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WILLIAM M SKAGGS MD
NPI 1497787766
Internal Medicine - Cardiovascular Disease in Louisville, KY

Active since July 07, 2006PECOS Enrolled
100/100
CMS Quality Rating
6420 DUTCHMANS PKWY, SUITE 200, LOUISVILLE, KY 40205(502) 891-8300(502) 891-8338 Get Directions Write a Review

NPPES record last updated: November 15, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About William M Skaggs Md NPPES

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

WILLIAM M SKAGGS MD (NPI 1497787766) is an individual cardiovascular disease provider in Louisville, Kentucky, licensed in Kentucky (25795) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497787766
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameWILLIAM M SKAGGSCredential: MD
Location Address6420 DUTCHMANS PKWY, SUITE 200Louisville, KY 40205-3372
Mailing AddressPo Box 950202Louisville, KY 40295-0202 · (502) 891-8300 · Fax (502) 891-8338
Phone(502) 891-8300
Fax(502) 891-8338
Sole ProprietorNo
Enumeration DateJuly 7, 2006
Last NPPES UpdateNovember 15, 2012
✔ NPI 1497787766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in KY · 25795
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
6420 DUTCHMANS PKWY, Louisville, KY 40205
Open in Google Maps ↗

Other Identifiers 18

Other000000044927KY · Anthem Pin
Other2433846000KY · Passport Advantage Pin
Medicare PIN060018540KY
Medicare PIN0780806KY
Medicare PIN060049844KY
Medicaid64257959KY
Other000000693045KY · Anthem- Cardiothoracic Surgery Of Louisville
Medicare UPINC69429KY
Medicaid100388550AIN
Other1056155KY · Passport Pin
OtherP00893034KY · Railroad Medicare- Cts
Medicare ID-Type Unspecified0259816KY
Medicare ID-Type Unspecified0558409KY
Medicare ID-Type Unspecified0713001KY
Medicare PINP400031803KY
Other000057080RKY · Humana- Cardiothoracic Surgery Of Louisville
Medicare ID-Type Unspecified1271820KY
Medicaid100388550FIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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)

William M Skaggs Md 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.

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.

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.
17 services16 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.
17 services17 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
12 services12 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.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40205 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
$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.

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

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.

JAMES P DONOVAN MD
Internal Medicine (Cardiovascular Disease)
6420 DUTCHMANS PKWY, SUITE 200
LOUISVILLE, KY 40205
Jefferson County (502) 891-8300
JOSEPH A LASH MD
Internal Medicine (Cardiovascular Disease)
6420 DUTCHMANS PKWY, SUITE 200
LOUISVILLE, KY 40205
Jefferson County (502) 891-8300
JOHN S HARRIS MD
Internal Medicine (Cardiovascular Disease)
6420 DUTCHMANS PKWY, SUITE 200
LOUISVILLE, KY 40205
Jefferson County (502) 891-8300
STACEY LYNN ZAPRZALKA
Nurse Practitioner (Family)
6420 DUTCHMANS PKWY, SUITE 200
LOUISVILLE, KY 40205
Jefferson County (502) 891-8300
DIVYESH R BHAKTA MD
Internal Medicine (Interventional Cardiology)
6420 DUTCHMANS PKWY, SUITE 200
LOUISVILLE, KY 40205
Jefferson County (502) 891-8300
DR. MARION D EYRE MD
Otolaryngology
6420 DUTCHMANS PKWY, SUITE 380
LOUISVILLE, KY 40205
Jefferson County (502) 894-9753
JANET LYNN SMITH MD
Internal Medicine (Cardiovascular Disease)
6420 DUTCHMANS PKWY, SUITE 200
LOUISVILLE, KY 40205
Jefferson County (502) 891-8300
CRISTAL L POLLAK APRN
Nurse Practitioner (Family)
6420 DUTCHMANS PKWY, SUITE 200
LOUISVILLE, KY 40205
Jefferson County (502) 891-8300

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 William Skaggs's NPI number?

The NPI number for William Skaggs is 1497787766. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is William Skaggs located?

William Skaggs practices at 6420 Dutchmans Pkwy Suite 200, Louisville, KY 40205. The listed phone number is (502) 891-8300.

What is William Skaggs's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is William Skaggs enrolled in Medicare?

Yes. William Skaggs is registered in the Medicare PECOS enrollment system.

What insurance does William Skaggs accept?

Health plans from CareSource list William Skaggs 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 William Skaggs was last updated on November 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.