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DR. GUILLERMO S LUDI M.D.
NPI 1124097126
Internal Medicine in Gallatin, TN

Active since March 14, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1720 NASHVILLE PIKE STE 100, GALLATIN, TN 37066(615) 230-8601(615) 230-8670 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 1, 2024, Jan 28, 2022 (2 updates tracked since 2022).

About Dr. Guillermo S Ludi M.d. NPPES

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

DR. GUILLERMO S LUDI M.D. (NPI 1124097126) is an individual internal medicine provider in Gallatin, Tennessee, licensed in Tennessee (ME36942) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Sumner Regional Medical Center, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1124097126
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. GUILLERMO S LUDICredential: M.D.
Location Address1720 NASHVILLE PIKE STE 100Gallatin, TN 37066-3154
Mailing Address1720 Nashville Pike Ste 100Gallatin, TN 37066-3154 · (615) 230-8601 · Fax (615) 230-8670
Phone(615) 230-8601
Fax(615) 230-8670
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateMarch 14, 2006
Last NPPES UpdateMay 1, 20242 updates tracked since enumeration
NPPES CertifiedMay 1, 2024
✔ NPI 1124097126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · ME36942
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.
1720 NASHVILLE PIKE STE 100, Gallatin, TN 37066
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Other Identifiers 3

OtherP00386111TN · Rr Medicare
Medicaid3879453TN
OtherP00721873TN · Rr Medicare Hendersonville Location

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia 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 and accepts Medicare assignment

Dr. Guillermo S Ludi 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 ID2961415419
PECOS Enrollment IDI20060728000313
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 9

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.
425 services219 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.
154 services154 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
33 services13 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.
29 services22 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
20 services18 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.
19 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Sumner Regional Medical Center

Acute Care Hospitals · Gallatin, TN
1/5 CMS rating
OwnershipProprietary
CMS Certification Number440003
Location555 Hartsville PikeGallatin, TN 37066 · Sumner County
Emergency services Birthing friendly

Tristar Skyline Medical Center

Acute Care Hospitals · Nashville, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440006
Location3441 Dickerson PikeNashville, TN 37207 · Davidson County
Emergency services

Tristar Hendersonville Medical Center

Acute Care Hospitals · Hendersonville, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440194
Location355 New Shackle Island RdHendersonville, TN 37075 · Sumner County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37066 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
93%3,256 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%608 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 7

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
9 suppliers31 claims59 services$6.37 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$15.77 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
2 suppliers40 claims40 services$69.56 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers16 claims16 services$30.34 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
1 supplier12 claims1,440 services$0.08 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
5 suppliers32 claims34 services$190.53 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 3

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

MRS. ELLEN KATHERINE MEADOR PA
Physician Assistant
1720 NASHVILLE PIKE STE 100
GALLATIN, TN 37066
Sumner County (615) 230-8601
ENRIQUE EDUARDO CARDENAS RAMOS M.D.
Family Medicine
1720 NASHVILLE PIKE STE 100
GALLATIN, TN 37066
Sumner County (615) 230-8601
DR. SANFORD JONATHAN LAX MD
Family Medicine
1720 NASHVILLE PIKE STE 100
GALLATIN, TN 37066
Sumner County (615) 230-8601

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 Guillermo Ludi's NPI number?

The NPI number for Guillermo Ludi is 1124097126. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Guillermo Ludi located?

Guillermo Ludi practices at 1720 Nashville Pike Ste 100, Gallatin, TN 37066. The listed phone number is (615) 230-8601.

What is Guillermo Ludi's specialty?

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

Is Guillermo Ludi enrolled in Medicare?

Yes. Guillermo Ludi 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 Guillermo Ludi accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Guillermo Ludi 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 Guillermo Ludi affiliated with any hospitals?

According to CMS data, Guillermo Ludi is affiliated with Sumner Regional Medical Center, Tristar Skyline Medical Center and Tristar Hendersonville Medical Center.

When was this NPI record last updated?

The NPPES record for Guillermo Ludi was last updated on May 1, 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.