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DR. DAVID JASON SCHROERLUCKE PSY.D.
NPI 1598071474
Psychologist - Clinical in Louisville, KY

Active since August 30, 2010PECOS EnrolledAccepts Medicare Assignment
633 BAXTER AVE, LOUISVILLE, KY 40204(502) 309-2408 Get Directions Write a Review

NPPES record last updated: November 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 22, 2020, Jan 28, 2020 (2 updates tracked since 2020).

About Dr. David Jason Schroerlucke Psy.d. NPPES

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

DR. DAVID JASON SCHROERLUCKE PSY.D. (NPI 1598071474) is an individual clinical provider in Louisville, Kentucky, licensed in Kentucky (267542) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1598071474
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. DAVID JASON SCHROERLUCKECredential: PSY.D.
Location Address633 BAXTER AVELouisville, KY 40204-1157
Mailing Address633 Baxter AveLouisville, KY 40204-1157 · (502) 309-2408
Phone(502) 309-2408
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 30, 2010
Last NPPES UpdateNovember 22, 20202 updates tracked since enumeration
NPPES CertifiedNovember 22, 2020
✔ NPI 1598071474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in KY · 267542
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
633 BAXTER AVE, Louisville, KY 40204
Open in Google Maps ↗

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 and accepts Medicare assignment

Dr. David Jason Schroerlucke Psy.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 ID5890108286
PECOS Enrollment IDI20201231001867
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

2

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

Mandala House, LLC
Same address
Clinical
633 BAXTER AVE
Louisville, KY 40204
  • Reassigned Medicare billing, Kentucky enrollment
  • 17 clinicians in this Medicare group
NPI 1659829760 (502) 309-2408
Ripe Minds, LLC
17 mi
Clinical
365 LITTLE BEND TRCE
Shepherdsville, KY 40165
  • Reassigned Medicare billing, Kentucky enrollment
NPI 1699546580 (502) 444-7473

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40204 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
$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 13

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

MRS. GABRIELLE TURNER ELZY
Psychologist (Counseling)
633 BAXTER AVE
LOUISVILLE, KY 40204
Jefferson County (502) 309-2408
WILLIAM SUMMAY
Counselor (Professional)
633 BAXTER AVE
LOUISVILLE, KY 40204
Jefferson County (502) 309-2408
DR. JACKS X GILLES PSY.D., LP
Psychologist (Clinical)
633 BAXTER AVE
LOUISVILLE, KY 40204
Jefferson County (502) 309-2408
BETHANY DARLENE SIMON
Psychologist (Clinical)
633 BAXTER AVE
LOUISVILLE, KY 40204
Jefferson County (502) 309-2408
ANA CAROLINA GARZON BELLO M.ED.
Psychologist
633 BAXTER AVE
LOUISVILLE, KY 40204
Jefferson County (502) 309-2408
ANDREW HICKMAN
Psychologist (Clinical)
633 BAXTER AVE
LOUISVILLE, KY 40204
Jefferson County (502) 309-2408
KENNETHA WILLIAMS DNP, APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
633 BAXTER AVE
LOUISVILLE, KY 40204
Jefferson County (502) 309-2408
STACY R SEXTON
Psychologist
633 BAXTER AVE
LOUISVILLE, KY 40204
Jefferson County (502) 309-2408

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 David Schroerlucke's NPI number?

The NPI number for David Schroerlucke is 1598071474. It was assigned to this individual provider in the NPPES registry on August 30, 2010.

Where is David Schroerlucke located?

David Schroerlucke practices at 633 Baxter Ave, Louisville, KY 40204. The listed phone number is (502) 309-2408.

What is David Schroerlucke's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is David Schroerlucke enrolled in Medicare?

Yes. David Schroerlucke 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.

Which organizations bill Medicare for David Schroerlucke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Schroerlucke reassigns Medicare benefits to 2 organizations: Mandala House, LLC (Louisville, KY) and Ripe Minds, LLC (Shepherdsville, KY). Each 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 David Schroerlucke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Schroerlucke accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list David Schroerlucke 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 David Schroerlucke was last updated on November 22, 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.