DR. MARK EDWIN ESTERLE M.D.
NPI 1003954876
Internal Medicine - Pulmonary Disease in Louisville, KY
About Dr. Mark Edwin Esterle M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARK EDWIN ESTERLE M.D. (NPI 1003954876) is an individual pulmonary disease provider in Louisville, Kentucky, licensed in Kentucky (41010) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Floyd, and is a graduate of University Of Louisville School Of Medicine (2004).
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
Accepted 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. Mark Edwin Esterle M.d. 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.
Areas of Expertise CMS Part B claims 26
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baptist Health Floyd
Acute Care Hospitals · New Albany, INBaptist Health Hardin
Acute Care Hospitals · Elizabethtown, KYNorton Hospitals, Inc
Acute Care Hospitals · Louisville, KYBaptist Health Louisville
Acute Care Hospitals · Louisville, KYBaptist Health Lagrange
Acute Care Hospitals · La Grange, KYPhysician 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.
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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 30
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOUISVILLE, KY 40207
LOUISVILLE, KY 40207
LOUISVILLE, KY 40207
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 Mark Esterle's NPI number?
The NPI number for Mark Esterle is 1003954876. It was assigned to this individual provider in the NPPES registry on February 2, 2007.
Where is Mark Esterle located?
Mark Esterle practices at 4003 Kresge Way Suite 312, Louisville, KY 40207. The listed phone number is (502) 899-7377.
What is Mark Esterle's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Mark Esterle enrolled in Medicare?
Yes. Mark Esterle 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 Mark Esterle accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Mark Esterle 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 Mark Esterle affiliated with any hospitals?
According to CMS data, Mark Esterle is affiliated with Baptist Health Floyd, Baptist Health Hardin, Norton Hospitals, Inc, Baptist Health Louisville and Baptist Health Lagrange.
When was this NPI record last updated?
The NPPES record for Mark Esterle was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.