DR. CREE KOFFORD DMD,MD
NPI 1568856177
Dentist - Oral and Maxillofacial Surgery in Louisville, KY

Q: What is Cree Kofford's NPI number?

The NPI number for Cree Kofford is 1568856177. It was assigned to this individual provider in the NPPES registry on March 20, 2015.

Q: What is Cree Kofford's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: Is Cree Kofford enrolled in Medicare?

No. Cree Kofford has opted out of Medicare through July 17, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Cree Kofford was last updated on March 23, 2021. 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.

Active since March 20, 2015Opted out of Medicare · through Jul 17, 2027

550 S JACKSON ST FL 2, LOUISVILLE, KY 40202(502) 852-8990(502) 852-8551 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Cree Kofford Dmd,md NPPES

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

DR. CREE KOFFORD DMD,MD (NPI 1568856177) is an individual oral and maxillofacial surgery provider in Louisville, Kentucky, licensed in Kentucky (9613) and active in the NPI registry since March 2015. He has opted out of Medicare through July 17, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1568856177

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. CREE KOFFORDCredential: DMD,MD

Location Address550 S JACKSON ST FL 2Louisville, KY 40202-1622

Mailing Address550 S Jackson St, 2nd Floor Oral Surgery ClinicLouisville, KY 40202-5831 · (502) 852-8990 · Fax (502) 852-8551

Phone(502) 852-8990

Fax(502) 852-8551

Sole ProprietorNo

Enumeration DateMarch 20, 2015

Last NPPES UpdateMarch 23, 2021

NPPES CertifiedMarch 23, 2021

✔ NPI 1568856177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Licenses✔ Licensed in KY · 9613✔ Licensed in CO · DR.0065744✔ Licensed in CO · DEN.00204643

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

550 S JACKSON ST FL 2, Louisville, KY 40202

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Cree Kofford Dmd,md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 17, 2025 through July 17, 2027.

Opt-Out Effective DateJuly 17, 2025

Opt-Out In Effect ThroughJuly 17, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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

$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 20

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

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