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DAVID PICKLESIMER MD
NPI 1285194258
Family Medicine in Shelbyville, KY

Active since March 25, 2019PECOS Enrolled
95.5/100
CMS Quality Rating
140 STONECREST RD STE 101, SHELBYVILLE, KY 40065(502) 928-1060(502) 928-1061 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 23, 2023, Jul 13, 2022, Jun 22, 2020 (3 updates tracked since 2020).

About David Picklesimer Md NPPES

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

DAVID PICKLESIMER MD (NPI 1285194258) is an individual family medicine provider in Shelbyville, Kentucky, licensed in Kentucky (56862) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Shelbyville.

NPPES Registry Identity

NPI1285194258
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDAVID PICKLESIMERCredential: MD
Location Address140 STONECREST RD STE 101Shelbyville, KY 40065-8143
Mailing Address5200 Commerce Crossings Dr Fl 3Louisville, KY 40229-2182 · (502) 253-4924
Phone(502) 928-1060
Fax(502) 928-1061
Sole ProprietorNo
Enumeration DateMarch 25, 2019
Last NPPES UpdateMarch 23, 20233 updates tracked since enumeration
NPPES CertifiedMarch 23, 2023
✔ NPI 1285194258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 56862
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
140 STONECREST RD STE 101, Shelbyville, KY 40065
Open in Google Maps ↗

Secondary Practice Location 1

Location 160 Stonecrest Ct Ste 140Shelbyville, KY 40065-8156 · Phone (502) 928-1060 · Fax (502) 928-1061

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Picklesimer Md 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 Reassignment

Medicare enrollment records show David Picklesimer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baptist Health Medical Group Inc
0.1 mi
Rural Health
101 STONECREST RD STE 1
Shelbyville, KY 40065
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,441 clinicians in this Medicare group
NPI 1942134747 (502) 633-2233

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.
115 services67 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.
58 services50 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
33 services33 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.
17 services12 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40065 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.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers22 claims22 services$16.65 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers22 claims22 services$93.82 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 4

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

CASEY MAE JENSEN APRN
Nurse Practitioner (Family)
140 STONECREST RD STE 101
SHELBYVILLE, KY 40065
Shelby County (502) 928-1060
MEREDITH LEA KEHRER MD
Family Medicine
140 STONECREST RD STE 101
SHELBYVILLE, KY 40065
Shelby County (502) 928-1060
BAPTIST HEALTH MEDICAL GROUP INC
Clinic/Center (Rural Health)
140 STONECREST RD STE 101
SHELBYVILLE, KY 40065
Shelby County (502) 928-1060
DR. DONNA LYNN BETZ D.O.
Family Medicine
140 STONECREST RD STE 101
SHELBYVILLE, KY 40065
Shelby County (502) 928-1060

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 David Picklesimer's NPI number?

The NPI number for David Picklesimer is 1285194258. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Where is David Picklesimer located?

David Picklesimer practices at 140 Stonecrest Rd Ste 101, Shelbyville, KY 40065. The listed phone number is (502) 928-1060.

What is David Picklesimer's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is David Picklesimer enrolled in Medicare?

Yes. David Picklesimer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for David Picklesimer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Picklesimer reassigns Medicare benefits to Baptist Health Medical Group Inc (Shelbyville, KY). The 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 David Picklesimer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for David Picklesimer was last updated on March 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.