PENGXIAO CAO
NPI 1578242897
Nurse Practitioner - Family in Louisville, KY

Q: What is Pengxiao Cao's NPI number?

The NPI number for Pengxiao Cao is 1578242897. It was assigned to this individual provider in the NPPES registry on July 13, 2023.

Q: What is Pengxiao Cao's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Pengxiao Cao was last updated on July 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 July 13, 2023PECOS EnrolledAccepts Medicare Assignment

9440 BROWNSBORO RD, LOUISVILLE, KY 40241(502) 618-8317 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 20, 2023, Jul 13, 2023 (2 updates tracked since 2023).

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About Pengxiao Cao NPPES

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

PENGXIAO CAO (NPI 1578242897) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (3018907) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1578242897

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NamePENGXIAO CAO

Location Address9440 BROWNSBORO RDLouisville, KY 40241-1200

Mailing Address2620 Elm Hill PikeNashville, TN 37214-3108

Phone(502) 618-8317

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJuly 13, 2023

Last NPPES UpdateJuly 20, 20232 updates tracked since enumeration

NPPES CertifiedJuly 20, 2023

✔ NPI 1578242897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in KY · 3018907

9440 BROWNSBORO RD, Louisville, KY 40241

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Pengxiao Cao 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 ID3779944418

PECOS Enrollment IDI20230727004062, I20231215000352

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 Reassignments

Medicare enrollment records show Pengxiao Cao reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kiosk Medicine Kentucky LLC

6.7 mi

Family

3039 BRECKENRIDGE LN
Louisville, KY 40220

Reassigned Medicare billing, Kentucky enrollment
488 clinicians in this Medicare group

NPI 1205885035 (502) 451-4555

Little Clinic Of In LLC

18 mi

Family

815 HIGHLANDER POINT DR
Floyds Knobs, IN 47119

Reassigned Medicare billing, Indiana enrollment
165 clinicians in this Medicare group

NPI 1558791384 (812) 923-7146

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.

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.

75 services74 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

34 services34 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

32 services32 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

27 services27 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

16 services16 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40241 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

$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.

Other Providers at the Same Location NPPES 10

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

DR. AMY KATHERINE GORDON PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)