DR. JOHN SAMUEL OLDHAM JR. M.D.
NPI 1699817429
Surgery in Louisville, KY

Active since February 12, 2007PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
950 BRECKENRIDGE LN STE 10, LOUISVILLE, KY 40207(502) 894-9499(502) 894-9595 Get Directions Write a Review

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Samuel Oldham Jr. M.d. NPPES

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

DR. JOHN SAMUEL OLDHAM JR. M.D. (NPI 1699817429) is an individual surgery provider in Louisville, Kentucky, licensed in Kentucky (35422) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Louisville, and is a graduate of University Of Louisville School Of Medicine (1995).

NPPES Registry Identity

NPI1699817429
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JOHN SAMUEL OLDHAM JR.Credential: M.D.
Location Address950 BRECKENRIDGE LN STE 10Louisville, KY 40207-5931
Mailing Address950 Breckenridge Ln Ste 10Louisville, KY 40207-5931 · (502) 894-9499 · Fax (502) 894-9595
Fax(502) 894-9595
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1995
Enumeration DateFebruary 12, 2007
Last NPPES UpdateMay 31, 2024
NPPES CertifiedMay 31, 2024
NPI 1699817429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in KY · 35422
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
950 BRECKENRIDGE LN STE 10, Louisville, KY 40207

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

Dr. John Samuel Oldham Jr. 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 ID2769376219
PECOS Enrollment IDI20100830000555
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 4

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
31 services19 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
21 services20 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.
19 services19 patients
Partial removal of stomach for weight loss using an endoscope 43775
This procedure involves the use of an endoscope, a thin tube with a camera, to partially remove the stomach. It aids in weight loss by reducing the stomach's size, limiting food intake. It's a less invasive alternative to traditional weight loss surgeries.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

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
$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.

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

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

Dietitian, Registered
950 BRECKENRIDGE LN STE 10
LOUISVILLE, KY 40207

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 Oldham's NPI number?

The NPI number for John Oldham is 1699817429. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is John Oldham located?

John Oldham practices at 950 Breckenridge Ln Ste 10, Louisville, KY 40207. The listed phone number is (502) 894-9499.

What is John Oldham's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is John Oldham enrolled in Medicare?

Yes. John Oldham 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 Oldham accept?

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

According to CMS data, John Oldham is affiliated with Baptist Health Louisville.

When was this NPI record last updated?

The NPPES record for John Oldham was last updated on May 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.