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DR. ALLISON R.W. HATMAKER MD
NPI 1518014489
Surgery - Surgical Oncology in Louisville, KY

Active since January 04, 2007PECOS Enrolled
95.5/100
CMS Quality Rating
4000 KRESGE WAY, LOUISVILLE, KY 40207(502) 896-7660(502) 896-7661 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 9, 2020, Jan 14, 2020, Oct 9, 2018 (3 updates tracked since 2018).

About Dr. Allison R.w. Hatmaker Md NPPES

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

DR. ALLISON R.W. HATMAKER MD (NPI 1518014489) is an individual surgical oncology provider in Louisville, Kentucky, licensed in Kentucky (43088) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518014489
Entity TypeIndividualFemale
Primary Taxonomy2086X0206X
Provider Legal NameDR. ALLISON R.W. HATMAKERCredential: MD
Location Address4000 KRESGE WAYLouisville, KY 40207-4605
Mailing Address5200 Commerce Crossings Dr Fl 3Louisville, KY 40229-2182 · (502) 253-4900
Phone(502) 896-7660
Fax(502) 896-7661
Sole ProprietorNo
Enumeration DateJanuary 4, 2007
Last NPPES UpdateDecember 9, 20203 updates tracked since enumeration
NPPES CertifiedDecember 9, 2020
✔ NPI 1518014489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
Licenses✔ Licensed in KY · 43088✔ Licensed in TN · 0000039695
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 43088 (KY)
4000 KRESGE WAY, Louisville, KY 40207
Open in Google Maps ↗

Other Identifiers 2

Other638480KY · Anthem
Medicaid7100056340KY

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 (PECOS)

Dr. Allison R.w. Hatmaker 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.

Medicare Billing Reassignment

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

Baptist Medical Associates, Inc.
Same address
Internal Medicine
4000 KRESGE WAY
Louisville, KY 40207
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Baptist Health Medical Group Inc
  • 1,441 clinicians in this Medicare group
NPI 1568740447 (502) 897-8832

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 7

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
24 services24 patients
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.
24 services23 patients
Biopsy or removal of deep lymph nodes of underarm 38525
A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.
18 services18 patients
Nuclear medicine study of lymphatic system 78195
A nuclear medicine study of the lymphatic system involves injecting a safe, radioactive substance into your body. This substance travels through your lymphatic system and helps create images on a special camera. These images can help doctors diagnose conditions related to your immune system.
18 services18 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
17 services17 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.
16 services14 patients

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
$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.

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

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.

ERIC D ELDER PAC
Physician Assistant
4000 KRESGE WAY
LOUISVILLE, KY 40207
Jefferson County (502) 899-7646
TERESA O. KRAUS CRNA
Nurse Anesthetist, Certified Registered
4000 KRESGE WAY
LOUISVILLE, KY 40207
Jefferson County (502) 473-2132
ANITA ROSE FEATHERS CRNA
Nurse Anesthetist, Certified Registered
4000 KRESGE WAY
LOUISVILLE, KY 40207
Jefferson County (502) 473-2132
PETER S LANSING MD
Anesthesiology
4000 KRESGE WAY
LOUISVILLE, KY 40207
Jefferson County (502) 259-5391
DR. CHRISTOPHER M KAUFFMANN MD
Pathology (Anatomic Pathology & Clinical Pathology)
4000 KRESGE WAY, PATHOLOGY DEPT
LOUISVILLE, KY 40207
Jefferson County (502) 897-8226
MRS. NANCY C BURGESS APRN
Nurse Practitioner (Acute Care)
4000 KRESGE WAY
LOUISVILLE, KY 40207
Jefferson County (502) 897-8281
LOUISVILLE EMERGENCY MEDICINE ASSOCIATES, PSC
Physician Assistant
4000 KRESGE WAY
LOUISVILLE, KY 40207
Jefferson County (502) 899-7646
SHIRLEY J MEREDITH, MD, PLLC
Internal Medicine
4000 KRESGE WAY, BAPTIST EAST WOUND CARE CENTER
LOUISVILLE, KY 40207
Jefferson County (502) 259-4470

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 Allison Hatmaker's NPI number?

The NPI number for Allison Hatmaker is 1518014489. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is Allison Hatmaker located?

Allison Hatmaker practices at 4000 Kresge Way, Louisville, KY 40207. The listed phone number is (502) 896-7660.

What is Allison Hatmaker's specialty?

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

Is Allison Hatmaker enrolled in Medicare?

Yes. Allison Hatmaker is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Allison Hatmaker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Allison Hatmaker reassigns Medicare benefits to Baptist Medical Associates, 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 Allison Hatmaker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Allison Hatmaker accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and CareSource list Allison Hatmaker 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 Allison Hatmaker was last updated on December 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.