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DR. JOEL PHILIP GARMON M.D.
NPI 1164424321
Surgery in Louisville, KY

Active since June 01, 2005PECOS EnrolledAccepts Medicare Assignment
73.19/100
CMS Quality Rating
4402 CHURCHMAN AVE, STE 202, LOUISVILLE, KY 40215(502) 366-1090(502) 366-1564 Get Directions Write a Review

NPPES record last updated: January 23, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Joel Philip Garmon M.d. NPPES

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

DR. JOEL PHILIP GARMON M.D. (NPI 1164424321) is an individual surgery provider in Louisville, Kentucky, licensed in Kentucky (26979) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Jewish Hospital & St Mary's Healthcare, and is a graduate of University Of Louisville School Of Medicine (1985).

NPPES Registry Identity

NPI1164424321
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JOEL PHILIP GARMONCredential: M.D.
Location Address4402 CHURCHMAN AVE, STE 202Louisville, KY 40215-3101
Mailing Address100 E Liberty St Ste 800Louisville, KY 40202-1428 · (502) 366-1090 · Fax (502) 366-1564
Phone(502) 366-1090
Fax(502) 366-1564
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1985
Enumeration DateJune 1, 2005
Last NPPES UpdateJanuary 23, 2019
✔ NPI 1164424321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in KY · 26979
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
4402 CHURCHMAN AVE, Louisville, KY 40215
Open in Google Maps ↗

Other Identifiers 5

Medicaid64269798KY
Other1049013KY · Passport
Other020017277KY · Railroad Medicare
OtherP01038667KY · Medicare Rr
Other000000050009KY · Anthem

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 and accepts Medicare assignment

Dr. Joel Philip Garmon 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 ID42343535
PECOS Enrollment IDI20100804000730
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 4

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
16 services16 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
15 services15 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40215 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.

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

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.

TRICIA L. FLAKE ARNP
Nurse Practitioner (Family)
4402 CHURCHMAN AVE, SUITE 410
LOUISVILLE, KY 40215
Jefferson County (502) 367-6322
DR. JOHN N OLSOFKA M.D.
Surgery
4402 CHURCHMAN AVE, STE 202
LOUISVILLE, KY 40215
Jefferson County (502) 366-1090
DR. JOSEPH CORBETT MARSHALL MD
Surgery
4402 CHURCHMAN AVE
LOUISVILLE, KY 40215
Jefferson County (502) 361-6075
DR. ARUL VERGHIS MD
Anesthesiology (Pain Medicine)
4402 CHURCHMAN AVE, SUITE 302
LOUISVILLE, KY 40215
Jefferson County (502) 366-7317
KEVIN L HARRELD MD
Orthopaedic Surgery
4402 CHURCHMAN AVE, SUITE 300
LOUISVILLE, KY 40215
Jefferson County (502) 363-0588
LOUISVILLE & SO INDIANA PULMONARY CARE PLC
Internal Medicine (Pulmonary Disease)
4402 CHURCHMAN AVE, SUITE 409
LOUISVILLE, KY 40215
Jefferson County (502) 368-9590
JULIA K PROHASKA PA
Physician Assistant
4402 CHURCHMAN AVE, SUITE 300
LOUISVILLE, KY 40215
Jefferson County (502) 363-0588
RONALD PETER MOYER MD
Allergy & Immunology
4402 CHURCHMAN AVE
LOUISVILLE, KY 40215
Jefferson County (502) 361-9935

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 Joel Garmon's NPI number?

The NPI number for Joel Garmon is 1164424321. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Joel Garmon located?

Joel Garmon practices at 4402 Churchman Ave Ste 202, Louisville, KY 40215. The listed phone number is (502) 366-1090.

What is Joel Garmon's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Joel Garmon enrolled in Medicare?

Yes. Joel Garmon 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 Joel Garmon 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 Joel Garmon 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 Joel Garmon affiliated with any hospitals?

According to CMS data, Joel Garmon is affiliated with Jewish Hospital & St Mary's Healthcare.

When was this NPI record last updated?

The NPPES record for Joel Garmon was last updated on January 23, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.