DR. JOHN ANANDA VANAALST MD
NPI 1417043852
Surgery - Plastic and Reconstructive Surgery in Louisville, KY

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
81.6/100
CMS Quality Rating
10200 FOREST GREEN BLVD STE 112, LOUISVILLE, KY 40223(954) 399-4673(513) 636-7182 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 25, 2023, Apr 19, 2019 (2 updates tracked since 2019).

About Dr. John Ananda Vanaalst Md NPPES

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

DR. JOHN ANANDA VANAALST MD (NPI 1417043852) is an individual plastic and reconstructive surgery provider in Louisville, Kentucky, licensed in Kentucky (50102) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Vanderbilt University School Of Medicine (1993).

NPPES Registry Identity

NPI1417043852
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameDR. JOHN ANANDA VANAALSTCredential: MD
Location Address10200 FOREST GREEN BLVD STE 112Louisville, KY 40223-5167
Mailing Address12667 Green RdWalton, KY 41094-8731 · (919) 818-3377
Fax(513) 636-7182
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 1993
Enumeration DateOctober 5, 2006
Last NPPES UpdateOctober 25, 20232 updates tracked since enumeration
NPPES CertifiedOctober 25, 2023
NPI 1417043852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Licenses Licensed in KY · 50102 Licensed in OH · 35.069810
Definition
A surgeon who specializes in plastic and reconstructive surgery.
10200 FOREST GREEN BLVD STE 112, Louisville, KY 40223

Other Identifiers 2

Medicaid0111752OH
Medicaid7100358000KY

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. John Ananda Vanaalst 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 ID7517939184
PECOS Enrollment IDI20141122000300, I20190506002269
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 23

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
1,945 services473 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,064 services335 patients
Therapy procedure using ultrasound 97610
Ultrasound therapy is a treatment used to heal and relieve pain. It involves using sound waves to stimulate body tissues, promoting healing and reducing inflammation. It's non-invasive, painless, and typically used for muscle, ligament injuries, or chronic pain.
960 services161 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
782 services235 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
518 services240 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
508 services162 patients

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.

81.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.44
Promoting Interoperability100
Improvement Activities40
Cost29.89

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
2 suppliers112 claims5,204 services$7.14 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches A6199
DME-Medical/Surgical Supplies · category DA023N
2 suppliers20 claims990 services$5.09 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
2 suppliers35 claims591 services$9.42 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219
DME-Medical/Surgical Supplies · category DA023N
3 suppliers365 claims15,858 services$0.92 avg. paid by Medicare
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6222
DME-Medical/Surgical Supplies · category DA023N
3 suppliers35 claims1,472 services$2.05 avg. paid by Medicare
Hydrogel dressing, wound filler, gel, per fluid ounce A6248
DME-Medical/Surgical Supplies · category DA023N
2 suppliers40 claims228 services$15.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

In Home Supportive Care
10200 FOREST GREEN BLVD STE 112
LOUISVILLE, KY 40223
In Home Supportive Care
10200 FOREST GREEN BLVD STE 112
LOUISVILLE, KY 40223
In Home Supportive Care
10200 FOREST GREEN BLVD STE 112
LOUISVILLE, KY 40223
Technician (Attendant Care Provider)
10200 FOREST GREEN BLVD STE 112
LOUISVILLE, KY 40223
Non-emergency Medical Transport (VAN)
10200 FOREST GREEN BLVD STE 112
LOUISVILLE, KY 40223
Registered Nurse (Case Management)
10200 FOREST GREEN BLVD STE 112
LOUISVILLE, KY 40223
Obstetrics & Gynecology (Gynecologic Oncology)
10200 FOREST GREEN BLVD STE 112
LOUISVILLE, KY 40223
Clinic/Center
10200 FOREST GREEN BLVD STE 112
LOUISVILLE, KY 40223

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 John Vanaalst's NPI number?

The NPI number for John Vanaalst is 1417043852. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is John Vanaalst located?

John Vanaalst practices at 10200 Forest Green Blvd Ste 112, Louisville, KY 40223. The listed phone number is (954) 399-4673.

What is John Vanaalst's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is John Vanaalst enrolled in Medicare?

Yes. John Vanaalst 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 John Vanaalst accept?

Health plans from CareSource and Molina Healthcare list John Vanaalst 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 John Vanaalst was last updated on October 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.