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MARCELLA DENISE PEREZ M.D.
NPI 1174822720
Pediatrics in Louisville, KY

Active since March 22, 2011PECOS Enrolled
5109 NEW CUT RD, LOUISVILLE, KY 40214(502) 361-1197(502) 361-0090 Get Directions Write a Review

NPPES record last updated: September 12, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Marcella Denise Perez M.d. NPPES

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

MARCELLA DENISE PEREZ M.D. (NPI 1174822720) is an individual pediatrics provider in Louisville, Kentucky, licensed in Kentucky (46859) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174822720
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMARCELLA DENISE PEREZCredential: M.D.
Location Address5109 NEW CUT RDLouisville, KY 40214-2745
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116
Phone(502) 361-1197
Fax(502) 361-0090
Sole ProprietorNo
Enumeration DateMarch 22, 2011
Last NPPES UpdateSeptember 12, 2016
✔ NPI 1174822720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in KY · 46859
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5109 NEW CUT RD, Louisville, KY 40214
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Other Identifiers 6

Other50075460KY · Passport - Ncma Okolona
Medicare PINK146630KY
Other000000885932KY · Anthem-ncma
Medicaid7100318020KY
Other165148KY · Siho
Other50083958KY · Passport - Ncma Iroquois

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)

Marcella Denise Perez 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 Reassignments

2

Medicare enrollment records show Marcella Perez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Medical Associates, Inc.
4.4 mi
Family Medicine
720 W HILL ST
Louisville, KY 40208
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,896 clinicians in this Medicare group
NPI 1245312503 (502) 636-3164
Norton Children's Medical Group, LLC
15 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 40214 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 5

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

MARK A BROCKMAN MD
Pediatrics
5109 NEW CUT RD
LOUISVILLE, KY 40214
Jefferson County (502) 361-1197
MAGGIE PHUONG TRAN M.D.
Pediatrics
5109 NEW CUT RD
LOUISVILLE, KY 40214
Jefferson County (502) 361-1197
JOHN B LARSON MD
Pediatrics
5109 NEW CUT RD
LOUISVILLE, KY 40214
Jefferson County (502) 361-1197
LARSON, BROUGH, AND BROCKMAN PSC
Pediatrics
5109 NEW CUT RD
LOUISVILLE, KY 40214
Jefferson County (502) 361-1197
DAVID K BROUGH MD
Pediatrics
5109 NEW CUT RD
LOUISVILLE, KY 40214
Jefferson County (502) 361-1197

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 Marcella Perez's NPI number?

The NPI number for Marcella Perez is 1174822720. It was assigned to this individual provider in the NPPES registry on March 22, 2011.

Where is Marcella Perez located?

Marcella Perez practices at 5109 New Cut Rd, Louisville, KY 40214. The listed phone number is (502) 361-1197.

What is Marcella Perez's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Marcella Perez enrolled in Medicare?

Yes. Marcella Perez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Marcella Perez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marcella Perez reassigns Medicare benefits to 2 organizations: Community Medical Associates, Inc. (Louisville, KY) and Norton Children's Medical Group, LLC (Louisville, 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 Marcella Perez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marcella Perez accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter of Tennessee and CareSource list Marcella Perez 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 Marcella Perez was last updated on September 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.