LORI HALTON MD
NPI 1700097011
Radiology - Diagnostic Radiology in Louisville, KY

Q: What is Lori Halton's NPI number?

The NPI number for Lori Halton is 1700097011. It was assigned to this individual provider in the NPPES registry on May 25, 2007.

Q: What is Lori Halton's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Lori Halton was last updated on December 4, 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.

Active since May 25, 2007PECOS EnrolledAccepts Medicare Assignment

95.5/100

CMS Quality Rating

200 E CHESTNUT ST, LOUISVILLE, KY 40202(502) 585-1735(502) 583-1463 Get Directions Write a Review

NPPES record last updated: December 4, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Lori Halton Md NPPES

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

LORI HALTON MD (NPI 1700097011) is an individual diagnostic radiology provider in Louisville, Kentucky, licensed in Kentucky (43398) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and is a graduate of University Of Louisville School Of Medicine (2004).

NPPES Registry Identity

NPI1700097011

Entity TypeIndividualFemale

Primary Taxonomy2085R0202X

Provider Legal NameLORI HALTONCredential: MD

Location Address200 E CHESTNUT STLouisville, KY 40202-1831

Mailing Address234 E Gray St, Suite 850Louisville, KY 40202-1900 · (502) 585-1735

Phone(502) 585-1735

Fax(502) 583-1463

Sole ProprietorNo

Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2004

Enumeration DateMay 25, 2007

Last NPPES UpdateDecember 4, 2020

NPPES CertifiedDecember 4, 2020

✔ NPI 1700097011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Licenses✔ Licensed in KY · 43398✔ Licensed in OH · 57008941✔ Licensed in IN · 01068094A

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

200 E CHESTNUT ST, Louisville, KY 40202

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Lori Halton Md 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 ID1355495912

PECOS Enrollment IDI20100630000850

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 Lori Halton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Imaging Alliance Of Louisville Psc

0.2 mi

Diagnostic Radiology

200 E CHESTNUT ST
Louisville, KY 40202

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

NPI 1396765509 (502) 629-7601

Baptist Health Medical Group Inc

47 mi

Internal Medicine

1001 LEAWOOD DR
Frankfort, KY 40601

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

NPI 1629740774 (502) 223-0231

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 15

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.

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

592 services592 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

592 services592 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.

143 services140 patients

Diagnostic mammography of 1 breast 77065

Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.

141 services124 patients

Screening 3d breast mammography 77063

93 services93 patients

Screening mammography 77067

93 services93 patients

Limited ultrasound scan of 1 breast 76642

A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.

78 services75 patients

Diagnostic mammography of both breasts 77066

Diagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.

58 services57 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

36 services36 patients

Diagnostic mammography of both breasts 77066

24 services24 patients

Limited ultrasound scan of 1 breast 76642

23 services23 patients

Mri scan of both breasts 77049

An MRI scan of both breasts is a non-invasive procedure using magnetic fields and radio waves to create detailed images of your chest area. This aids in detecting any abnormalities, ensuring your health and well-being.

21 services21 patients

Diagnostic mammography of 1 breast 77065

19 services18 patients

X-ray of surgical specimen 76098

An X-ray of a surgical specimen involves taking detailed images of the tissue or organ removed during surgery. This helps in examining the specimen more closely to understand the disease better. It's a safe, non-invasive procedure, providing valuable insights to your healthcare team.

18 services17 patients

Placement of locating device in breast using x-ray with needle guidance, first growth 19283

This procedure involves placing a small marker in the breast using x-ray guidance and a needle. This marker helps to accurately identify the first growth for potential treatment. It's a minimally invasive procedure with a quick recovery time.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number180103

Location1740 Nicholasville RoadLexington, KY 40503 · Fayette 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

$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

Quality

89.59

Promoting Interoperability

100

Improvement Activities

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.

CATHERINE JARRETT PA-C

Physician Assistant (Medical)

200 E CHESTNUT ST, SUITE 303
LOUISVILLE, KY 40202

Jefferson County (502) 629-5552

BENJAMIN MARTIN CHOI SAMPEDRO C.R.N.A.

Nurse Anesthetist, Certified Registered

200 E CHESTNUT ST
LOUISVILLE, KY 40202

Jefferson County (214) 687-0001

KEVIN DANIEL MAHONEY APRN

Nurse Practitioner (Acute Care)

200 E CHESTNUT ST
LOUISVILLE, KY 40202

Jefferson County (502) 634-6767

ANN ADAMS FRASER CRNA

Nurse Anesthetist, Certified Registered

200 E CHESTNUT ST
LOUISVILLE, KY 40202

Jefferson County (502) 629-8000

NORTON HEALTHCARE

Pharmacy (Institutional Pharmacy)

200 E CHESTNUT ST
LOUISVILLE, KY 40202

Jefferson County (502) 629-7273

AARON NEAL SKINNER MD

Internal Medicine

200 E CHESTNUT ST, SUITE 303
LOUISVILLE, KY 40202

Jefferson County (502) 629-5552

DR. KEVIN ANTHONY MARQUES

Obstetrics & Gynecology

200 E CHESTNUT ST
LOUISVILLE, KY 40202

Jefferson County (502) 629-8000

SHAUN MADAHAR M.D.

Internal Medicine

200 E CHESTNUT ST, SERVICE BUILDING SUITE 303
LOUISVILLE, KY 40202

Jefferson County (502) 629-5552

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 Lori Halton's NPI number?

The NPI number for Lori Halton is 1700097011. It was assigned to this individual provider in the NPPES registry on May 25, 2007.

Where is Lori Halton located?

Lori Halton practices at 200 E Chestnut St, Louisville, KY 40202. The listed phone number is (502) 585-1735.

What is Lori Halton's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Lori Halton enrolled in Medicare?

Yes. Lori Halton 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 Lori Halton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lori Halton reassigns Medicare benefits to 2 organizations: Diagnostic Imaging Alliance Of Louisville Psc (Louisville, KY) and Baptist Health Medical Group Inc (Frankfort, 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 Lori Halton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lori Halton accept?

Health plans from CareSource list Lori Halton 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 Lori Halton affiliated with any hospitals?

According to CMS data, Lori Halton is affiliated with Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Lori Halton was last updated on December 4, 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.