MR. BRIAN EDWARD MACY APRN
NPI 1235542747
Nurse Practitioner - Family in Louisville, KY

Q: What is Brian Macy's NPI number?

The NPI number for Brian Macy is 1235542747. It was assigned to this individual provider in the NPPES registry on June 3, 2014.

Q: What is Brian Macy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Brian Macy was last updated on May 13, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 03, 2014PECOS EnrolledAccepts Medicare Assignment

6400 DUTCHMANS PKWY STE 250, LOUISVILLE, KY 40205(502) 587-9660(502) 540-5615 Get Directions Write a Review

NPPES record last updated: May 13, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mr. Brian Edward Macy Aprn NPPES

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

MR. BRIAN EDWARD MACY APRN (NPI 1235542747) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (3008675) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Hardin, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1235542747

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. BRIAN EDWARD MACYCredential: APRN

Location Address6400 DUTCHMANS PKWY STE 250Louisville, KY 40205-3354

Mailing Address391 E Eagle Pass RdElizabethtown, KY 42701-8575 · (270) 268-1604

Phone(502) 587-9660

Fax(502) 540-5615

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateJune 3, 2014

Last NPPES UpdateMay 13, 2020

NPPES CertifiedMay 13, 2020

✔ NPI 1235542747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in KY · 3008675

6400 DUTCHMANS PKWY STE 250, Louisville, KY 40205

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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

Mr. Brian Edward Macy Aprn 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 ID7517183361

PECOS Enrollment IDI20140731000253

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 5

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.

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.

364 services331 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.

39 services39 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

39 services22 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.

32 services32 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

22 services20 patients

Hospital Affiliations CMS Care Compare 5

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

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number180012

Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County

Emergency services

Spring View Hospital

Acute Care Hospitals · Lebanon, KY

4/5 CMS rating

OwnershipProprietary

CMS Certification Number180024

Location320 Loretto RoadLebanon, KY 40033 · Marion County

Emergency services Birthing friendly

Chi Saint Joseph Health -Flaget Memorial Hospital

Acute Care Hospitals · Bardstown, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180025

Location4305 New Shepherdsville RoadBardstown, KY 40004 · Nelson County

Emergency services Birthing friendly

Owensboro Health Twin Lakes Medical Center

Acute Care Hospitals · Leitchfield, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number180070

Location910 Wallace AvenueLeitchfield, KY 42754 · Grayson County

Emergency services Birthing friendly

Taylor Regional Hospital

Acute Care Hospitals · Campbellsville, KY

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number180087

Location1700 Old Lebanon RoadCampbellsville, KY 42718 · Taylor County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40205 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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers14 claims1,200 services$0.27 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers11 claims660 services$0.20 avg. paid by Medicare

Mycophenolic acid, oral, 180 mg J7518

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier13 claims3,000 services$0.98 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

2 suppliers12 claims12 services$17.36 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

4 suppliers29 claims39 services$12.62 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 10

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

DR. RAFAEL BARACALDO M.D.

Internal Medicine (Nephrology)