DR. JOHN RUSSELL GLEASON JR. MD
NPI 1215931159
Internal Medicine - Nephrology in Louisville, KY
NPI Status: Active since June 09, 2005
Contact Information
6400 DUTCHMANS PKWY
STE 250
LOUISVILLE, KY
ZIP 40205
Phone: (502) 587-9660
Fax: (502) 540-5615
- Individual
- Male
- Years of Experience 40
- Internal Medicine
- Nephrology
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About JOHN GLEASON
This page provides the complete NPI Profile along with additional information for John Gleason, an internist established in Louisville, Kentucky with a medical specialization in Internal Medicine, focusing in nephrology and more than 40 years of experience. He graduated from University Of Louisville School Of Medicine in 1986. The healthcare provider is registered in the NPI registry with number 1215931159 assigned on June 2005. The practitioner's primary taxonomy code is 207RN0300X with license number 25233 (KY). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1215931159
- Provider Name
- DR. JOHN RUSSELL GLEASON JR. MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 6400 DUTCHMANS PKWY STE 250 LOUISVILLE, KY 40205
- Location Phone
- (502) 587-9660
- Location Fax
- (502) 540-5615
- Mailing Address
- 6400 DUTCHMANS PKWY STE 250 LOUISVILLE, KY 40205
- Mailing Phone
- (502) 587-9660
- Mailing Fax
- (502) 540-5615
- Medical School Name
- UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
- Graduation Year
- 1986
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-09-2005
- Last Update Date
- 08-29-2007
- Code Navigator
An internist like John Gleason is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Nephrology
- Taxonomy Code
- 207RN0300X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 25233
- License State
- KY
- Taxonomy Description
- An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
- Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential 9200 (+ Incentives) - HMO
- Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives) - HMO
- Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Essential 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Select Drugs - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
124270F | MEDICARE ID-TYPE UNSPECIFIED (04) | IN | |
64252331 | MEDICAID (05) | KY | |
0219909 | MEDICARE ID-TYPE UNSPECIFIED (04) | KY | |
000000062784 | OTHER (01) | KY | ANTHEM |
E69288 | MEDICARE UPIN (02) | KY | |
1050705 | OTHER (01) | KY | PASSPORT |
Medicare Participation & PECOS Enrollment Status
John Gleason is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
John Gleason is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 446158992
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20080114000035, I20101018000769
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE017N)
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)
2 DME suppliers used 19 Medicare Claims 38 Services Paid
Unknown
Treatment-Treatment - Miscellaneous (RX029N)
Azathioprine, oral, 50 mg (HCPCS:J7500)
5 DME suppliers used 56 Medicare Claims 2490 Services Paid
Treatment-Treatment - Miscellaneous (RX029N)
Cyclosporine, oral, 100 mg (HCPCS:J7502)
4 DME suppliers used 18 Medicare Claims 1080 Services Paid
Treatment-Chemotherapy (RH002N)
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg (HCPCS:J7503)
2 DME suppliers used 41 Medicare Claims 20640 Services Paid
Treatment-Treatment - Miscellaneous (RX029N)
Tacrolimus, immediate release, oral, 1 mg (HCPCS:J7507)
15 DME suppliers used 215 Medicare Claims 22065 Services Paid
Treatment-Treatment - Miscellaneous (RX029N)
Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg (HCPCS:J7508)
4 DME suppliers used 28 Medicare Claims 11370 Services Paid
Treatment-Treatment - Miscellaneous (RX029N)
Prednisone, immediate release or delayed release, oral, 1 mg (HCPCS:J7512)
10 DME suppliers used 160 Medicare Claims 14640 Services Paid
Treatment-Treatment - Miscellaneous (RX029N)
Cyclosporine, oral, 25 mg (HCPCS:J7515)
6 DME suppliers used 34 Medicare Claims 5460 Services Paid
Treatment-Treatment - Miscellaneous (RX029N)
Mycophenolate mofetil, oral, 250 mg (HCPCS:J7517)
12 DME suppliers used 144 Medicare Claims 20780 Services Paid
Treatment-Treatment - Miscellaneous (RX029N)
Mycophenolic acid, oral, 180 mg (HCPCS:J7518)
6 DME suppliers used 64 Medicare Claims 7740 Services Paid
Treatment-Treatment - Miscellaneous (RX029N)
Sirolimus, oral, 1 mg (HCPCS:J7520)
9 DME suppliers used 67 Medicare Claims 2122 Services Paid
Treatment-Chemotherapy (RH012N)
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period (HCPCS:Q0511)
25 DME suppliers used 357 Medicare Claims 357 Services Paid
Treatment-Chemotherapy (RH012N)
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period (HCPCS:Q0512)
25 DME suppliers used 391 Medicare Claims 483 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Automated urinalysis test
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 40-54 minutes
Follow-up hospital inpatient care per day, typically 25 minutes
Follow-up hospital inpatient care per day, typically 35 minutes
Initial hospital inpatient care per day, typically 50 minutes
New patient office or other outpatient visit, 45-59 minutes
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
This service was performed 244 times for 119 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 19 times for 18 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 53 times for 33 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 331 times for 162 patientsThis service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
This service was performed 171 times for 65 patientsFollow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
This service was performed 118 times for 66 patientsFollow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
This service was performed 33 times for 19 patientsInitial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
This service was performed 23 times for 23 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 16 times for 16 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $30.69 for a new patient copayment and $23.48 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 40205 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $122.77
- Minimum New Patient Price $52.76
- Maximum New Patient Price $162.27
- Average New Patient Copayment $30.69
- Minimum New Patient Copayment $13.19
- Maximum New Patient Copayment $40.56
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $93.94
- Minimum Established Patient Price $16.53
- Maximum Established Patient Price $131.99
- Average Established Patient Copayment $23.48
- Minimum Established Patient Copayment $4.13
- Maximum Established Patient Copayment $32.99
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. John Gleason is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
JEWISH HOSPITAL & ST MARY'S HEALTHCARE | 200 ABRAHAM FLEXNER WAY LOUISVILLE, KY 40202 | (502) 587-4011 | Acute Care Hospitals | |
UNIVERSITY OF KENTUCKY HOSPITAL | 800 ROSE STREET LEXINGTON, KY 40536 | (859) 257-2278 | Acute Care Hospitals | |
NORTON HOSPITALS, INC | 200 EAST CHESTNUT STREET LOUISVILLE, KY 40202 | (502) 629-8000 | Acute Care Hospitals | |
BAPTIST HEALTH LOUISVILLE | 4000 KRESGE WAY LOUISVILLE, KY 40207 | (502) 897-8100 | Acute Care Hospitals |
Reviews for DR. JOHN RUSSELL GLEASON JR. MD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 2 | 1 | 5 | 9 | 3 | 1 | 1 | 5 | 9 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 2 | 5 | 18 | 3 | 2 | 1 | 10 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 2 + 5 + 1 + 8 + 3 + 2 + 1 + 1 + 0 + 24 = 51 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 51 = 9 | 9 |
The NPI number 1215931159 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1770586711 | ROBERT A TODD M.D. Individual | Psychiatry & Neurology (Psychiatry) | 6400 DUTCHMANS PKWY STE 331 LOUISVILLE, KY 40205 (502) 896-0055 |
1588667505 | MRS. SHEILA LYNN ROBERTS MD Individual | Psychiatry & Neurology (Psychiatry) | 6400 DUTCHMANS PKWY STE 331 LOUISVILLE, KY 40205 (502) 896-0835 |
1083616163 | DR. DAVID HILL GOLDSTEIN MD Individual | Internal Medicine (Nephrology) | 6400 DUTCHMANS PKWY STE 250 LOUISVILLE, KY 40205 (502) 587-9660 |
1376545327 | DR. RICHARD SCOTT CORNELL MD Individual | Internal Medicine (Nephrology) | 6400 DUTCHMANS PKWY STE 250 LOUISVILLE, KY 40205 (502) 587-9660 |
1710989884 | DR. DANNY WOO MD Individual | Internal Medicine (Nephrology) | 6400 DUTCHMANS PKWY STE 250 LOUISVILLE, KY 40205 (502) 587-9660 |
1972505030 | DR. ALEXANDER YURIEVICH AFANASYEV MD Individual | Internal Medicine (Nephrology) | 6400 DUTCHMANS PKWY STE 250 LOUISVILLE, KY 40205 (502) 587-9660 |
1245234111 | DR. ROBERT ELMER LEE MD Individual | Internal Medicine (Nephrology) | 6400 DUTCHMANS PKWY STE 250 LOUISVILLE, KY 40205 (502) 587-9660 |
1245234095 | DR. PATRICK SERGIO HAYDEN MD Individual | Internal Medicine (Nephrology) | 6400 DUTCHMANS PKWY STE 250 LOUISVILLE, KY 40205 (502) 587-9660 |
1780688630 | DR. BRUCE SHOO TANG CHANG MD Individual | Internal Medicine (Nephrology) | 6400 DUTCHMANS PKWY STE 250 LOUISVILLE, KY 40205 (502) 587-9660 |
1366446213 | DR. WILLIAM ANDRE DUFF MD Individual | Internal Medicine (Nephrology) | 6400 DUTCHMANS PKWY STE 250 LOUISVILLE, KY 40205 (502) 587-9660 |
1609870427 | DR. JENNIFER ABBOTT HOLLON MD Individual | Internal Medicine (Nephrology) | 6400 DUTCHMANS PKWY STE 250 LOUISVILLE, KY 40205 (502) 587-9660 |
1003810938 | DR. RAMSEY NASRI NASSAR MD Individual | Internal Medicine (Nephrology) | 6400 DUTCHMANS PKWY STE 250 LOUISVILLE, KY 40205 (502) 587-9660 |
1548264369 | DR. STEPHEN JOSEPH KEIRAN JR. MD Individual | Internal Medicine (Nephrology) | 6400 DUTCHMANS PKWY STE 250 LOUISVILLE, KY 40205 (502) 587-9660 |
1053315853 | DR. KAREN MARIE ERBECK MD Individual | Internal Medicine (Nephrology) | 6400 DUTCHMANS PKWY STE 250 LOUISVILLE, KY 40205 (502) 587-9660 |
1902890783 | C THOMAS MORAN MD Individual | Ophthalmology | 6400 DUTCHMANS PKWY SUITE 125 LOUISVILLE, KY 40205 (502) 896-8700 |
1255325031 | JOSEPH R BRIGHTWELL MD Individual | Ophthalmology | 6400 DUTCHMANS PKWY SUITE 125 LOUISVILLE, KY 40205 (502) 896-8700 |
1700870656 | S FRED STEPHENSON MD Individual | Ophthalmology | 6400 DUTCHMANS PKWY SUITE 125 LOUISVILLE, KY 40205 (502) 896-8700 |
1952396467 | PCN SURGICAL SUITES, LLC Organization | Clinic/Center (Ambulatory Surgical) | 6400 DUTCHMANS PKWY SUITE 60 LOUISVILLE, KY 40205 (502) 897-3500 |
1467447961 | PAIN CONTROL NETWORK, PSC Organization | Clinic/Center (Pain) | 6400 DUTCHMANS PKWY SUITE 60 LOUISVILLE, KY 40205 (502) 897-3500 |
1609861103 | BEVERLY JEAN HOPKINS CRNA Individual | Nurse Anesthetist, Certified Registered | 6400 DUTCHMANS PKWY SUITE 60 LOUISVILLE, KY 40205 (502) 897-3500 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215931159, enumerated in the NPI registry as an "individual" on June 09, 2005
The provider is located at 6400 Dutchmans Pkwy Ste 250 Louisville, Ky 40205 and the phone number is (502) 587-9660
The provider's speciality is Internal Medicine with taxonomy code 207RN0300X with a focus in Nephrology
The provider has more than 40 years of experience. He graduated from University Of Louisville School Of Medicine in 1986.
The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $122.77 with an average copayment of $30.69 for new patient appointments. Established patients should expect a typical charge of $93.94 and an average copayment of 23.48. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Automated urinalysis test, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 40-54 minutes, Follow-up hospital inpatient care per day, typically 25 minutes, Follow-up hospital inpatient care per day, typically 35 minutes, Initial hospital inpatient care per day, typically 50 minutes and New patient office or other outpatient visit, 45-59 minutes.
The practitioner is affiliated to the following hospital(s): JEWISH HOSPITAL & ST MARY'S HEALTHCARE, UNIVERSITY OF KENTUCKY HOSPITAL, NORTON HOSPITALS, INC and BAPTIST HEALTH LOUISVILLE. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on June 09, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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