STEPHANIE A POYNTER DMD
NPI 1245236892
Dentist in Louisville, KY
NPI Status: Active since June 28, 2005
Contact Information
2215 PORTLAND AVE
LOUISVILLE, KY
ZIP 40212
Phone: (502) 774-8631
Fax: (502) 776-8912
- Individual
- Female
- Dentist
- Accepts Insurance
- PECOS Enrolled
About STEPHANIE POYNTER
This page provides the complete NPI Profile along with additional information for Stephanie Poynter, a provider established in Louisville, Kentucky with a medical specialization in Dentist. The healthcare provider is registered in the NPI registry with number 1245236892 assigned on June 2005. The practitioner's primary taxonomy code is 122300000X with license number 7370 (KY). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1245236892
- Provider Name
- STEPHANIE A POYNTER DMD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2215 PORTLAND AVE LOUISVILLE, KY 40212
- Location Phone
- (502) 774-8631
- Location Fax
- (502) 776-8912
- Mailing Address
- 2215 PORTLAND AVE LOUISVILLE, KY 40212
- Mailing Phone
- (502) 774-8631
- Mailing Fax
- (502) 776-8912
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-28-2005
- Last Update Date
- 04-19-2021
- Code Navigator
A dentist like Stephanie Poynter is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
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
Dentist
- Taxonomy Code
- 122300000X
- Type
- Dental Providers
- License No.
- 7370
- License State
- KY
- Taxonomy Description
- A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Premier Silver - EPO
- Premier Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- 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
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - 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
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Standard Silver + Vision + Adult Dental - EPO
- 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 Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 9200 (+ Incentives) - EPO
- Anthem Bronze Pathway HMO 7450 for HSA - HMO
- Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Pathway/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Catastrophic Pathway 9200 (+ Incentives) - EPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- Humana Dental Smart Choice - PPO
- Humana Dental Smart Choice - High - PPO
- Humana Dental Smart Choice - Lite - PPO
- Humana Dental Smart Choice - Low - PPO
- Humana Dental Smart Choice Basic - PPO
- Humana Dental Smart Choice- Lite - PPO
- Smile Now Arizona - No Waiting Period PPO - PPO
- Smile Now Illinois - No Waiting Period PPO - PPO
- Smile Now Michigan - No Waiting Period PPO - PPO
- Smile Now Ohio - No Waiting Period PPO - PPO
- Smile Now Tennessee - No Waiting Period PPO - PPO
- Smile Now Texas- No Waiting Period Plan - PPO
- Smile Now Utah - No Waiting Period PPO - PPO
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 |
|---|---|---|---|
| 60001906 | MEDICAID (05) | KY | |
| 15983 | OTHER (01) | KY | DORAL DENTAL |
Medicare Participation & PECOS Enrollment Status
Stephanie Poynter 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) and a Home Health Agency (HHA).
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
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: No
Physician Visit Costs
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 40212 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.24
- Minimum New Patient Price $52.76
- Maximum New Patient Price $162.27
- Average New Patient Copayment $20.56
- 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 99213
- Average Established Patient Price $66.24
- Minimum Established Patient Price $16.53
- Maximum Established Patient Price $131.99
- Average Established Patient Copayment $16.56
- 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.
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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 | 4 | 5 | 2 | 3 | 6 | 8 | 9 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 4 | 3 | 12 | 8 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 4 + 3 + 1 + 2 + 8 + 1 + 8 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1245236892 is valid because the calculated check digit 2 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 |
|---|---|---|---|
| 1013913037 | KAREN DUCKWALL MD Individual | Obstetrics & Gynecology | 2215 PORTLAND AVE LOUISVILLE, KY 40212 (502) 774-8631 |
| 1861498719 | ELAINE M WOERNER MD Individual | Family Medicine | 2215 PORTLAND AVE LOUISVILLE, KY 40212 (502) 774-8631 |
| 1407852395 | LORINE POWELL HOUSWORTH MD Individual | Internal Medicine | 2215 PORTLAND AVE LOUISVILLE, KY 40212 (502) 774-8631 |
| 1811993884 | MARVIN J HANKA MD Individual | Family Medicine | 2215 PORTLAND AVE LOUISVILLE, KY 40212 (502) 774-8631 |
| 1730185638 | NERITTA C LANCETA MD Individual | Family Medicine | 2215 PORTLAND AVE LOUISVILLE, KY 40212 (502) 774-8631 |
| 1356347058 | DEBRA SIMMONS ARNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 2215 PORTLAND AVE LOUISVILLE, KY 40212 (502) 774-8631 |
| 1083610745 | RITA HARRISON ARNP Individual | Nurse Practitioner | 2215 PORTLAND AVE LOUISVILLE, KY 40212 (502) 774-8631 |
| 1225034051 | LESLIE Y SMITH M.D. Individual | Family Medicine | 2215 PORTLAND AVE LOUISVILLE, KY 40212 (502) 774-8631 |
| 1770589467 | KAREN POTTINGER ARNP Individual | Nurse Practitioner | 2215 PORTLAND AVE LOUISVILLE, KY 40212 (502) 774-8631 |
| 1942206693 | MARGARET FACKLER APRN Individual | Nurse Practitioner (Women's Health) | 2215 PORTLAND AVE LOUISVILLE, KY 40212 (502) 774-8631 |
| 1336145028 | DIANE MURPHY MSW Individual | Social Worker (Clinical) | 2215 PORTLAND AVE LOUISVILLE, KY 40212 (502) 774-8631 |
| 1134113822 | RICHARD D. LARSON M.D. Individual | Family Medicine | 2215 PORTLAND AVE LOUISVILLE, KY 40212 (502) 774-8631 |
| 1376527010 | JANE H CHAMBERLAIN APRN Individual | Nurse Practitioner (Obstetrics & Gynecology) | 2215 PORTLAND AVE LOUISVILLE, KY 40212 (502) 774-8631 |
| 1568433837 | MEENAPRATAP CHILUKURI MD Individual | Internal Medicine | 2215 PORTLAND AVE LOUISVILLE, KY 40212 (502) 774-8631 |
| 1437127396 | DR. SARAH O'DANIEL FORTUNA M.D. Individual | Family Medicine | 2215 PORTLAND AVE LOUISVILLE, KY 40212 (502) 774-8631 |
| 1629159322 | MORRIS LLOYD RPH, MA Individual | Pharmacist | 2215 PORTLAND AVE LOUISVILLE, KY 40212 (502) 774-8631 |
| 1700935764 | PETER LEE THURMAN SR. M.D. Individual | Internal Medicine | 2215 PORTLAND AVE LOUISVILLE, KY 40212 (502) 774-8631 |
| 1558406678 | MR. MICHAEL WAYNE MCWILLIAMS RPH, MS, MBA Individual | Pharmacist | 2215 PORTLAND AVE PHARMACY LOUISVILLE, KY 40212 (502) 772-0889 |
| 1679780860 | LUZ M FERNANDEZ MD Individual | Family Medicine | 2215 PORTLAND AVE LOUISVILLE, KY 40212 (502) 774-8631 |
| 1003023011 | NANCY J MATYUNAS PHARMD Individual | Pharmacist | 2215 PORTLAND AVE LOUISVILLE, KY 40212 (502) 772-0889 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245236892, enumerated in the NPI registry as an "individual" on June 28, 2005
The provider is located at 2215 Portland Ave Louisville, Ky 40212 and the phone number is (502) 774-8631
The provider's speciality is Dentist with taxonomy code 122300000X
The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health,. 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) and a Home Health Agency (HHA).
Medicare beneficiaries should expect a typical cost of $82.24 with an average copayment of $20.56 for new patient appointments. Established patients should expect a typical charge of $66.24 and an average copayment of 16.56. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on June 28, 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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