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TONYA PERKINS MD
NPI 1033130497
Internal Medicine in Louisville, KY

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
2400 EASTPOINT PKWY, SUITE 550, LOUISVILLE, KY 40223(502) 253-6630(502) 253-6639 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tonya Perkins Md NPPES

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

TONYA PERKINS MD (NPI 1033130497) is an individual internal medicine provider in Louisville, Kentucky, licensed in Kentucky (34974) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Jewish Hospital & St Mary's Healthcare, and is a graduate of University Of Kentucky College Of Medicine (1995).

NPPES Registry Identity

NPI1033130497
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameTONYA PERKINSCredential: MD
Location Address2400 EASTPOINT PKWY, SUITE 550Louisville, KY 40223-4154
Mailing AddressPo Box 950248Louisville, KY 40295-0248 · (502) 489-5730 · Fax (502) 489-5753
Phone(502) 253-6630
Fax(502) 253-6639
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1995
Enumeration DateJuly 21, 2006
Last NPPES UpdateDecember 7, 2020
NPPES CertifiedDecember 7, 2020
✔ NPI 1033130497 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 · 34974
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 34974 (KY)
2400 EASTPOINT PKWY, Louisville, KY 40223
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Other Identifiers 1

Medicaid64004955KY

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 Health 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

Tonya Perkins 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 ID2163498494
PECOS Enrollment IDI20040908000364
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 10

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.
292 services200 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.
243 services218 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.
211 services211 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
54 services53 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
51 services50 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.
37 services37 patients

Hospital Affiliations CMS Care Compare 4

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

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

Baptist Health Lagrange

Acute Care Hospitals · La Grange, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180138
Location1025 New Moody LaneLa Grange, KY 40031 · Oldham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40223 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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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
15 suppliers47 claims100 services$5.99 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers21 claims21 services$1.18 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier12 claims2,160 services$1.41 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$17.32 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 20

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

HAND AND WRIST OF LOUISVILLE, PLLC
Plastic Surgery (Surgery of the Hand)
2400 EASTPOINT PKWY, STE 570
LOUISVILLE, KY 40223
Jefferson County (502) 409-6898
KIMBERLY CRIPE LANTER MA
Speech-Language Pathologist
2400 EASTPOINT PKWY
LOUISVILLE, KY 40223
Jefferson County (502) 210-4752
FIRST UROLOGY, PSC
Urology
2400 EASTPOINT PKWY, SUITE 560
LOUISVILLE, KY 40223
Jefferson County (502) 897-7172
SUSANNA M MEYER PT
Physical Therapist
2400 EASTPOINT PKWY, SUITE 120
LOUISVILLE, KY 40223
Jefferson County (502) 253-6689
BAPTIST HEALTHCARE SYSTEM, INC.
Clinic/Center (Ambulatory Surgical)
2400 EASTPOINT PKWY
LOUISVILLE, KY 40223
Jefferson County (502) 210-4861
BRIGID M BUCKMAN ARNP
Nurse Practitioner (Adult Health)
2400 EASTPOINT PKWY, SUITE 410
LOUISVILLE, KY 40223
Jefferson County (502) 253-6625
AMY DENNIS PT
Physical Therapist
2400 EASTPOINT PKWY, SUITE 120
LOUISVILLE, KY 40223
Jefferson County (502) 253-6689
LEE M GUENTHER APRN
Nurse Practitioner (Family)
2400 EASTPOINT PKWY, SUITE 430
LOUISVILLE, KY 40223
Jefferson County (502) 253-6615

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 Tonya Perkins's NPI number?

The NPI number for Tonya Perkins is 1033130497. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Tonya Perkins located?

Tonya Perkins practices at 2400 Eastpoint Pkwy Suite 550, Louisville, KY 40223. The listed phone number is (502) 253-6630.

What is Tonya Perkins's specialty?

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

Is Tonya Perkins enrolled in Medicare?

Yes. Tonya Perkins 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 Tonya Perkins accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Tonya Perkins 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 Tonya Perkins affiliated with any hospitals?

According to CMS data, Tonya Perkins is affiliated with Jewish Hospital & St Mary's Healthcare, Norton Hospitals, Inc, Baptist Health Louisville and Baptist Health Lagrange.

When was this NPI record last updated?

The NPPES record for Tonya Perkins was last updated on December 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.