MISS MARJORIE PILKINTON M.D.
NPI 1346561453
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Louisville, KY

Active since June 13, 2010PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4123 DUTCHMANS LN STE 307, LOUISVILLE, KY 40207(212) 523-5678 Get Directions Write a Review

NPPES record last updated: January 21, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 21, 2021, Sep 11, 2017 (2 updates tracked since 2017).

About Miss Marjorie Pilkinton M.d. NPPES

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

MISS MARJORIE PILKINTON M.D. (NPI 1346561453) is an individual urogynecology and reconstructive pelvic surgery provider in Louisville, Kentucky, licensed in Kentucky (50579) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and is a graduate of University Of Kentucky College Of Medicine (2010).

NPPES Registry Identity

NPI1346561453
Entity TypeIndividualFemale
Primary Taxonomy207VF0040X
Provider Legal NameMISS MARJORIE PILKINTONCredential: M.D.
Location Address4123 DUTCHMANS LN STE 307Louisville, KY 40207-4721
Mailing Address4123 Dutchmans Lane, Suite 307Louisville, KY 40207-4721 · (502) 409-5600 · Fax (502) 259-3078
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2010
Enumeration DateJune 13, 2010
Last NPPES UpdateJanuary 21, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2021
NPI 1346561453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207VF0040X
License Licensed in KY · 50579
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
4123 DUTCHMANS LN STE 307, Louisville, KY 40207

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

Miss Marjorie Pilkinton 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 ID6406120054
PECOS Enrollment IDI20170920000907
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 24

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, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
3,400 services23 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
272 services201 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
158 services147 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.
113 services97 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.
101 services101 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.
46 services38 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 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
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

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Women's Health)
4123 DUTCHMANS LN STE 307
LOUISVILLE, KY 40207
Specialist/Technologist, Other (Surgical Assistant)
4123 DUTCHMANS LN STE 307
LOUISVILLE, KY 40207
Physician Assistant
4123 DUTCHMANS LN STE 307
LOUISVILLE, KY 40207
Nurse Practitioner (Gerontology)
4123 DUTCHMANS LN STE 307
LOUISVILLE, KY 40207
Nurse Practitioner (Adult Health)
4123 DUTCHMANS LN STE 307
LOUISVILLE, KY 40207
Nurse Practitioner
4123 DUTCHMANS LN STE 307
LOUISVILLE, KY 40207

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 Marjorie Pilkinton's NPI number?

The NPI number for Marjorie Pilkinton is 1346561453. It was assigned to this individual provider in the NPPES registry on June 13, 2010.

Where is Marjorie Pilkinton located?

Marjorie Pilkinton practices at 4123 Dutchmans Ln Ste 307, Louisville, KY 40207. The listed phone number is (212) 523-5678.

What is Marjorie Pilkinton's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Marjorie Pilkinton enrolled in Medicare?

Yes. Marjorie Pilkinton 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 Marjorie Pilkinton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Marjorie Pilkinton 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 Marjorie Pilkinton affiliated with any hospitals?

According to CMS data, Marjorie Pilkinton is affiliated with Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Marjorie Pilkinton was last updated on January 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.