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MR. DAVID P FIGGE ARNP
NPI 1043261324
Nurse Practitioner in Louisville, KY

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
315 E BROADWAY, LOUISVILLE, KY 40202(502) 629-2500(502) 629-3166 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 24, 2024, Jan 12, 2021, Jul 24, 2019 and 1 more (4 updates tracked since 2016).

About Mr. David P Figge Arnp NPPES

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

MR. DAVID P FIGGE ARNP (NPI 1043261324) is an individual nurse practitioner in Louisville, Kentucky, licensed in Kentucky (3611P) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1043261324
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. DAVID P FIGGECredential: ARNP
Location Address315 E BROADWAYLouisville, KY 40202-1703
Mailing AddressPo Box 776347Chicago, IL 60677-6347 · (502) 588-9490 · Fax (502) 272-5116
Phone(502) 629-2500
Fax(502) 629-3166
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMay 12, 2006
Last NPPES UpdateApril 24, 20244 updates tracked since enumeration
NPPES CertifiedApril 24, 2024
✔ NPI 1043261324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in KY · 3611P
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
315 E BROADWAY, Louisville, KY 40202
Open in Google Maps ↗

Other Identifiers 4

Other000000330105KY · Anthem Provider No.
Other50004961KY · Pasport Provider No.
Medicaid78013521KY
OtherP00158534KY · Railroad Medicare

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. David P Figge Arnp 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 ID7315935590
PECOS Enrollment IDI20040505000908
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.

Medicare Billing Reassignment

Medicare enrollment records show David Figge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Norton Hospital Inc
0.2 mi
Psychiatry
200 E CHESTNUT ST
Louisville, KY 40202
  • Reassigned Medicare billing, Kentucky and Indiana enrollments
  • Medicare enrollment name: Norton Hospitals, Inc
  • Also billed through NPI 1073568879 (Indiana)
  • 187 clinicians in this Medicare group
NPI 1437119500 (502) 629-8850

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
131 services74 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
102 services98 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.
70 services53 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
17 services15 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services15 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
14 services14 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 40202 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
$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

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.

DR. JOHN T HAMM M.D.
Internal Medicine (Medical Oncology)
315 E BROADWAY
LOUISVILLE, KY 40202
Jefferson County (502) 629-2500
GATEWAY AT NORTON REHABILITATION HOSPITAL, LLC
Rehabilitation Hospital
315 E BROADWAY
LOUISVILLE, KY 40202
Jefferson County (502) 315-8300
MS. ANDREA L. LEWIS MS
Genetic Counselor, MS
315 E BROADWAY, 4TH FLOOR
LOUISVILLE, KY 40202
Jefferson County (502) 629-4108
BRENDA SUE FOREMAN ARNP-CS
Nurse Practitioner (Family)
315 E BROADWAY
LOUISVILLE, KY 40202
Jefferson County (502) 629-2500
RUSSELL ALEXANDER SHATFORD MD
Surgery (Surgery of the Hand)
315 E BROADWAY, SUITE 195
LOUISVILLE, KY 40202
Jefferson County (502) 629-4263
MS. BARBARA A HARMON-COWHERD OTR/L, CHT
Occupational Therapist (Hand)
315 E BROADWAY, SUITE 195, M-04
LOUISVILLE, KY 40202
Jefferson County (502) 589-5961
NORTON ENTERPRISES, INC.
Clinic/Center (Urgent Care)
315 E BROADWAY, STE# 185
LOUISVILLE, KY 40202
Jefferson County (502) 629-4150
AMANDA ROSE LYONS DNP, FNP-C
Nurse Practitioner (Family)
315 E BROADWAY
LOUISVILLE, KY 40202
Jefferson County (502) 629-5469

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 David Figge's NPI number?

The NPI number for David Figge is 1043261324. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is David Figge located?

David Figge practices at 315 E Broadway, Louisville, KY 40202. The listed phone number is (502) 629-2500.

What is David Figge's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is David Figge enrolled in Medicare?

Yes. David Figge 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.

Which organization bills Medicare for David Figge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Figge reassigns Medicare benefits to Norton Hospital Inc (Louisville, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Figge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Figge accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and CareSource list David Figge 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 David Figge affiliated with any hospitals?

According to CMS data, David Figge is affiliated with Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for David Figge was last updated on April 24, 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.