1. Home
  2. Directory
  3. Kentucky
  4. Louisville
  5. Pediatrics
  6. NPI Profile

DR. LIBBY WILSON MIMS M.D.
NPI 1073855433
Pediatrics in Louisville, KY

Active since March 25, 2013PECOS EnrolledAccepts Medicare Assignment
411 E CHESTNUT ST STE 104, LOUISVILLE, KY 40202(502) 588-3440(502) 588-3441 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, Dec 19, 2020, Oct 17, 2019 and 4 more (7 updates tracked since 2016).

About Dr. Libby Wilson Mims M.d. NPPES

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

DR. LIBBY WILSON MIMS M.D. (NPI 1073855433) is an individual pediatrics provider in Louisville, Kentucky, licensed in Kentucky (49331) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (2013).

NPPES Registry Identity

NPI1073855433
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. LIBBY WILSON MIMSCredential: M.D.
Location Address411 E CHESTNUT ST STE 104Louisville, KY 40202-1713
Mailing Address8921 Gentlewind WayLouisville, KY 40291-4471 · (205) 410-1442
Phone(502) 588-3440
Fax(502) 588-3441
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2013
Enumeration DateMarch 25, 2013
Last NPPES UpdateApril 24, 20247 updates tracked since enumeration
NPPES CertifiedApril 24, 2024
✔ NPI 1073855433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in KY · 49331
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
411 E CHESTNUT ST STE 104, Louisville, KY 40202
Open in Google Maps ↗

Accepted Insurance

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

Dr. Libby Wilson Mims 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.

PECOS PAC ID9537455837
PECOS Enrollment IDI20160913002300
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 Reassignments

2

Medicare enrollment records show Libby Mims reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Medical Associates, Inc.
2.0 mi
Family Medicine
720 W HILL ST
Louisville, KY 40208
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,896 clinicians in this Medicare group
NPI 1245312503 (502) 636-3164
Norton Children's Medical Group, LLC
10 mi
Clinical Genetics (M.D.)
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Norton Childrens Medical Group LLC
  • 1,008 clinicians in this Medicare group
NPI 1013559921 (502) 272-5336

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

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.

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 Libby Mims's NPI number?

The NPI number for Libby Mims is 1073855433. It was assigned to this individual provider in the NPPES registry on March 25, 2013.

Where is Libby Mims located?

Libby Mims practices at 411 E Chestnut St Ste 104, Louisville, KY 40202. The listed phone number is (502) 588-3440.

What is Libby Mims's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Libby Mims enrolled in Medicare?

Yes. Libby Mims 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 organizations bill Medicare for Libby Mims's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Libby Mims reassigns Medicare benefits to 2 organizations: Community Medical Associates, Inc. (Louisville, KY) and Norton Children's Medical Group, LLC (Louisville, KY). Each 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 Libby Mims's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Libby Mims accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter of Tennessee and CareSource list Libby Mims 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.

When was this NPI record last updated?

The NPPES record for Libby Mims 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.