DR. DUANE WESLEY DENSLER MD
NPI 1376667741
Neurological Surgery in Louisville, KY

Active since March 19, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3 AUDUBON PLAZA DR STE LL2, LOUISVILLE, KY 40217(502) 583-1697(502) 583-2120 Get Directions Write a Review

NPPES record last updated: April 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 11, 2025, Oct 13, 2020, Mar 12, 2020 and 2 more (5 updates tracked since 2019).

About Dr. Duane Wesley Densler Md NPPES

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

DR. DUANE WESLEY DENSLER MD (NPI 1376667741) is an individual neurological surgery provider in Louisville, Kentucky, licensed in Kentucky (35812) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Pikeville Medical Center, and is a graduate of Meharry Medical College School Of Medicine (1999).

NPPES Registry Identity

NPI1376667741
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. DUANE WESLEY DENSLERCredential: MD
Location Address3 AUDUBON PLAZA DR STE LL2Louisville, KY 40217-1360
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 559-9529 · Fax (502) 272-5339
Fax(502) 583-2120
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 1999
Enumeration DateMarch 19, 2007
Last NPPES UpdateApril 11, 20255 updates tracked since enumeration
NPPES CertifiedApril 11, 2025
NPI 1376667741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in KY · 35812
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
3 AUDUBON PLAZA DR STE LL2, Louisville, KY 40217

Other Identifiers 2

OtherP00419636KY · Railroad Medicare
Medicaid7100014070KY

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

Dr. Duane Wesley Densler 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 ID7911091624
PECOS Enrollment IDI20070925000495
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 11

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.
264 services164 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.
73 services73 patients
Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
44 services22 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
30 services24 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
25 services17 patients
Placement of stabilizing device to back, 3-6 spine bone segments 22842
This procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.
24 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Pikeville Medical Center

Acute Care Hospitals · Pikeville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180044
Location911 Bypass RoadPikeville, KY 41501 · Pike County
Emergency services Birthing friendly

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
$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 10

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

Internal Medicine
3 AUDUBON PLAZA DR STE LL2
LOUISVILLE, KY 40217
Surgery
3 AUDUBON PLAZA DR STE LL2
LOUISVILLE, KY 40217
Physician Assistant
3 AUDUBON PLAZA DR STE LL2
LOUISVILLE, KY 40217
Surgery
3 AUDUBON PLAZA DR STE LL2
LOUISVILLE, KY 40217
Internal Medicine
3 AUDUBON PLAZA DR STE LL2
LOUISVILLE, KY 40217
Physician Assistant
3 AUDUBON PLAZA DR STE LL2
LOUISVILLE, KY 40217
Surgery
3 AUDUBON PLAZA DR STE LL2
LOUISVILLE, KY 40217
Dietitian, Registered
3 AUDUBON PLAZA DR STE LL2
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 Duane Densler's NPI number?

The NPI number for Duane Densler is 1376667741. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Where is Duane Densler located?

Duane Densler practices at 3 Audubon Plaza Dr Ste Ll2, Louisville, KY 40217. The listed phone number is (502) 583-1697.

What is Duane Densler's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Duane Densler enrolled in Medicare?

Yes. Duane Densler 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 Duane Densler accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Duane Densler 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 Duane Densler affiliated with any hospitals?

According to CMS data, Duane Densler is affiliated with Pikeville Medical Center and Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Duane Densler was last updated on April 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.