OLDHAM COUNTY FOOT & ANKLE PLLC
NPI 1376969105
Podiatrist - Foot & Ankle Surgery in Crestwood, KY
About Oldham County Foot & Ankle Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLDHAM COUNTY FOOT & ANKLE PLLC (NPI 1376969105) is a healthcare organization registered as a foot & ankle surgery in Crestwood, Kentucky and active in the NPI registry since March 2014. The organization lists Jasen T Pedersen, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Oldham County Foot & Ankle Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Oldham County Foot & Ankle PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Oldham County Foot & Ankle PLLC's NPI number?
The NPI number for Oldham County Foot & Ankle PLLC is 1376969105. It was assigned to this organization in the NPPES registry on March 18, 2014.
Where is Oldham County Foot & Ankle PLLC located?
Oldham County Foot & Ankle PLLC is located at 6400 Westwind Way Suite B, Crestwood, KY 40014. The listed phone number is (502) 276-9999.
What is Oldham County Foot & Ankle PLLC's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Oldham County Foot & Ankle PLLC enrolled in Medicare?
Yes. Oldham County Foot & Ankle PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Oldham County Foot & Ankle PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Oldham County Foot & Ankle PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Oldham County Foot & Ankle PLLC accept?
Health plans from CareSource list Oldham County Foot & Ankle PLLC 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.
When was this NPI record last updated?
The NPPES record for Oldham County Foot & Ankle PLLC was last updated on September 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Oldham County Foot & Ankle Pllc · NPI 1376969105
Foot & Ankle Surgery organization in Crestwood, Kentucky. Organization record, active in the CMS NPPES registry since March 18, 2014.
## Identity
- **NPI:** 1376969105 (Entity type: Organization)
- **Enumerated:** March 18, 2014
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** No
- **Authorized official:** Jasen Pedersen, OWNER
## Practice location
- **Address:** 6400 WESTWIND WAY, SUITE B, Crestwood, KY 40014-6773
- **Phone:** (502) 276-9999
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 8, 2020
- **Other identifiers:** Other 7100571860 (KY); Medicaid 7100580750 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1376969105) · Data from the CMS NPPES public registry.