REX P LAGERSTROM MD
NPI 1083679880
Internal Medicine in Louisville, KY

Q: What is Rex Lagerstrom's NPI number?

The NPI number for Rex Lagerstrom is 1083679880. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Q: What is Rex Lagerstrom's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Rex Lagerstrom 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.

Active since April 18, 2006PECOS Enrolled

4003 KRESGE WAY STE 410, LOUISVILLE, KY 40207(502) 893-7462(502) 212-7550 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 7, 2020, Jan 11, 2018, Nov 28, 2017 (3 updates tracked since 2017).

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About Rex P Lagerstrom Md NPPES

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

REX P LAGERSTROM MD (NPI 1083679880) is an individual internal medicine provider in Louisville, Kentucky, licensed in Kentucky (24848) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083679880

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameREX P LAGERSTROMCredential: MD

Location Address4003 KRESGE WAY STE 410Louisville, KY 40207-4652

Mailing Address2700 Stanley Gault Pkwy Ste 129Louisville, KY 40223-5176 · (502) 253-4900 · Fax (502) 489-5750

Phone(502) 893-7462

Fax(502) 212-7550

Sole ProprietorNo

Enumeration DateApril 18, 2006

Last NPPES UpdateDecember 7, 20203 updates tracked since enumeration

NPPES CertifiedDecember 7, 2020

✔ NPI 1083679880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in KY · 24848

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.

4003 KRESGE WAY STE 410, Louisville, KY 40207

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Other Identifiers 1

Medicaid64248487KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rex P Lagerstrom Md 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.

Medicare Billing Reassignments

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

Baptist Health Medical Group Inc

Same address

Internal Medicine

4003 KRESGE WAY, SUITE 410
Louisville, KY 40207

Reassigned Medicare billing, Kentucky enrollment
1,441 clinicians in this Medicare group

NPI 1336572601 (502) 893-7462

Community Medical Associates, Inc.

3.4 mi

Sports Medicine

1951 BISHOP LN FL 4
Louisville, KY 40218

Reassigned Medicare billing, Kentucky enrollment
1,896 clinicians in this Medicare group

NPI 1386904647 (502) 588-9490

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 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

$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.

Other Providers at the Same Location NPPES 8

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

MRS. HALEY ELIZABETH MURPHY APRN, FNP-C

Nurse Practitioner (Family)