DR. DOUGLAS S ETTIN MD
NPI 1326095969
Emergency Medicine in Louisville, KY

Q: What is Douglas Ettin's NPI number?

The NPI number for Douglas Ettin is 1326095969. It was assigned to this individual provider in the NPPES registry on May 28, 2006.

Q: What is Douglas Ettin's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Ettin was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 28, 2006PECOS Enrolled

4000 KRESGE WAY, LOUISVILLE, KY 40207(502) 899-7646(502) 899-7648 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Douglas S Ettin Md NPPES

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

DR. DOUGLAS S ETTIN MD (NPI 1326095969) is an individual emergency medicine provider in Louisville, Kentucky, licensed in Kentucky (34883) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326095969

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. DOUGLAS S ETTINCredential: MD

Location Address4000 KRESGE WAYLouisville, KY 40207-4605

Mailing AddressPo Box 6749Louisville, KY 40206-0749 · (502) 899-7646 · Fax (502) 899-7648

Phone(502) 899-7646

Fax(502) 899-7648

Sole ProprietorNo

Enumeration DateMay 28, 2006

Last NPPES UpdateMarch 7, 2023

✔ NPI 1326095969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in KY · 34883

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

4000 KRESGE WAY, Louisville, KY 40207

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Other Identifiers 3

Medicaid200226960IN

Medicaid64012388KY

Other34883KY · Kentucky License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Douglas S Ettin 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.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit for life threatening or functioning severity 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

265 services261 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

168 services165 patients

Emergency department visit for problem of high severity 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

55 services55 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

38 services38 patients

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

$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.