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KELLY M MCMASTERS MD
NPI 1457330094
Surgery - Surgical Oncology in Louisville, KY

Active since January 12, 2006PECOS EnrolledAccepts Medicare Assignment
73.19/100
CMS Quality Rating
401 E CHESTNUT ST, SUITE 710, LOUISVILLE, KY 40202(502) 583-8303(502) 584-0302 Get Directions Write a Review

NPPES record last updated: July 30, 2009. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kelly M Mcmasters Md NPPES

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

KELLY M MCMASTERS MD (NPI 1457330094) is an individual surgical oncology provider in Louisville, Kentucky, licensed in Kentucky (27332) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Jewish Hospital & St Mary's Healthcare, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (1989).

NPPES Registry Identity

NPI1457330094
Entity TypeIndividualMale
Primary Taxonomy2086X0206X
Provider Legal NameKELLY M MCMASTERSCredential: MD
Location Address401 E CHESTNUT ST, SUITE 710Louisville, KY 40202-5700
Mailing Address401 E Chestnut St, Suite 710Louisville, KY 40202-5700 · (502) 583-8303 · Fax (502) 584-0302
Phone(502) 583-8303
Fax(502) 584-0302
Sole ProprietorNo
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 1989
Enumeration DateJanuary 12, 2006
Last NPPES UpdateJuly 30, 2009
✔ NPI 1457330094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License✔ Licensed in KY · 27332
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Also ListedSurgeryTaxonomy 208600000X · License 27332 (KY)
401 E CHESTNUT ST, Louisville, KY 40202
Open in Google Maps ↗

Other Identifiers 5

Medicaid200070640AIN
Medicaid64273329KY
Other1051087KY · Passport
Medicare UPINF49030
Medicare PIN1275081KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.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

Kelly M Mcmasters 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 ID5395712301
PECOS Enrollment IDI20040910000329
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 Reassignment

Medicare enrollment records show Kelly Mcmasters reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Louisville Physicians, Inc.
Same address
Neurology
401 E CHESTNUT ST, SUITE 510
Louisville, KY 40202
  • Reassigned Medicare billing, Kentucky enrollment
  • 2,337 clinicians in this Medicare group
NPI 1063778744 (502) 589-0802

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 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 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.
74 services45 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.
69 services69 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
27 services25 patients
Imaging of lymph nodes during surgery 38900
Imaging of lymph nodes during surgery involves taking detailed pictures of your lymph nodes to help surgeons see and assess them in real-time. This procedure can aid in detecting disease, guiding treatment, and improving surgical precision.
23 services23 patients
Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm 11606
This procedure involves surgically removing a cancerous skin growth larger than 4.0 cm on your body, arms, or legs. It's a crucial step in preventing the spread of cancer. Local anesthesia is typically used, and recovery time varies. It's a common and safe procedure.
22 services22 patients
Complicated repair of wound of trunk, 2.6-7.5 cm 13101
This service involves the intricate repair of a wound on your body's main structure, between your neck and limbs. The wound measures 2.6-7.5 cm. The procedure includes deep-layer stitching and may involve repairing damaged tissue.
22 services22 patients

Hospital Affiliations CMS Care Compare 3

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

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

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

University Of Louisville Hospital

Acute Care Hospitals · Louisville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180141
Location530 South Jackson StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
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.

73.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.74
Promoting Interoperability100
Improvement Activities40
Cost51.91

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.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$26.03 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$10.82 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.

DR. CHRISTOPHER R. SHAFER M.D.
Psychiatry & Neurology (Neurology)
401 E CHESTNUT ST, SUITE 510
LOUISVILLE, KY 40202
Jefferson County (502) 588-4800
KELLI M. BULLARD DUNN MD
Colon & Rectal Surgery
401 E CHESTNUT ST, SUITE 710
LOUISVILLE, KY 40202
Jefferson County (502) 583-8303
JASON WAYNE SMITH MD
Surgery (Surgical Critical Care)
401 E CHESTNUT ST, SUITE 710
LOUISVILLE, KY 40202
Jefferson County (502) 583-8303
SRI PRAKASH L MOKSHAGUNDAM MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
401 E CHESTNUT ST, STE #310
LOUISVILLE, KY 40202
Jefferson County (502) 588-4600
DR. VICTORIA SKELTON YUNKER MD.
Psychiatry & Neurology (Psychiatry)
401 E CHESTNUT ST, SUITE 610
LOUISVILLE, KY 40202
Jefferson County (502) 588-4450
THERESA BRADSHAW BS
Occupational Therapist (Neurorehabilitation)
401 E CHESTNUT ST, SUITE 510
LOUISVILLE, KY 40202
Jefferson County (502) 589-0802
UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION
Surgery (Trauma Surgery)
401 E CHESTNUT ST, SUITE 710
LOUISVILLE, KY 40202
Jefferson County (502) 583-8303
UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION
Psychiatry & Neurology (Neurology)
401 E CHESTNUT ST, SUITE 510
LOUISVILLE, KY 40202
Jefferson County (502) 589-0802

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 Kelly Mcmasters's NPI number?

The NPI number for Kelly Mcmasters is 1457330094. It was assigned to this individual provider in the NPPES registry on January 12, 2006.

Where is Kelly Mcmasters located?

Kelly Mcmasters practices at 401 E Chestnut St Suite 710, Louisville, KY 40202. The listed phone number is (502) 583-8303.

What is Kelly Mcmasters's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Kelly Mcmasters enrolled in Medicare?

Yes. Kelly Mcmasters 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.

Which organization bills Medicare for Kelly Mcmasters's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Mcmasters reassigns Medicare benefits to University Of Louisville Physicians, Inc. (Louisville, KY). The 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 Kelly Mcmasters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Mcmasters accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Kelly Mcmasters 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 Kelly Mcmasters affiliated with any hospitals?

According to CMS data, Kelly Mcmasters is affiliated with Jewish Hospital & St Mary's Healthcare, Norton Hospitals, Inc and University Of Louisville Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Mcmasters was last updated on July 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.