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DONNA GATEWOOD MD
NPI 1174541510
Family Medicine in Crestwood, KY

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
6580 KENWOOD CROSSING ROAD, CRESTWOOD, KY 40014(502) 243-3161(502) 243-3164 Get Directions Write a Review

NPPES record last updated: January 17, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Donna Gatewood Md NPPES

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

DONNA GATEWOOD MD (NPI 1174541510) is an individual family medicine provider in Crestwood, Kentucky, licensed in Kentucky (37025) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Lagrange, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1174541510
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDONNA GATEWOODCredential: MD
Location Address6580 KENWOOD CROSSING ROADCrestwood, KY 40014
Mailing AddressPo Box 950248Louisville, KY 40295-0248 · (502) 489-5730 · Fax (502) 489-5733
Phone(502) 243-3161
Fax(502) 243-3164
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJuly 17, 2006
Last NPPES UpdateJanuary 17, 2015
✔ NPI 1174541510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 37025
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6580 KENWOOD CROSSING ROAD, Crestwood, KY 40014
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Other Identifiers 4

Medicaid64047889KY
Medicare PIN0933003KY
Medicare UPING96103KS
Medicare PIN00162029KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee 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 and accepts Medicare assignment

Donna Gatewood Md 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 ID9830092964
PECOS Enrollment IDI20040128000264, I20221128001278
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 Reassignments

3

Medicare enrollment records show Donna Gatewood reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baptist Medical Associates, Inc
4.9 mi
Surgery
2600 STANLEY GAULT PKWY, SUITE 201
Louisville, KY 40223
  • Reassigned Medicare billing, Kentucky and Indiana enrollments
  • Medicare enrollment name: Baptist Health Medical Group Inc
  • Also billed through NPI 1508269200 (Indiana)
  • 1,441 clinicians in this Medicare group
NPI 1649536772 (502) 238-2801
Heuser Health & Fitness Center, LLC
14 mi
Wound Care
1860 MELLWOOD AVE # 197
Louisville, KY 40206
  • Reassigned Medicare billing, Kentucky enrollment
  • 4 clinicians in this Medicare group
NPI 1154719797 (502) 893-7833
Spero Health Of Kentucky, LLC
59 mi
Addiction Medicine
106 BELINDA BLVD STE 100
Danville, KY 40422
  • Reassigned Medicare billing, Kentucky enrollment
  • 115 clinicians in this Medicare group
NPI 1982102109 (866) 755-4258

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 2

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.

Epifix, per square centimeter Q4186
Epifix is an advanced wound care treatment, derived from human placental tissue. It helps to promote healing by providing a protective barrier and supplying growth factors. Each square centimeter refers to the size of the Epifix graft needed for your specific wound.
330 services11 patients
Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 15271
This procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.
33 services11 patients

Hospital Affiliations CMS Care Compare

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

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 40014 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
$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.

Other Providers at the Same Location NPPES

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

JANET L SCHERZER PAC
Physician Assistant
6580 KENWOOD CROSSING ROAD
CRESTWOOD, KY 40014
Oldham County (502) 243-3161

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 Donna Gatewood's NPI number?

The NPI number for Donna Gatewood is 1174541510. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Donna Gatewood located?

Donna Gatewood practices at 6580 Kenwood Crossing Road, Crestwood, KY 40014. The listed phone number is (502) 243-3161.

What is Donna Gatewood's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Donna Gatewood enrolled in Medicare?

Yes. Donna Gatewood 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 organizations bill Medicare for Donna Gatewood's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donna Gatewood reassigns Medicare benefits to 3 organizations: Baptist Medical Associates, Inc (Louisville, KY), Heuser Health & Fitness Center, LLC (Louisville, KY) and Spero Health Of Kentucky, LLC (Danville, KY). Each 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 Donna Gatewood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donna Gatewood accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and CareSource list Donna Gatewood 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 Donna Gatewood affiliated with any hospitals?

According to CMS data, Donna Gatewood is affiliated with Baptist Health Lagrange.

When was this NPI record last updated?

The NPPES record for Donna Gatewood was last updated on January 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.