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DR. JODIE LUSBY DMD
NPI 1033573415
Dentist - Periodontics in St Matthews, KY

Active since April 11, 2016PECOS Enrolled
4010 DUPONT CIR STE 524, ST MATTHEWS, KY 40207(502) 897-9417 Get Directions Write a Review

NPPES record last updated: June 23, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Jodie Lusby Dmd NPPES

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

DR. JODIE LUSBY DMD (NPI 1033573415) is an individual periodontics provider in St Matthews, Kentucky, licensed in Kentucky (9779) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033573415
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. JODIE LUSBYCredential: DMD
Location Address4010 DUPONT CIR STE 524St Matthews, KY 40207-4888
Mailing Address11400 Willow Branch DrLouisville, KY 40291-4529 · (859) 816-2701
Phone(502) 897-9417
Sole ProprietorYes
Enumeration DateApril 11, 2016
Last NPPES UpdateJune 23, 2019
✔ NPI 1033573415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in KY · 9779
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
4010 DUPONT CIR STE 524, St Matthews, KY 40207
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jodie Lusby Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
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.

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 Jodie Lusby's NPI number?

The NPI number for Jodie Lusby is 1033573415. It was assigned to this individual provider in the NPPES registry on April 11, 2016.

Where is Jodie Lusby located?

Jodie Lusby practices at 4010 Dupont Cir Ste 524, St Matthews, KY 40207. The listed phone number is (502) 897-9417.

What is Jodie Lusby's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Jodie Lusby enrolled in Medicare?

Yes. Jodie Lusby is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jodie Lusby was last updated on June 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.