VICTOR HENRY VANBERKEL MD PHD
NPI 1083740757
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Louisville, KY

Active since February 26, 2007PECOS EnrolledAccepts Medicare Assignment
73.19/100
CMS Quality Rating
201 ABRAHAM FLEXNER WAY, SUITE 1200, LOUISVILLE, KY 40202(502) 583-8383(502) 561-2190 Get Directions Write a Review

NPPES record last updated: April 6, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Victor Henry Vanberkel Md Phd NPPES

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

VICTOR HENRY VANBERKEL MD PHD (NPI 1083740757) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Louisville, Kentucky, licensed in Kentucky (43584) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Hardin, and is a graduate of Washington University School Of Medicine (2003).

NPPES Registry Identity

NPI1083740757
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameVICTOR HENRY VANBERKELCredential: MD PHD
Location Address201 ABRAHAM FLEXNER WAY, SUITE 1200Louisville, KY 40202-3841
Mailing AddressPo Box 909Louisville, KY 40201-0909 · (502) 588-0329 · Fax (502) 588-0326
Fax(502) 561-2190
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 2003
Enumeration DateFebruary 26, 2007
Last NPPES UpdateApril 6, 2016
NPI 1083740757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses Licensed in KY · 43584 Licensed in MO · 2008014395
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSurgeryTaxonomy 208600000X · License L217524 (MA)
201 ABRAHAM FLEXNER WAY, Louisville, KY 40202

Accepted 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

Victor Henry Vanberkel Md Phd 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 ID840322939
PECOS Enrollment IDI20100726000529
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 3

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 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.
63 services55 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
29 services29 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.
12 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number180012
Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County
Emergency services

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

Taylor Regional Hospital

Acute Care Hospitals · Campbellsville, KY
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number180087
Location1700 Old Lebanon RoadCampbellsville, KY 42718 · Taylor County
Emergency services

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

University Of Louisville Hospital

Acute Care Hospitals · Louisville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180141
Location530 South Jackson 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
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
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.

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.

73.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.74
Promoting Interoperability100
Improvement Activities40
Cost51.91

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims13 services$21.22 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers14 claims14 services$114.91 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.

Surgery
201 ABRAHAM FLEXNER WAY, STE 902
LOUISVILLE, KY 40202
Orthopaedic Surgery
201 ABRAHAM FLEXNER WAY, SUITE 100
LOUISVILLE, KY 40202
Internal Medicine
201 ABRAHAM FLEXNER WAY, SUITE 904
LOUISVILLE, KY 40202
Nurse Practitioner (Acute Care)
201 ABRAHAM FLEXNER WAY, SUITE 1200
LOUISVILLE, KY 40202
Internal Medicine
201 ABRAHAM FLEXNER WAY, #1001
LOUISVILLE, KY 40202
Nurse Practitioner (Critical Care Medicine)
201 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202
Plastic Surgery
201 ABRAHAM FLEXNER WAY, SUITE 1105
LOUISVILLE, KY 40202
Internal Medicine (Cardiovascular Disease)
201 ABRAHAM FLEXNER WAY, SUITE 1101
LOUISVILLE, KY 40202

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 Victor Vanberkel's NPI number?

The NPI number for Victor Vanberkel is 1083740757. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Where is Victor Vanberkel located?

Victor Vanberkel practices at 201 Abraham Flexner Way Suite 1200, Louisville, KY 40202. The listed phone number is (502) 583-8383.

What is Victor Vanberkel's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Victor Vanberkel enrolled in Medicare?

Yes. Victor Vanberkel 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 Victor Vanberkel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list Victor Vanberkel 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 Victor Vanberkel affiliated with any hospitals?

According to CMS data, Victor Vanberkel is affiliated with Baptist Health Hardin, Jewish Hospital & St Mary's Healthcare, Taylor Regional Hospital, Baptist Health Louisville and University Of Louisville Hospital.

When was this NPI record last updated?

The NPPES record for Victor Vanberkel was last updated on April 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.