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KUPPER ANTHONY WINTERGERST M.D.
NPI 1124159009
Pediatrics - Pediatric Endocrinology in Louisville, KY

Active since March 09, 2007PECOS Enrolled
100/100
CMS Quality Rating
411 E CHESTNUT ST # STREET7, LOUISVILLE, KY 40202(502) 588-3400(502) 588-3401 Get Directions Write a Review

NPPES record last updated: October 29, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 29, 2020, Mar 11, 2020, Mar 6, 2020 (3 updates tracked since 2020).

About Kupper Anthony Wintergerst M.d. NPPES

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

KUPPER ANTHONY WINTERGERST M.D. (NPI 1124159009) is an individual pediatric endocrinology provider in Louisville, Kentucky, licensed in Kentucky (40100) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1124159009
Entity TypeIndividualMale
Primary Taxonomy2080P0205X
Provider Legal NameKUPPER ANTHONY WINTERGERSTCredential: M.D.
Location Address411 E CHESTNUT ST # STREET7Louisville, KY 40202-1713
Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 588-9490 · Fax (502) 272-5116
Phone(502) 588-3400
Fax(502) 588-3401
Sole ProprietorNo
Enumeration DateMarch 9, 2007
Last NPPES UpdateOctober 29, 20203 updates tracked since enumeration
NPPES CertifiedOctober 29, 2020
✔ NPI 1124159009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
License✔ Licensed in KY · 40100
Definition
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
411 E CHESTNUT ST # STREET7, Louisville, KY 40202
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Secondary Practice Location 1

Location 1601 S Floyd St, Ste 403Louisville, KY 40202-1837 · Phone (502) 588-3400 · Fax (502) 588-3401

Other Identifiers 2

Medicaid200889640IN
Medicaid64127491KY

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kupper Anthony Wintergerst 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.

Medicare Billing Reassignment

Medicare enrollment records show Kupper Wintergerst reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Norton Children's Medical Group, LLC
10 mi
Clinical Genetics (M.D.)
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Norton Childrens Medical Group LLC
  • 1,008 clinicians in this Medicare group
NPI 1013559921 (502) 272-5336

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 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
$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.

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

Other Providers at the Same Location NPPES 9

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

KELLIE WOODRUFF APRN
Nurse Practitioner (Pediatrics)
411 E CHESTNUT ST # STREET7
LOUISVILLE, KY 40202
Jefferson County (502) 588-3400
SARA E WATSON MD
Pediatrics (Pediatric Endocrinology)
411 E CHESTNUT ST # STREET7
LOUISVILLE, KY 40202
Jefferson County (502) 588-3400
MS. MELISSA KLEBER RD, LD
Dietitian, Registered
411 E CHESTNUT ST # STREET7
LOUISVILLE, KY 40202
Jefferson County (502) 588-3400
KAREN A POWERS DNP, APRN, CPNP-PC
Nurse Practitioner (Pediatrics)
411 E CHESTNUT ST # STREET7
LOUISVILLE, KY 40202
Jefferson County (502) 588-3400
MRS. BETH ANN SHARP APRN
Nurse Practitioner (Family)
411 E CHESTNUT ST # STREET7
LOUISVILLE, KY 40202
Jefferson County (502) 588-3400
NEVADA LUND
Social Worker (Clinical)
411 E CHESTNUT ST # STREET7
LOUISVILLE, KY 40202
Jefferson County (502) 588-3400
MS. JAYME MARIE LICHTSTEINER APRN
Nurse Practitioner (Pediatrics)
411 E CHESTNUT ST # STREET7
LOUISVILLE, KY 40202
Jefferson County (502) 588-3400
DR. PATRICIA SUZANNE TODD M.D.
Dermatology (Pediatric Dermatology)
411 E CHESTNUT ST # STREET7
LOUISVILLE, KY 40202
Jefferson County (502) 588-9581

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 Kupper Wintergerst's NPI number?

The NPI number for Kupper Wintergerst is 1124159009. It was assigned to this individual provider in the NPPES registry on March 9, 2007.

Where is Kupper Wintergerst located?

Kupper Wintergerst practices at 411 E Chestnut St # Street7, Louisville, KY 40202. The listed phone number is (502) 588-3400.

What is Kupper Wintergerst's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Is Kupper Wintergerst enrolled in Medicare?

Yes. Kupper Wintergerst is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kupper Wintergerst's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kupper Wintergerst reassigns Medicare benefits to Norton Children's Medical Group, LLC (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 Kupper Wintergerst's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kupper Wintergerst accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list Kupper Wintergerst 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 Kupper Wintergerst was last updated on October 29, 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.