SERGEI VENIAMINOVICH DMITRUK MD
NPI 1184158602
Ophthalmology in Louisville, KY

Active since April 12, 2017PECOS EnrolledAccepts Medicare Assignment
98.92/100
CMS Quality Rating
4010 DUPONT CIR STE 380, LOUISVILLE, KY 40207(502) 895-0040(502) 214-3429 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2021, Jun 7, 2021, Jun 1, 2021 and 2 more (5 updates tracked since 2017).

About Sergei Veniaminovich Dmitruk Md NPPES

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

SERGEI VENIAMINOVICH DMITRUK MD (NPI 1184158602) is an individual ophthalmology provider in Louisville, Kentucky, licensed in Kentucky (54890) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Carroll County Memorial Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1184158602
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameSERGEI VENIAMINOVICH DMITRUKCredential: MD
Location Address4010 DUPONT CIR STE 380Louisville, KY 40207-4881
Mailing Address1935 Bluegrass Ave Ste 200Louisville, KY 40215-1181 · (502) 364-0033 · Fax (502) 361-4488
Fax(502) 214-3429
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, AuroraGraduated 2017
Enumeration DateApril 12, 2017
Last NPPES UpdateOctober 17, 20245 updates tracked since enumeration
NPPES CertifiedOctober 17, 2024
NPI 1184158602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in KY · 54890 Licensed in IN · 01085592A
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
4010 DUPONT CIR STE 380, Louisville, KY 40207

Secondary Practice Locations 5

Location 11000 Johnstown Rd Ste 102Elizabethtown, KY 42701-3925 · Phone (270) 769-0099 · Fax (270) 763-0315
Location 2309 11th StCarrollton, KY 41008-1435 · Phone (800) 477-0055 · Fax (502) 361-4488
Location 3519 State StNew Albany, IN 47150-3620 · Phone (812) 948-0616
Location 49200 Leesgate Rd Ste 201Louisville, KY 40222-5173 · Phone (502) 895-2910
Location 573 Quartermaster CtJeffersonville, IN 47130-3623 · Phone (812) 284-0077 · Fax (812) 284-0129

Other Identifiers 2

Medicaid7100740700KY
Medicaid300050894IN

Accepted 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

Sergei Veniaminovich Dmitruk 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 ID1254730187
PECOS Enrollment IDI20210526002548, I20210527002856
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 14

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 cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
1,102 services594 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
703 services580 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.
172 services172 patients
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.
107 services92 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.
99 services85 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
94 services14 patients

Hospital Affiliations CMS Care Compare

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

Carroll County Memorial Hospital

Critical Access Hospitals · Carrollton, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181310
Location309 Eleventh StreetCarrollton, KY 41008 · Carroll County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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
$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.

98.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.73
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
18 suppliers47 claims47 services$59.52 avg. paid by Medicare
Sphere, bifocal, plano to plus or minus 4.00d, per lens V2200
Other-Vision, Hearing, and Speech Services · category OC000N
9 suppliers14 claims22 services$40.26 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
9 suppliers18 claims29 services$43.17 avg. paid by Medicare
Sphere, trifocal, plano to plus or minus 4.00d, per lens V2300
Other-Vision, Hearing, and Speech Services · category OC000N
7 suppliers11 claims22 services$53.41 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

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

Optometrist
4010 DUPONT CIR STE 380
LOUISVILLE, KY 40207

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 Sergei Dmitruk's NPI number?

The NPI number for Sergei Dmitruk is 1184158602. It was assigned to this individual provider in the NPPES registry on April 12, 2017.

Where is Sergei Dmitruk located?

Sergei Dmitruk practices at 4010 Dupont Cir Ste 380, Louisville, KY 40207. The listed phone number is (502) 895-0040.

What is Sergei Dmitruk's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Sergei Dmitruk enrolled in Medicare?

Yes. Sergei Dmitruk 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 Sergei Dmitruk accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian and Ambetter of Tennessee and 1 other insurer list Sergei Dmitruk 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 Sergei Dmitruk affiliated with any hospitals?

According to CMS data, Sergei Dmitruk is affiliated with Carroll County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sergei Dmitruk was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.