of needs that neurosurgery can benefit from.”

“Owensboro Health has not had its own neurosurgery department ever,” Biddle said. “This is a great opportunity for the community to add neurosurgery as one of our specialty groups.”

According to the American Medical Association, neurological surgery is a medical and surgical discipline that aims to provide care for both adult and pediatric patients to treat pain or pathological processes that may “modify the function or activity” of the central nervous system such as the brain and spinal cord; the peripheral nervous system like cranial, spinal and peripheral nerves; the autonomic nervous system; and the supporting structures of said systems and vascular supply. "Of the brain, as you get older, Tumors become more and more common cancers whether it’s a metastatic tumor (the spread of a tumor beyond its original site) or primary brain tumor (originates in the brain). Those get more prevalent as the population ages,” Smith said. “Of the spine, as we all get older, our spine starts to wear out and we start to have trouble (which) neurosurgery (can also) take care (of).”

Procedures and services offered by the practice include spine fusion surgeries, craniotomies for exploratory purposes or specific anterior and posterior approaches and resections of brain tumors.

In addition to receiving care from board-certified and fellowship-trained neurosurgeons, the practice also collaborates with radiologists, pain specialists, credentialed nurses and other professionals in an effort to provide quality care and optimal surgical outcomes, with the latter to be performed locally at the Owensboro Health Regional Hospital.

Smith, who has been in practice in other states before arriving in Kentucky, enjoys this field of medicine though he mentions it does come with some challenges such as having unfortunate conversations with patients and families upon finding and exploring serious health concerns.

“... You have to realize when patients come to us, they kind of have in their minds that something is already wrong whether it’s their primary care or emergency doctors that told them, ‘You need to see a neurosurgeon. There’s something wrong,’ ” he said. “By the time they get to us, it’s more of a ‘What do we do about it?’ mentality. “That always makes it a little easier.”

Being part of the first specific practice dedicated to neurosurgery in the OH world is an exciting opportunity for the staff that plan to set the precedent.

“It’s a lot of pressure on the shoulders,” Smith said with a laugh. “I’m definitely honored and I have to cross my t’s and dot my i’s to make sure it works out. I want to set an example for down the road.”

And with already a week into opening, the office has already seen a good wealth of foot traffic making way through the doors.

“I think we’re ramping up pretty quickly at this point,” Smith said. “Things are going as planned.”

We've gotten a lot of support from some of the Owensboro Health providers as far as sending patients to Dr. Smith to build (the) practice,” Biddle said. “... I’m glad to see our practice grow and to see how many patients we can reach.”

Besides providing care and service, the staff hopes to build trust and strengthen bonds with the patients.

“I think a big part of having this practice based in Owensboro is that a lot of our patient population didn’t have the option to see somebody like Dr. Smith in the past. We’ve had patients already in the week we’ve been (open) mention, ‘I’m glad you’re here,’ ‘I don’t want to go to other places,’ ‘I want to get these things taken care of in Owensboro,” Clark said. “That’s a huge part of what we’re doing — building patient relationships with patients that want to be treated in Owensboro.”

The practice is open from 8 a.m. to 4:30 p.m. Monday through Friday.

For more information about the new neurosurgery practice, visit or call 270-688-1650.

About Owensboro Health

Owensboro Health is a nonprofit health system with a mission to heal the sick and to improve the health of the communities it serves in Kentucky and Indiana. The system includes Owensboro Health Regional Hospital, nationally recognized for design, architecture and engineering; Owensboro Health Muhlenberg Community Hospital; Owensboro Health Twin Lakes Medical Center; the Owensboro Health Medical Group comprised of over 350 providers at more than 30 locations; three outpatient Healthplex facilities, a certified medical fitness facility, the Healthpark; a weight management program, and the Mitchell Memorial Cancer Center.

On average each year, we have more than 19,000 inpatient admissions, deliver 2,000 babies and provide the region’s only Level III NICU. Owensboro Health physicians perform nearly 33,000 surgical procedures, including nearly 150 open-heart surgeries. Our physicians and staff have 90,000 Emergency Department visits and more than 1.25 million outpatient visits annually. Visit our home page for more information.