KRISTIN M. BIANCHI
NPI 1376953380
Obstetrics & Gynecology in Louisville, KY

Active since April 29, 2014PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
3940 DUPONT CIR, LOUISVILLE, KY 40207(502) 895-1111(502) 895-1085 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2020, Jul 9, 2018 (2 updates tracked since 2018).

About Kristin M. Bianchi NPPES

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

KRISTIN M. BIANCHI (NPI 1376953380) is an individual obstetrics & gynecology provider in Louisville, Kentucky, licensed in Kentucky (51204) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Uofl Health - Shelbyville Hospital, and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1376953380
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKRISTIN M. BIANCHI
Location Address3940 DUPONT CIRLouisville, KY 40207
Mailing Address2700 Stanley Gault Pkwy Ste 129Louisville, KY 40223-5176 · (502) 253-4900 · Fax (502) 489-5751
Fax(502) 895-1085
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2014
Enumeration DateApril 29, 2014
Last NPPES UpdateDecember 8, 20202 updates tracked since enumeration
NPPES CertifiedDecember 8, 2020
NPI 1376953380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in KY · 51204 Licensed in MO · 2014021430
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3940 DUPONT CIR, Louisville, KY 40207

Secondary Practice Location 1

Location 16420 Clayton RdSaint Louis, MO 63117-1811 · Phone (314) 768-8000 · Fax (314) 645-8771

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

Kristin M. Bianchi 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 ID3476855834
PECOS Enrollment IDI20180731003862
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 2

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 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.
18 services12 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Uofl Health - Shelbyville Hospital

Acute Care Hospitals · Shelbyville, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number180016
Location727 Hospital DriveShelbyville, KY 40065 · Shelby County
Emergency services

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Baptist Health Lagrange

Acute Care Hospitals · La Grange, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180138
Location1025 New Moody LaneLa Grange, KY 40031 · Oldham 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.

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

Other Providers at the Same Location NPPES 12

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

Obstetrics & Gynecology (Gynecology)
3940 DUPONT CIR
LOUISVILLE, KY 40207
Obstetrics & Gynecology
3940 DUPONT CIR
LOUISVILLE, KY 40207
Obstetrics & Gynecology
3940 DUPONT CIR
LOUISVILLE, KY 40207
Obstetrics & Gynecology
3940 DUPONT CIR
LOUISVILLE, KY 40207
Nurse Practitioner
3940 DUPONT CIR
LOUISVILLE, KY 40207
Nurse Practitioner (Obstetrics & Gynecology)
3940 DUPONT CIR
LOUISVILLE, KY 40207
Nurse Practitioner (Women's Health)
3940 DUPONT CIR
LOUISVILLE, KY 40207
Physician Assistant (Medical)
3940 DUPONT CIR
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 Kristin Bianchi's NPI number?

The NPI number for Kristin Bianchi is 1376953380. It was assigned to this individual provider in the NPPES registry on April 29, 2014.

Where is Kristin Bianchi located?

Kristin Bianchi practices at 3940 Dupont Cir, Louisville, KY 40207. The listed phone number is (502) 895-1111.

What is Kristin Bianchi's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kristin Bianchi enrolled in Medicare?

Yes. Kristin Bianchi 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 Kristin Bianchi accept?

Health plans from CareSource list Kristin Bianchi 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 Kristin Bianchi affiliated with any hospitals?

According to CMS data, Kristin Bianchi is affiliated with UofL Health - Shelbyville Hospital, Baptist Health Louisville and Baptist Health Lagrange.

When was this NPI record last updated?

The NPPES record for Kristin Bianchi was last updated on December 8, 2020. 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.