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MRS. SUSAN EARNESTINE WOFFORD D.M.D
NPI 1114309986
Dentist in Louisville, KY

Active since June 29, 2015PECOS Enrolled
415 BENJAMIN LN, LOUISVILLE, KY 40222(502) 423-7868 Get Directions Write a Review

NPPES record last updated: November 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 3, 2022, Apr 1, 2021, Mar 4, 2021 and 2 more (5 updates tracked since 2018).

About Mrs. Susan Earnestine Wofford D.m.d NPPES

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

MRS. SUSAN EARNESTINE WOFFORD D.M.D (NPI 1114309986) is an individual dentist in Louisville, Kentucky, licensed in Kentucky (9716) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114309986
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameMRS. SUSAN EARNESTINE WOFFORDCredential: D.M.D
Location Address415 BENJAMIN LNLouisville, KY 40222-5813
Mailing Address2241 State Street, Suite CNew Albany, IN 47150 · (812) 945-5100 · Fax (502) 459-4226
Phone(502) 423-7868
Sole ProprietorNo
Enumeration DateJune 29, 2015
Last NPPES UpdateNovember 3, 20225 updates tracked since enumeration
NPPES CertifiedNovember 3, 2022
✔ NPI 1114309986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in KY · 9716✔ Licensed in IN · 12013505A
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
415 BENJAMIN LN, Louisville, KY 40222
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Other Names 1

Former Name (1)Susan Wofford Himschoot D.m.d

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Susan Earnestine Wofford D.m.d 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40222 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
$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.

Other Providers at the Same Location NPPES

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

LORETTA A ABERLI MS, CCC-SLP
Speech-Language Pathologist
415 BENJAMIN LN, SUITE 102
LOUISVILLE, KY 40222
Jefferson County (502) 939-6891

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 Susan Wofford's NPI number?

The NPI number for Susan Wofford is 1114309986. It was assigned to this individual provider in the NPPES registry on June 29, 2015. The provider is also known as Susan Wofford Himschoot D.M.D.

Where is Susan Wofford located?

Susan Wofford practices at 415 Benjamin Ln, Louisville, KY 40222. The listed phone number is (502) 423-7868.

What is Susan Wofford's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Susan Wofford enrolled in Medicare?

Yes. Susan Wofford is registered in the Medicare PECOS enrollment system.

What insurance does Susan Wofford accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and BEST Life and 11 other insurers list Susan Wofford 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 Susan Wofford was last updated on November 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.