DR. DAVID L. SHUTT DMD
NPI 1487779708
Dentist - General Practice in Louisville, KY

Active since March 20, 2007PECOS Enrolled
4122 SHELBYVILLE RD, SUITE 115, LOUISVILLE, KY 40207(502) 895-2210 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. David L. Shutt Dmd NPPES

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

DR. DAVID L. SHUTT DMD (NPI 1487779708) is an individual general practice provider in Louisville, Kentucky, licensed in Kentucky (5981) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487779708
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DAVID L. SHUTTCredential: DMD
Location Address4122 SHELBYVILLE RD, SUITE 115Louisville, KY 40207-3242
Mailing Address4122 Shelbyville Rd, Suite 115Louisville, KY 40207-3242 · (502) 895-2210
Sole ProprietorNo
Enumeration DateMarch 20, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1487779708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in KY · 5981
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4122 SHELBYVILLE RD, Louisville, KY 40207

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 (PECOS)

Dr. David L. Shutt Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 15

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

Dentist (Orthodontics and Dentofacial Orthopedics)
4122 SHELBYVILLE RD, SUITE 105
LOUISVILLE, KY 40207
Dentist (Oral and Maxillofacial Surgery)
4122 SHELBYVILLE RD, #120
LOUISVILLE, KY 40207
Dentist (General Practice)
4122 SHELBYVILLE RD, SUITE E
LOUISVILLE, KY 40207
Dentist (Periodontics)
4122 SHELBYVILLE RD, SUITE D
LOUISVILLE, KY 40207
Dentist (Oral and Maxillofacial Surgery)
4122 SHELBYVILLE RD, SUITE A
LOUISVILLE, KY 40207
Dentist (General Practice)
4122 SHELBYVILLE RD, SUITE F
LOUISVILLE, KY 40207
Dentist (Oral and Maxillofacial Surgery)
4122 SHELBYVILLE RD, SUITE A
LOUISVILLE, KY 40207
Dentist (General Practice)
4122 SHELBYVILLE RD, SUITE 115
LOUISVILLE, KY 40207

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 David Shutt's NPI number?

The NPI number for David Shutt is 1487779708. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is David Shutt located?

David Shutt practices at 4122 Shelbyville Rd Suite 115, Louisville, KY 40207. The listed phone number is (502) 895-2210.

What is David Shutt's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is David Shutt enrolled in Medicare?

Yes. David Shutt is registered in the Medicare PECOS enrollment system.

What insurance does David Shutt accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HRI Dental & Vision and Paramount list David Shutt 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 David Shutt was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.