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DR. MICHAEL J BROWN MD
NPI 1003865304
Otolaryngology in Louisville, KY

Active since May 06, 2006PECOS EnrolledAccepts Medicare Assignment
49.72/100
CMS Quality Rating
3999 DUTCHMANS LN, SUITE #3A, SUBURBAN PLAZA ONE, LOUISVILLE, KY 40207(502) 897-7300(502) 897-3332 Get Directions Write a Review

NPPES record last updated: July 21, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael J Brown Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL J BROWN MD (NPI 1003865304) is an individual otolaryngology provider in Louisville, Kentucky, licensed in Kentucky (35789) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Harrison County Hospital, and is a graduate of University Of Louisville School Of Medicine (1999).

NPPES Registry Identity

NPI1003865304
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. MICHAEL J BROWNCredential: MD
Location Address3999 DUTCHMANS LN, SUITE #3A, SUBURBAN PLAZA ONELouisville, KY 40207-4714
Mailing Address3999 Dutchmans Ln, Suite #3a, Suburban Plaza OneLouisville, KY 40207-4714 · (502) 897-7300 · Fax (502) 897-3332
Phone(502) 897-7300
Fax(502) 897-3332
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1999
Enumeration DateMay 6, 2006
Last NPPES UpdateJuly 21, 2011
✔ NPI 1003865304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in KY · 35789✔ Licensed in IN · 01058901A
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
3999 DUTCHMANS LN, SUITE #3A, Louisville, KY 40207
Open in Google Maps ↗

Other Identifiers 16

Other000000335350KY · Kentucky Anthem Number
Other7063240Cigna
Other200458400IN · Indiana Group Medicaid #
Medicare PIN6552KY
Medicare PIN0655203KY
Medicare PIN0655103KY
OtherP00163950Railroad Medicare Number
Other7455590Aetna
Medicare UPINI05792KY
Other50004083KY · Kentucky Passport #
Medicaid200483440AIN
Medicare PIN6551KY
Other000000335350IN · Indiana Anthem Number
Medicaid64078066KY
Other2445466000KY · Passport Advantage #
Medicare PIN212460CIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael J Brown Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113902313
PECOS Enrollment IDI20040622000709, I20040920000270
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
261 services156 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This 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.
249 services161 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
139 services126 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This 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.
137 services137 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This 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.
137 services112 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
103 services103 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Harrison County Hospital

Critical Access Hospitals · Corydon, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number151331
Location1141 Hospital Dr NWCorydon, IN 47112 · Harrison County
Emergency services

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number180012
Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County
Emergency services

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

49.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality50.91
Promoting Interoperability0
Improvement Activities40
Cost64.82

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEFFREY C NAU M.D.
Otolaryngology
3999 DUTCHMANS LN, SUITE #3A, SUBURBAN PLAZA ONE
LOUISVILLE, KY 40207
Jefferson County (502) 897-7300
DR. HAROLD W BLEVINS MD
Otolaryngology
3999 DUTCHMANS LN, SUITE #3A, SUBURBAN PLAZA ONE
LOUISVILLE, KY 40207
Jefferson County (502) 897-7300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Brown's NPI number?

The NPI number for Michael Brown is 1003865304. It was assigned to this individual provider in the NPPES registry on May 6, 2006.

Where is Michael Brown located?

Michael Brown practices at 3999 Dutchmans Ln, Suite #3a Suburban Plaza One, Louisville, KY 40207. The listed phone number is (502) 897-7300.

What is Michael Brown's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Michael Brown enrolled in Medicare?

Yes. Michael Brown is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Brown accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian and Ambetter of Tennessee and 2 other insurers list Michael Brown as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Brown affiliated with any hospitals?

According to CMS data, Michael Brown is affiliated with Harrison County Hospital, Baptist Health Hardin, Jewish Hospital & St Mary's Healthcare, Norton Hospitals, Inc and Baptist Health Louisville.

When was this NPI record last updated?

The NPPES record for Michael Brown was last updated on July 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.