DR. CONNOR DANIEL LUDOVISSY DO
NPI 1427540566
Family Medicine in Jackson, TN

Q: What is Connor Ludovissy's NPI number?

The NPI number for Connor Ludovissy is 1427540566. It was assigned to this individual provider in the NPPES registry on June 5, 2018.

Q: What is Connor Ludovissy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Connor Ludovissy was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since June 05, 2018PECOS EnrolledAccepts Medicare Assignment

620 SKYLINE DR, JACKSON, TN 38301(731) 541-5000(731) 660-8739 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 25, 2022, Apr 18, 2022, Jun 22, 2021 (3 updates tracked since 2021).

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About Dr. Connor Daniel Ludovissy Do NPPES

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

DR. CONNOR DANIEL LUDOVISSY DO (NPI 1427540566) is an individual family medicine provider in Jackson, Tennessee, licensed in Kentucky (05346) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Ephraim Mcdowell Regional Medical Center, and is a graduate of University Of Pikeville, Kentucky College Of Osteopathic Med (2018).

NPPES Registry Identity

NPI1427540566

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. CONNOR DANIEL LUDOVISSYCredential: DO

Location Address620 SKYLINE DRJackson, TN 38301-3923

Mailing Address620 Skyline DrJackson, TN 38301-3923

Phone(731) 541-5000

Fax(731) 660-8739

Sole ProprietorNo

Medical School CMSUniversity Of Pikeville, Kentucky College Of Osteopathic MedGraduated 2018

Enumeration DateJune 5, 2018

Last NPPES UpdateSeptember 22, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2025

✔ NPI 1427540566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in KY · 05346

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedEmergency MedicineTaxonomy 207P00000X · License TP989 (KY)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

620 SKYLINE DR, Jackson, TN 38301

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Connor Daniel Ludovissy Do 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 ID3476985383

PECOS Enrollment IDI20220908003551

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.

Medicare Billing Reassignments

Medicare enrollment records show Connor Ludovissy reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medical Care Facilities PC

Same address

Emergency Medicine

620 SKYLINE DR
Jackson, TN 38301

Reassigned Medicare billing, Tennessee enrollment
146 clinicians in this Medicare group

NPI 1538345855 (731) 541-6574

Ephraim Mcdowell Health Resource, Inc.

245 mi

Family Medicine

280 LINCOLN DRIVE
Springfield, KY 40069

Reassigned Medicare billing, Kentucky enrollment
247 clinicians in this Medicare group

NPI 1881749927 (859) 336-9801

Empact Midwest LLC

265 mi

Emergency Medicine

217 S 3RD ST
Danville, KY 40422

Reassigned Medicare billing, Kentucky enrollment
41 clinicians in this Medicare group

NPI 1841801784 (859) 239-1000

The James B. Haggin Memorial Hospital Inc.

265 mi

Family Medicine

470 LINDEN AVE
Harrodsburg, KY 40330

Reassigned Medicare billing, Kentucky enrollment
82 clinicians in this Medicare group

NPI 1396083325 (859) 734-5441

Clark Emergency Physicians

304 mi

Emergency Medicine

175 HOSPITAL DR
Winchester, KY 40391

Reassigned Medicare billing, Kentucky enrollment
36 clinicians in this Medicare group

NPI 1346781499 (859) 737-6500

Southeastern Emergency Physicians LLC

346 mi

Emergency Medicine

989 MEDICAL PARK DR
Maysville, KY 41056

Reassigned Medicare billing, Kentucky enrollment
828 clinicians in this Medicare group

NPI 1356379382 (606) 759-5311

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

135 services111 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

125 services121 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

100 services96 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

37 services37 patients

Hospital Affiliations CMS Care Compare 4

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

Ephraim Mcdowell Regional Medical Center

Acute Care Hospitals · Danville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180048

Location217 South Third StreetDanville, KY 40422 · Boyle County

Emergency services Birthing friendly

Clark Regional Medical Center

Acute Care Hospitals · Winchester, KY

3/5 CMS rating

OwnershipProprietary

CMS Certification Number180092

Location175 Hospital DriveWinchester, KY 40391 · Clark County

Emergency services Birthing friendly

The James B. Haggin Memorial Hospital

Critical Access Hospitals · Harrodsburg, KY

OwnershipVoluntary non-profit - Other

CMS Certification Number181302

Location464 Linden AvenueHarrodsburg, KY 40330 · Mercer County

Emergency services

Ephraim Mcdowell Fort Logan Hospital

Critical Access Hospitals · Stanford, KY

OwnershipVoluntary non-profit - Private

CMS Certification Number181315

Location110 Metker TrailStanford, KY 40484 · Lincoln County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38301 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$16.52 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$79.90 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 20

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

ASHLEY BROOKE OLDHAM PORTER M.D.

Pathology (Anatomic Pathology & Clinical Pathology)