BRENT E. MCENTIRE MD
NPI 1013013028
Internal Medicine in Louisville, KY

Active since September 16, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4420 DIXIE HWY, STE. 114, LOUISVILLE, KY 40216(502) 449-6464(502) 449-6465 Get Directions Write a Review

NPPES record last updated: November 12, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brent E. Mcentire Md NPPES

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

BRENT E. MCENTIRE MD (NPI 1013013028) is an individual internal medicine provider in Louisville, Kentucky, licensed in Kentucky (35588) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and is a graduate of University Of Louisville School Of Medicine (1996).

NPPES Registry Identity

NPI1013013028
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBRENT E. MCENTIRECredential: MD
Location Address4420 DIXIE HWY, STE. 114Louisville, KY 40216-2988
Mailing AddressPo Box 950202Louisville, KY 40295-0202 · (502) 588-9490 · Fax (502) 272-5116
Fax(502) 449-6465
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1996
Enumeration DateSeptember 16, 2006
Last NPPES UpdateNovember 12, 2014
NPI 1013013028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in KY · 35588
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPediatricsTaxonomy 208000000X · License 35588 (KY)
4420 DIXIE HWY, Louisville, KY 40216

Other Identifiers 16

Medicare PIN0374774
Medicare PIN0396810
Medicare PIN0570268
Other35588KY · License
Medicare PIN0375375
Other000000194158Bcbs Provider Number
Medicare PIN0525670
Medicare PIN0600231
Medicare PIN0375176
Medicaid64018401KY
Medicare PIN0374682
Medicare PIN0375278
Medicare PIN110214388KY
Medicare UPINH28751
Medicare PIN00280142KY
Medicare PIN0536390

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

Brent E. Mcentire 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 ID840333837
PECOS Enrollment IDI20100129000284
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 12

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.

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.
429 services253 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
249 services187 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.
187 services162 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
138 services138 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
54 services54 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
54 services54 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40216 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
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers18 claims32 services$5.10 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers11 claims11 services$0.94 avg. paid by Medicare
Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038
DME-Other DME · category DE000N
1 supplier12 claims12 services$8.68 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

Physical Therapist
4420 DIXIE HWY, SUITE 122
LOUISVILLE, KY 40216
Specialist/Technologist (Athletic Trainer)
4420 DIXIE HWY
LOUISVILLE, KY 40216
Clinic/Center (Medical Specialty)
4420 DIXIE HWY, STE 120
LOUISVILLE, KY 40216
Family Medicine
4420 DIXIE HWY, STE. 114
LOUISVILLE, KY 40216
Specialist/Technologist (Athletic Trainer)
4420 DIXIE HWY
LOUISVILLE, KY 40216
Physical Therapist
4420 DIXIE HWY, SUITE 122
LOUISVILLE, KY 40216
Clinic/Center (Rehabilitation)
4420 DIXIE HWY, SUITE 122
LOUISVILLE, KY 40216
Physical Therapist (Electrophysiology, Clinical)
4420 DIXIE HWY, SUITE 122
LOUISVILLE, KY 40216

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 Brent Mcentire's NPI number?

The NPI number for Brent Mcentire is 1013013028. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Brent Mcentire located?

Brent Mcentire practices at 4420 Dixie Hwy Ste. 114, Louisville, KY 40216. The listed phone number is (502) 449-6464.

What is Brent Mcentire's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Brent Mcentire enrolled in Medicare?

Yes. Brent Mcentire 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 Brent Mcentire accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Brent Mcentire 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 Brent Mcentire affiliated with any hospitals?

According to CMS data, Brent Mcentire is affiliated with Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Brent Mcentire was last updated on November 12, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.