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NICHOLAS KLIMCHAK MD
NPI 1467814848
Internal Medicine in Louisville, KY

Active since March 24, 2016PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
550 S JACKSON ST, LOUISVILLE, KY 40202(502) 852-8980 Get Directions Write a Review

NPPES record last updated: July 29, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 29, 2019, Jun 22, 2019, Mar 24, 2016 (3 updates tracked since 2016).

About Nicholas Klimchak Md NPPES

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

NICHOLAS KLIMCHAK MD (NPI 1467814848) is an individual internal medicine provider in Louisville, Kentucky, licensed in Kentucky (52692) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Hardin, and is a graduate of University Of Louisville School Of Medicine (2016).

NPPES Registry Identity

NPI1467814848
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNICHOLAS KLIMCHAKCredential: MD
Location Address550 S JACKSON STLouisville, KY 40202-1622
Mailing Address913 N Dixie AveElizabethtown, KY 42701-2599 · (270) 706-1212
Phone(502) 852-8980
Sole ProprietorYes
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2016
Enumeration DateMarch 24, 2016
Last NPPES UpdateJuly 29, 20193 updates tracked since enumeration
✔ NPI 1467814848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KY · 52692
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
550 S JACKSON ST, Louisville, KY 40202
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Accepted Insurance

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

Nicholas Klimchak 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 ID7719258631
PECOS Enrollment IDI20190824000632
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 6

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 hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
490 services230 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
302 services151 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
204 services198 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
43 services28 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
33 services33 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services14 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number180012
Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County
Emergency services

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
$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
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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

Referred Medical Equipment & Supplies CMS DME claims 4

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$48.05 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers59 claims59 services$16.51 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
3 suppliers86 claims86 services$82.66 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier22 claims22 services$33.37 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.

BROCK AARON MARTIN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
550 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 852-1816
UNIVERSITY PHYSICIAN ASSOCIATES
Internal Medicine (Critical Care Medicine)
550 S JACKSON ST, 3RD FLOOR
LOUISVILLE, KY 40202
Jefferson County (502) 561-8686
KATHRYN KENDALL BURKE MD
Student in an Organized Health Care Education/Training Program
550 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 852-5666
STANLEY A. GALL M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
550 S JACKSON ST, 3RD FLOOR
LOUISVILLE, KY 40202
Jefferson County (502) 561-8850
DR. STEVEN B LIPPMANN M.D.
Psychiatry & Neurology (Psychiatry)
550 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 852-1759
STEPHEN HOUGHLAND MD
Internal Medicine
550 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 562-6510
UNIVERISTY PHYSICIAN ASSOCIATES
Surgery (Vascular Surgery)
550 S JACKSON ST, 2ND FLOOR
LOUISVILLE, KY 40202
Jefferson County (502) 562-6511
AMELIA EINFALT POWER MD
Student in an Organized Health Care Education/Training Program
550 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 852-4277

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 Nicholas Klimchak's NPI number?

The NPI number for Nicholas Klimchak is 1467814848. It was assigned to this individual provider in the NPPES registry on March 24, 2016.

Where is Nicholas Klimchak located?

Nicholas Klimchak practices at 550 S Jackson St, Louisville, KY 40202. The listed phone number is (502) 852-8980.

What is Nicholas Klimchak's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nicholas Klimchak enrolled in Medicare?

Yes. Nicholas Klimchak 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 Nicholas Klimchak accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Nicholas Klimchak 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 Nicholas Klimchak affiliated with any hospitals?

According to CMS data, Nicholas Klimchak is affiliated with Baptist Health Hardin.

When was this NPI record last updated?

The NPPES record for Nicholas Klimchak was last updated on July 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.