JOHN WESLEY BEAL M.D.
NPI 1558725838
Internal Medicine in Louisville, KY

Active since April 12, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
200 E CHESTNUT ST BLDG SUITE303, LOUISVILLE, KY 40202(502) 629-5552(502) 629-3132 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 18, 2021, Oct 12, 2020, Sep 28, 2020 and 1 more (4 updates tracked since 2019).

About John Wesley Beal M.d. NPPES

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

JOHN WESLEY BEAL M.D. (NPI 1558725838) is an individual internal medicine provider in Louisville, Kentucky, licensed in Kentucky (52451) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1558725838
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOHN WESLEY BEALCredential: M.D.
Location Address200 E CHESTNUT ST BLDG SUITE303Louisville, KY 40202-1831
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 272-5395 · Fax (502) 272-5339
Fax(502) 629-3132
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 12, 2016
Last NPPES UpdateMarch 18, 20214 updates tracked since enumeration
NPPES CertifiedMarch 18, 2021
NPI 1558725838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in KY · 52451
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.

200 E CHESTNUT ST BLDG SUITE303, Louisville, KY 40202

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 and accepts Medicare assignment

John Wesley Beal M.d. 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 ID3577895531
PECOS Enrollment IDI20191024002917
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.
640 services206 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.
110 services109 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.
103 services101 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.
52 services16 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
17 services16 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

Hospital Affiliations CMS Care Compare

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

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 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.

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

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers45 claims45 services$14.67 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier20 claims20 services$3.50 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 suppliers62 claims62 services$62.53 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.

Nurse Practitioner (Family)
200 E CHESTNUT ST BLDG SUITE303
LOUISVILLE, KY 40202
Nurse Practitioner (Acute Care)
200 E CHESTNUT ST BLDG SUITE303
LOUISVILLE, KY 40202
Nurse Practitioner (Family)
200 E CHESTNUT ST BLDG SUITE303
LOUISVILLE, KY 40202
Internal Medicine
200 E CHESTNUT ST BLDG SUITE303
LOUISVILLE, KY 40202
Internal Medicine
200 E CHESTNUT ST BLDG SUITE303
LOUISVILLE, KY 40202
Internal Medicine
200 E CHESTNUT ST BLDG SUITE303
LOUISVILLE, KY 40202
Internal Medicine
200 E CHESTNUT ST BLDG SUITE303
LOUISVILLE, KY 40202
Nurse Practitioner (Family)
200 E CHESTNUT ST BLDG SUITE303
LOUISVILLE, KY 40202

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 John Beal's NPI number?

The NPI number for John Beal is 1558725838. It was assigned to this individual provider in the NPPES registry on April 12, 2016.

Where is John Beal located?

John Beal practices at 200 E Chestnut St Bldg Suite303, Louisville, KY 40202. The listed phone number is (502) 629-5552.

What is John Beal's specialty?

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

Is John Beal enrolled in Medicare?

Yes. John Beal 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 John Beal accept?

Health plans from CareSource list John Beal 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 John Beal affiliated with any hospitals?

According to CMS data, John Beal is affiliated with Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for John Beal was last updated on March 18, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.