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DR. LORETTA LYNN JOPHLIN MD, PHD
NPI 1477852101
Internal Medicine - Gastroenterology in Louisville, KY

Active since March 21, 2011PECOS EnrolledAccepts Medicare Assignment
73.19/100
CMS Quality Rating
4950 NORTON HEALTHCARE BLVD STE 205, LOUISVILLE, KY 40241(502) 896-4711(502) 272-5116 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 21, 2022, Dec 14, 2020, Nov 17, 2020 and 4 more (7 updates tracked since 2017).

About Dr. Loretta Lynn Jophlin Md, Phd NPPES

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

DR. LORETTA LYNN JOPHLIN MD, PHD (NPI 1477852101) is an individual gastroenterology provider in Louisville, Kentucky, licensed in Kentucky (54636) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS, is affiliated with Jewish Hospital & St Mary's Healthcare, and is a graduate of University Of South Carolina School Of Medicine (2011).

NPPES Registry Identity

NPI1477852101
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameDR. LORETTA LYNN JOPHLINCredential: MD, PHD
Location Address4950 NORTON HEALTHCARE BLVD STE 205Louisville, KY 40241-2847
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116
Phone(502) 896-4711
Fax(502) 272-5116
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2011
Enumeration DateMarch 21, 2011
Last NPPES UpdateOctober 13, 20257 updates tracked since enumeration
NPPES CertifiedOctober 13, 2025
✔ NPI 1477852101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in KY · 54636
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal Medicine · Transplant HepatologyTaxonomy 207RT0003X · License 61943 (MN)
4950 NORTON HEALTHCARE BLVD STE 205, Louisville, KY 40241
Open in Google Maps ↗

Other Names 1

Former Name (1)Loretta Lynn Hoover

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Loretta Lynn Jophlin Md, Phd 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 ID2961623855
PECOS Enrollment IDI20201123001791
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

2

Medicare enrollment records show Loretta Jophlin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Medical Associates, Inc.
0.3 mi
Multi-Specialty
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,896 clinicians in this Medicare group
NPI 1073089850 (502) 588-9490
University Of Louisville Physicians, Inc.
0.4 mi
Pediatric Critical Care Medicine
9700 PARK PLAZA AVE, SUITE 110
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • 2,337 clinicians in this Medicare group
NPI 1972859098 (502) 618-4283

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 9

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.
120 services39 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.
61 services55 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.
49 services38 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.
26 services23 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
25 services11 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
25 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40241 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.

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 10

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

Azathioprine, oral, 50 mg J7500
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims720 services$1.04 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
10 suppliers56 claims4,680 services$0.29 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier13 claims900 services$0.01 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims1,320 services$0.61 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
6 suppliers18 claims3,360 services$0.17 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
6 suppliers53 claims9,356 services$0.94 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 4

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

ABIGAIL JUSTINE RAO M.D.
Neurological Surgery
4950 NORTON HEALTHCARE BLVD STE 205
LOUISVILLE, KY 40241
Jefferson County (502) 394-6390
MARY KATHERINE ALEXANDRA SPIKER PA-C
Physician Assistant
4950 NORTON HEALTHCARE BLVD STE 205
LOUISVILLE, KY 40241
Jefferson County (502) 394-6390
DR. SARAH ELIZABETH HOLLOWAY
Nurse Practitioner (Acute Care)
4950 NORTON HEALTHCARE BLVD STE 205
LOUISVILLE, KY 40241
Jefferson County (502) 394-6390
TANNER JACOB MEFFERT
Nurse Practitioner (Family)
4950 NORTON HEALTHCARE BLVD STE 205
LOUISVILLE, KY 40241
Jefferson County (502) 896-4711

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 Loretta Jophlin's NPI number?

The NPI number for Loretta Jophlin is 1477852101. It was assigned to this individual provider in the NPPES registry on March 21, 2011. The provider is also known as Loretta Lynn Hoover.

Where is Loretta Jophlin located?

Loretta Jophlin practices at 4950 Norton Healthcare Blvd Ste 205, Louisville, KY 40241. The listed phone number is (502) 896-4711.

What is Loretta Jophlin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Loretta Jophlin enrolled in Medicare?

Yes. Loretta Jophlin 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 organizations bill Medicare for Loretta Jophlin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Loretta Jophlin reassigns Medicare benefits to 2 organizations: Community Medical Associates, Inc. (Louisville, KY) and University Of Louisville Physicians, Inc. (Louisville, KY). Each 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 Loretta Jophlin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Loretta Jophlin accept?

Health plans from Anthem Blue Cross and Blue Shield list Loretta Jophlin 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 Loretta Jophlin affiliated with any hospitals?

According to CMS data, Loretta Jophlin is affiliated with Jewish Hospital & St Mary's Healthcare and Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Loretta Jophlin was last updated on October 13, 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.