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DR. SCOTT A. YOUNG M.D.
NPI 1104018977
Internal Medicine in Louisville, KY

Active since August 15, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
12010 SHELBYVILLE RD, SUITE 300, LOUISVILLE, KY 40243(502) 244-9355(502) 244-9577 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Scott A. Young M.d. NPPES

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

DR. SCOTT A. YOUNG M.D. (NPI 1104018977) is an individual internal medicine provider in Louisville, Kentucky, licensed in Kentucky (32052) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and is a graduate of University Of Louisville School Of Medicine (1995).

NPPES Registry Identity

NPI1104018977
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SCOTT A. YOUNGCredential: M.D.
Location Address12010 SHELBYVILLE RD, SUITE 300Louisville, KY 40243-1054
Mailing AddressPo Box 436256Louisville, KY 40253-6256 · (502) 244-9355 · Fax (502) 244-9577
Phone(502) 244-9355
Fax(502) 244-9577
Sole ProprietorYes
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1995
Enumeration DateAugust 15, 2007
Last NPPES UpdateJune 17, 2024
NPPES CertifiedJune 17, 2024
✔ NPI 1104018977 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 · 32052
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.
12010 SHELBYVILLE RD, Louisville, KY 40243
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Other Identifiers 4

Other5459438Aetna Provider Id
Other000000337192Anthem Provider Id
OtherG78602Upin
OtherP00202026KY · Railroad Medicare Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Scott A. Young 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 ID6305813494
PECOS Enrollment IDI20040917000036
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 Scott Young reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Scott A. Young M.D., Psc
Same address
Internal Medicine
12010 SHELBYVILLE RD, SUITE 300
Louisville, KY 40243
  • Reassigned Medicare billing, Kentucky enrollment
NPI 1114935319 (502) 244-9355

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 5

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 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.
539 services246 patients
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.
254 services150 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
232 services232 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.
142 services55 patients
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402
An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

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

Baptist Health Lagrange

Acute Care Hospitals · La Grange, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180138
Location1025 New Moody LaneLa Grange, KY 40031 · Oldham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40243 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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers22 claims45 services$5.62 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
1 supplier12 claims1,080 services$5.10 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 14

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

DR. VINCENT JOSEPH LANG MD
Family Medicine
12010 SHELBYVILLE RD, SUITE 400
LOUISVILLE, KY 40243
Jefferson County (502) 897-9191
SHANNON LEIGH SMITH ARNP
Nurse Practitioner
12010 SHELBYVILLE RD, STE 500
LOUISVILLE, KY 40243
Jefferson County (502) 238-2800
SCOTT A. YOUNG M.D., PSC
Internal Medicine
12010 SHELBYVILLE RD, SUITE 300
LOUISVILLE, KY 40243
Jefferson County (502) 244-9355
MICHAEL DAVIS MD
Internal Medicine
12010 SHELBYVILLE RD, SUITE 400
LOUISVILLE, KY 40243
Jefferson County (502) 897-9191
DR. WILLIAM BRADLEY KING M.D.
Emergency Medicine
12010 SHELBYVILLE RD, SUITE 500
LOUISVILLE, KY 40243
Jefferson County (502) 238-2800
DR. JACK T WILSON III D.M.D.
Dentist (General Practice)
12010 SHELBYVILLE RD, SUITE 200
LOUISVILLE, KY 40243
Jefferson County (502) 583-4771
DR. ALEXANDER E MORGAN MD
Preventive Medicine (Occupational Medicine)
12010 SHELBYVILLE RD, SUITE 500
LOUISVILLE, KY 40243
Jefferson County (502) 238-2800
DR. FRANCIS BENG KIAT ONG MD
Emergency Medicine
12010 SHELBYVILLE RD, SUITE 500
LOUISVILLE, KY 40243
Jefferson County (502) 238-2800

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 Scott Young's NPI number?

The NPI number for Scott Young is 1104018977. It was assigned to this individual provider in the NPPES registry on August 15, 2007.

Where is Scott Young located?

Scott Young practices at 12010 Shelbyville Rd Suite 300, Louisville, KY 40243. The listed phone number is (502) 244-9355.

What is Scott Young's specialty?

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

Is Scott Young enrolled in Medicare?

Yes. Scott Young 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 Scott Young's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Young reassigns Medicare benefits to Scott A. Young M.D., Psc (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 Scott Young's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Scott Young accept?

Health plans from Anthem Blue Cross and Blue Shield list Scott Young 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 Scott Young affiliated with any hospitals?

According to CMS data, Scott Young is affiliated with Norton Hospitals, Inc, Baptist Health Louisville and Baptist Health Lagrange.

When was this NPI record last updated?

The NPPES record for Scott Young was last updated on June 17, 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.