DR. DOUGLAS BAZIL TZANETOS M.D.
NPI 1730274929
Allergy & Immunology in Louisville, KY

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
9113 LEESGATE RD, LOUISVILLE, KY 40222(502) 426-1621(502) 426-7906 Get Directions Write a Review

NPPES record last updated: December 13, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Douglas Bazil Tzanetos M.d. NPPES

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

DR. DOUGLAS BAZIL TZANETOS M.D. (NPI 1730274929) is an individual allergy & immunology provider in Louisville, Kentucky, licensed in Kentucky (39285) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Hardin, and is a graduate of Kentucky University Medical Department (2002).

NPPES Registry Identity

NPI1730274929
Entity TypeIndividualMale
Primary Taxonomy207K00000X
Provider Legal NameDR. DOUGLAS BAZIL TZANETOSCredential: M.D.
Location Address9113 LEESGATE RDLouisville, KY 40222-5003
Mailing Address9800 Shelbyville Rd Ste 220Louisville, KY 40223-2992 · (502) 429-8585 · Fax (502) 429-6157
Fax(502) 426-7906
Sole ProprietorNo
Medical School CMSKentucky University Medical DepartmentGraduated 2002
Enumeration DateOctober 4, 2006
Last NPPES UpdateDecember 13, 2018
NPI 1730274929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License Licensed in KY · 39285
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
9113 LEESGATE RD, Louisville, KY 40222

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. Douglas Bazil Tzanetos 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 ID4183728371
PECOS Enrollment IDI20070328000083, I20130913000757
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 16

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.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
3,860 services162 patients
Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
3,109 services45 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
2,991 services178 patients
Test for allergy using allergenic extract injected into skin 95024
An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.
1,130 services35 patients
Professional service for single injection of allergen 95115
A single allergen injection is a procedure where a small amount of a specific allergen is injected into your body. This is done to test your body's reaction to the allergen or to help your immune system become less sensitive to it, reducing allergic symptoms.
452 services31 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.
252 services209 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number180012
Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County
Emergency services

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

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

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
90%123 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier37 claims37 services$3.21 avg. paid by Medicare
Injection, immune globulin (hizentra), 100 mg J1559
Treatment-Injections and Infusions (nononcologic) · category RI008N
2 suppliers31 claims7,200 services$9.57 avg. paid by Medicare
Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg J1569
Treatment-Injections and Infusions (nononcologic) · category RI008N
1 supplier13 claims520 services$35.69 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
2 suppliers15 claims1,104 services$0.77 avg. paid by Medicare
Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552
DME-Other DME · category DE000N
2 suppliers21 claims82 services$2.37 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
4 suppliers19 claims19 services$24.62 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

Day Training, Developmentally Disabled Services
9113 LEESGATE RD
LOUISVILLE, KY 40222
Allergy & Immunology
9113 LEESGATE RD
LOUISVILLE, KY 40222
Allergy & Immunology
9113 LEESGATE RD
LOUISVILLE, KY 40222
Nurse Practitioner (Family)
9113 LEESGATE RD
LOUISVILLE, KY 40222
Specialist
9113 LEESGATE RD
LOUISVILLE, KY 40222
Nurse Practitioner
9113 LEESGATE RD
LOUISVILLE, KY 40222
Allergy & Immunology
9113 LEESGATE RD
LOUISVILLE, KY 40222
Allergy & Immunology
9113 LEESGATE RD
LOUISVILLE, KY 40222

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 Douglas Tzanetos's NPI number?

The NPI number for Douglas Tzanetos is 1730274929. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Douglas Tzanetos located?

Douglas Tzanetos practices at 9113 Leesgate Rd, Louisville, KY 40222. The listed phone number is (502) 426-1621.

What is Douglas Tzanetos's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Douglas Tzanetos enrolled in Medicare?

Yes. Douglas Tzanetos 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 Douglas Tzanetos accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list Douglas Tzanetos 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 Douglas Tzanetos affiliated with any hospitals?

According to CMS data, Douglas Tzanetos is affiliated with Baptist Health Hardin, Norton Hospitals, Inc and Baptist Health Louisville.

When was this NPI record last updated?

The NPPES record for Douglas Tzanetos was last updated on December 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.