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HEATHER PATRICIA LUSBY D.O.
NPI 1720430705
Internal Medicine - Infectious Disease in Bowling Green, KY

Active since July 01, 2016PECOS EnrolledAccepts Medicare Assignment
800 PARK ST, BOWLING GREEN, KY 42101(270) 745-1000 Get Directions Write a Review

NPPES record last updated: May 10, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 10, 2021, Jul 1, 2016 (2 updates tracked since 2016).

About Heather Patricia Lusby D.o. NPPES

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

HEATHER PATRICIA LUSBY D.O. (NPI 1720430705) is an individual infectious disease provider in Bowling Green, Kentucky, licensed in Kentucky (04911) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with The Medical Center (bowling Green), and maintains a secondary practice location in Corinth.

NPPES Registry Identity

NPI1720430705
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameHEATHER PATRICIA LUSBYCredential: D.O.
Location Address800 PARK STBowling Green, KY 42101-2347
Mailing Address800 Park StBowling Green, KY 42101-2347 · (270) 745-1000
Phone(270) 745-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 1, 2016
Last NPPES UpdateMay 10, 20212 updates tracked since enumeration
NPPES CertifiedMay 10, 2021
✔ NPI 1720430705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in KY · 04911
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License T-3157 (MS)
800 PARK ST, Bowling Green, KY 42101
Open in Google Maps ↗

Secondary Practice Location 1

Location 1611 Alcorn DrCorinth, MS 38834-9321 · Phone (662) 293-7686

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.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

Heather Patricia Lusby D.o. 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 ID9537592035
PECOS Enrollment IDI20210812002838
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 Reassignment

Medicare enrollment records show Heather Lusby reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Commonwealth Health Corporation, Inc
0.3 mi
Obstetrics & Gynecology
523 PARK ST
Bowling Green, KY 42101
  • Reassigned Medicare billing, Kentucky enrollment
  • 319 clinicians in this Medicare group
NPI 1942235379 (270) 781-0075

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 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
320 services133 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
227 services107 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
116 services106 patients
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.
78 services47 patients
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.
59 services37 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients

Hospital Affiliations CMS Care Compare 4

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

The Medical Center (bowling Green)

Acute Care Hospitals · Bowling Green, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180013
Location250 Park StreetBowling Green, KY 42101 · Warren County
Emergency services Birthing friendly

T J Samson Community Hospital

Acute Care Hospitals · Glasgow, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180017
Location1301 North Race StreetGlasgow, KY 42141 · Barren County
Emergency services Birthing friendly

The Medical Center At Franklin

Critical Access Hospitals · Franklin, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181318
Location1100 Brookhaven RoadFranklin, KY 42135 · Simpson County
Emergency services

The Medical Center At Scottsville

Critical Access Hospitals · Scottsville, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181324
Location456 Burnley RoadScottsville, KY 42164 · Allen County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42101 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
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 6

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

COMMONWEALTH HEALTH CORPORATION
Clinic/Center (Adult Day Care)
800 PARK ST
BOWLING GREEN, KY 42101
Warren County (270) 796-5555
JACQUELINE TERESA LEON
Student in an Organized Health Care Education/Training Program
800 PARK ST
BOWLING GREEN, KY 42101
Warren County (270) 781-2415
MACKENZIE ANN JENSEN DO
Student in an Organized Health Care Education/Training Program
800 PARK ST
BOWLING GREEN, KY 42101
Warren County (270) 745-1000
COMMONWEALTH HEALTH CORPORATION, INC
Clinic/Center (Adult Day Care)
800 PARK ST
BOWLING GREEN, KY 42101
Warren County (270) 796-5555
DR. KAMALNATH SANKARAN RAJAGOPALAN MD
Internal Medicine
800 PARK ST
BOWLING GREEN, KY 42101
Warren County (270) 745-1000
COMMONWEALTH HEALTH CORPORATION
Psychiatry & Neurology (Neurology)
800 PARK ST
BOWLING GREEN, KY 42101
Warren County (270) 745-1500

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 Heather Lusby's NPI number?

The NPI number for Heather Lusby is 1720430705. It was assigned to this individual provider in the NPPES registry on July 1, 2016.

Where is Heather Lusby located?

Heather Lusby practices at 800 Park St, Bowling Green, KY 42101. The listed phone number is (270) 745-1000.

What is Heather Lusby's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Heather Lusby enrolled in Medicare?

Yes. Heather Lusby 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 organization bills Medicare for Heather Lusby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Lusby reassigns Medicare benefits to Commonwealth Health Corporation, Inc (Bowling Green, KY). The 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 Heather Lusby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Lusby accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter of Tennessee list Heather Lusby 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 Heather Lusby affiliated with any hospitals?

According to CMS data, Heather Lusby is affiliated with The Medical Center (bowling Green), T J Samson Community Hospital, The Medical Center At Franklin and The Medical Center At Scottsville.

When was this NPI record last updated?

The NPPES record for Heather Lusby was last updated on May 10, 2021. 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.