DR. LAUREN PROTZER M.D.
NPI 1245762814
Orthopaedic Surgery in Louisville, KY

Active since April 01, 2017PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
8620 BIGGIN HILL LN, LOUISVILLE, KY 40220(502) 364-0902 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 5, 2024, Jun 5, 2023, Apr 1, 2017 (3 updates tracked since 2017).

About Dr. Lauren Protzer M.d. NPPES

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

DR. LAUREN PROTZER M.D. (NPI 1245762814) is an individual orthopaedic surgery provider in Louisville, Kentucky, licensed in Kentucky (58135) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Floyd, and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1245762814
Entity TypeIndividualFemale
Primary Taxonomy207X00000X
Provider Legal NameDR. LAUREN PROTZERCredential: M.D.
Location Address8620 BIGGIN HILL LNLouisville, KY 40220-4117
Mailing Address5629 Juniper Beach RdProspect, KY 40059-9684 · (937) 260-2515 · Fax (859) 817-7848
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2017
Enumeration DateApril 1, 2017
Last NPPES UpdateFebruary 5, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2024
NPI 1245762814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in KY · 58135 Licensed in IN · 01090592A
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

8620 BIGGIN HILL LN, Louisville, KY 40220

Secondary Practice Location 1

Location 16641 Dixie HwyLouisville, KY 40258-3909 · Phone (502) 364-0902 · Fax (859) 817-7848

Other Identifiers 2

Medicaid300077413IN
Medicaid7100558330KY

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

Dr. Lauren Protzer 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 ID3577814482
PECOS Enrollment IDI20230616002512, I20230621002348
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 23

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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
377 services96 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.
275 services172 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.
121 services121 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.
118 services88 patients
X-ray of wrist, 2 views 73100
An X-ray of the wrist, 2 views, is a diagnostic procedure where two different images of your wrist are taken using a small amount of radiation. This helps identify any abnormalities or injuries such as fractures or arthritis. It's a quick, non-invasive process.
105 services48 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
100 services75 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Health Floyd

Acute Care Hospitals · New Albany, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150044
Location1850 State StNew Albany, IN 47150 · Floyd County
Emergency services Birthing friendly

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

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40220 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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 12

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

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
8620 BIGGIN HILL LN
LOUISVILLE, KY 40220
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
8620 BIGGIN HILL LN
LOUISVILLE, KY 40220
Physical Therapist (Orthopedic)
8620 BIGGIN HILL LN
LOUISVILLE, KY 40220
Nurse Practitioner (Family)
8620 BIGGIN HILL LN
LOUISVILLE, KY 40220
Durable Medical Equipment & Medical Supplies
8620 BIGGIN HILL LN
LOUISVILLE, KY 40220
Orthopaedic Surgery
8620 BIGGIN HILL LN
LOUISVILLE, KY 40220
Orthopaedic Surgery
8620 BIGGIN HILL LN
LOUISVILLE, KY 40220
Physical Therapist
8620 BIGGIN HILL LN
LOUISVILLE, KY 40220

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 Lauren Protzer's NPI number?

The NPI number for Lauren Protzer is 1245762814. It was assigned to this individual provider in the NPPES registry on April 1, 2017.

Where is Lauren Protzer located?

Lauren Protzer practices at 8620 Biggin Hill Ln, Louisville, KY 40220. The listed phone number is (502) 364-0902.

What is Lauren Protzer's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Lauren Protzer enrolled in Medicare?

Yes. Lauren Protzer 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 Lauren Protzer accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Lauren Protzer 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 Lauren Protzer affiliated with any hospitals?

According to CMS data, Lauren Protzer is affiliated with Baptist Health Floyd, Jewish Hospital & St Mary's Healthcare and Baptist Health Louisville.

When was this NPI record last updated?

The NPPES record for Lauren Protzer was last updated on February 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.