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ANDREW J HART MD
NPI 1275680142
Internal Medicine - Hematology & Oncology in Louisville, KY

Active since January 04, 2007PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
4003 KRESGE WAY, STE 500, LOUISVILLE, KY 40207(502) 897-1166(502) 897-1461 Get Directions Write a Review

NPPES record last updated: December 13, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Andrew J Hart Md NPPES

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

ANDREW J HART MD (NPI 1275680142) is an individual hematology & oncology provider in Louisville, Kentucky, licensed in Kentucky (45271) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Louisville, and is a graduate of Indiana University School Of Medicine (2004).

NPPES Registry Identity

NPI1275680142
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameANDREW J HARTCredential: MD
Location Address4003 KRESGE WAY, STE 500Louisville, KY 40207-4652
Mailing Address2700 Stanley Gault Pkwy Ste 129Louisville, KY 40223-5176 · (502) 489-6613 · Fax (502) 489-5751
Phone(502) 897-1166
Fax(502) 897-1461
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2004
Enumeration DateJanuary 4, 2007
Last NPPES UpdateDecember 13, 2018
✔ NPI 1275680142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in KY · 45271
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
4003 KRESGE WAY, Louisville, KY 40207
Open in Google Maps ↗

Other Identifiers 5

Other4157045TN · Bcbs
Other7779958Aetna
OtherP00643008Railroad Medicare
Medicaid300311TN
Other7100021050KY · Kentucky Medicaid

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

Andrew J Hart 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 ID5799876363
PECOS Enrollment IDI20120710000289
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 9

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.
482 services269 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.
200 services82 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.
182 services144 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
177 services100 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
55 services54 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.
43 services43 patients

Hospital Affiliations CMS Care Compare 2

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

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

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 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
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
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.

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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Cyclophosphamide; oral, 25 mg J8530
Treatment-Treatment - Miscellaneous · category RX000N
1 supplier11 claims336 services$0.66 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
1 supplier11 claims11 services$18.98 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 20

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

DR. SALEM MICHAEL GEORGE JR. MD
Surgery (Vascular Surgery)
4003 KRESGE WAY, SUITE 300
LOUISVILLE, KY 40207
Jefferson County (502) 897-5139
DR. MARK EDWIN ESTERLE M.D.
Internal Medicine (Pulmonary Disease)
4003 KRESGE WAY, SUITE 312
LOUISVILLE, KY 40207
Jefferson County (502) 899-7377
CORTLANDT AUSER NORRIS APRN, FNP-C
Nurse Practitioner (Family)
4003 KRESGE WAY
LOUISVILLE, KY 40207
Jefferson County (502) 897-5139
MR. STANLEY S. CHMIEL M.D.
Otolaryngology
4003 KRESGE WAY, STE 227
LOUISVILLE, KY 40207
Jefferson County (502) 893-3342
MRS. TRACEY GREGORY MAYNOR PAC
Physician Assistant
4003 KRESGE WAY, #221
LOUISVILLE, KY 40207
Jefferson County (502) 897-7107
CAROLE C. SCHARF M.D.
Radiology (Radiation Oncology)
4003 KRESGE WAY, SUITE 115
LOUISVILLE, KY 40207
Jefferson County (502) 897-8163
ADRIAN J PELLEGRINI M.D.
Psychiatry & Neurology (Psychiatry)
4003 KRESGE WAY, STE 224
LOUISVILLE, KY 40207
Jefferson County (502) 899-9980
ANNA LAURA TRIMBUR ARNP
Nurse Practitioner (Family)
4003 KRESGE WAY, STE 312
LOUISVILLE, KY 40207
Jefferson County (502) 899-7377

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 Andrew Hart's NPI number?

The NPI number for Andrew Hart is 1275680142. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is Andrew Hart located?

Andrew Hart practices at 4003 Kresge Way Ste 500, Louisville, KY 40207. The listed phone number is (502) 897-1166.

What is Andrew Hart's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Andrew Hart enrolled in Medicare?

Yes. Andrew Hart 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 Andrew Hart accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Andrew Hart 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 Andrew Hart affiliated with any hospitals?

According to CMS data, Andrew Hart is affiliated with Baptist Health Louisville and Baptist Health Lagrange.

When was this NPI record last updated?

The NPPES record for Andrew Hart was last updated on December 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.