KEVIN HIMSCHOOT M.D.
NPI 1316365653
Orthopaedic Surgery in Louisville, KY

Active since April 03, 2014PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3 AUDUBON PLAZA DR STE 430, LOUISVILLE, KY 40217(502) 636-4900(502) 636-4901 Get Directions Write a Review

NPPES record last updated: November 15, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 15, 2022, Apr 8, 2021, Oct 19, 2020 and 2 more (5 updates tracked since 2019).

About Kevin Himschoot M.d. NPPES

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

KEVIN HIMSCHOOT M.D. (NPI 1316365653) is an individual orthopaedic surgery provider in Louisville, Kentucky, licensed in Kentucky (52868) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1316365653
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameKEVIN HIMSCHOOTCredential: M.D.
Location Address3 AUDUBON PLAZA DR STE 430Louisville, KY 40217-1319
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 272-5395 · Fax (502) 272-5339
Fax(502) 636-4901
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 3, 2014
Last NPPES UpdateNovember 15, 20225 updates tracked since enumeration
NPPES CertifiedNovember 15, 2022
NPI 1316365653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in KY · 52868
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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 52868 (KY)
3 AUDUBON PLAZA DR STE 430, Louisville, KY 40217

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

Kevin Himschoot 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 ID3375852114
PECOS Enrollment IDI20191104001948
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 13

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, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
576 services86 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.
228 services165 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
127 services92 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.
114 services100 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
82 services74 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
58 services57 patients

Hospital Affiliations CMS Care Compare

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

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40217 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers14 claims14 services$41.17 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 9

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

Orthopaedic Surgery
3 AUDUBON PLAZA DR STE 430
LOUISVILLE, KY 40217
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3 AUDUBON PLAZA DR STE 430
LOUISVILLE, KY 40217
Physician Assistant
3 AUDUBON PLAZA DR STE 430
LOUISVILLE, KY 40217
Physician Assistant
3 AUDUBON PLAZA DR STE 430
LOUISVILLE, KY 40217
Nurse Practitioner
3 AUDUBON PLAZA DR STE 430
LOUISVILLE, KY 40217
Physician Assistant
3 AUDUBON PLAZA DR STE 430
LOUISVILLE, KY 40217
Orthopaedic Surgery
3 AUDUBON PLAZA DR STE 430
LOUISVILLE, KY 40217
Specialist/Technologist (Athletic Trainer)
3 AUDUBON PLAZA DR STE 430
LOUISVILLE, KY 40217

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 Kevin Himschoot's NPI number?

The NPI number for Kevin Himschoot is 1316365653. It was assigned to this individual provider in the NPPES registry on April 3, 2014.

Where is Kevin Himschoot located?

Kevin Himschoot practices at 3 Audubon Plaza Dr Ste 430, Louisville, KY 40217. The listed phone number is (502) 636-4900.

What is Kevin Himschoot's specialty?

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

Is Kevin Himschoot enrolled in Medicare?

Yes. Kevin Himschoot 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 Kevin Himschoot accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Kevin Himschoot 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 Kevin Himschoot affiliated with any hospitals?

According to CMS data, Kevin Himschoot is affiliated with Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Kevin Himschoot was last updated on November 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.