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DR. GARY SCOTT MARSHALL MD
NPI 1720062268
Pediatrics - Pediatric Infectious Diseases in Louisville, KY

Active since November 29, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
411 E CHESTNUT ST # 4B5A, LOUISVILLE, KY 40202(502) 588-2348(502) 588-2334 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 26, 2020, Apr 16, 2020, Mar 12, 2020 (3 updates tracked since 2020).

About Dr. Gary Scott Marshall Md NPPES

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

DR. GARY SCOTT MARSHALL MD (NPI 1720062268) is an individual pediatric infectious diseases provider in Louisville, Kentucky, licensed in Kentucky (26520) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Vanderbilt University School Of Medicine (1983).

NPPES Registry Identity

NPI1720062268
Entity TypeIndividualMale
Primary Taxonomy2080P0208X
Provider Legal NameDR. GARY SCOTT MARSHALLCredential: MD
Location Address411 E CHESTNUT ST # 4B5ALouisville, KY 40202-1713
Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 588-9490 · Fax (502) 272-5116
Phone(502) 588-2348
Fax(502) 588-2334
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 1983
Enumeration DateNovember 29, 2005
Last NPPES UpdateMarch 26, 20243 updates tracked since enumeration
NPPES CertifiedMarch 26, 2024
✔ NPI 1720062268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Infectious DiseasesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0208X
License✔ Licensed in KY · 26520
Definition
A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
Also ListedPediatricsTaxonomy 208000000X · License 26520 (KY)
411 E CHESTNUT ST # 4B5A, Louisville, KY 40202
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Other Identifiers 2

Medicaid64265200KY
Medicaid100374700IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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. Gary Scott Marshall 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 ID1557457199
PECOS Enrollment IDI20071012000406
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 Gary Marshall reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Louisville Physicians, Inc.
Same address
Neurology
401 E CHESTNUT ST, SUITE 510
Louisville, KY 40202
  • Reassigned Medicare billing, Kentucky enrollment
  • 2,337 clinicians in this Medicare group
NPI 1063778744 (502) 589-0802
Norton Children's Medical Group, LLC
10 mi
Clinical Genetics (M.D.)
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Norton Childrens Medical Group LLC
  • 1,008 clinicians in this Medicare group
NPI 1013559921 (502) 272-5336

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

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

KATHRYN WEAKLEY MD
Pediatrics (Pediatric Infectious Diseases)
411 E CHESTNUT ST # 4B5A
LOUISVILLE, KY 40202
Jefferson County (502) 588-2348
KRISTIE R SHELTON APRN
Nurse Practitioner (Pediatrics)
411 E CHESTNUT ST # 4B5A
LOUISVILLE, KY 40202
Jefferson County (502) 588-2348
VICTORIA ANNE STATLER M.D.
Pediatrics (Pediatric Infectious Diseases)
411 E CHESTNUT ST # 4B5A
LOUISVILLE, KY 40202
Jefferson County (502) 588-2348
MISS SHANNA MARIE BARTON M.D.
Pediatrics (Pediatric Infectious Diseases)
411 E CHESTNUT ST # 4B5A
LOUISVILLE, KY 40202
Jefferson County (502) 588-2348

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 Gary Marshall's NPI number?

The NPI number for Gary Marshall is 1720062268. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Where is Gary Marshall located?

Gary Marshall practices at 411 E Chestnut St # 4b5a, Louisville, KY 40202. The listed phone number is (502) 588-2348.

What is Gary Marshall's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Infectious Diseases, with taxonomy code 2080P0208X.

Is Gary Marshall enrolled in Medicare?

Yes. Gary Marshall 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 Gary Marshall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gary Marshall reassigns Medicare benefits to 2 organizations: University Of Louisville Physicians, Inc. (Louisville, KY) and Norton Children's Medical Group, LLC (Louisville, 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 Gary Marshall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gary Marshall accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter of Tennessee and CareSource list Gary Marshall 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 Gary Marshall was last updated on March 26, 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.