ARDEL C CAGATA MD
NPI 1790784320
Hospitalist in Louisville, KY

Active since July 15, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
200 E CHESTNUT ST, SERVICES BLDG, STE 303, LOUISVILLE, KY 40202(502) 629-6552(502) 629-3132 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 11, 2021, Jan 12, 2021, Jul 24, 2019 and 1 more (4 updates tracked since 2016).

About Ardel C Cagata Md NPPES

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

ARDEL C CAGATA MD (NPI 1790784320) is an individual hospitalist provider in Louisville, Kentucky, licensed in Kentucky (30478) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and is a graduate of University Of Louisville School Of Medicine (1993).

NPPES Registry Identity

NPI1790784320
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameARDEL C CAGATACredential: MD
Location Address200 E CHESTNUT ST, SERVICES BLDG, STE 303Louisville, KY 40202-1831
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116
Fax(502) 629-3132
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1993
Enumeration DateJuly 15, 2005
Last NPPES UpdateMarch 21, 20244 updates tracked since enumeration
NPPES CertifiedMarch 21, 2024
NPI 1790784320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in KY · 30478
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 30478 (KY)
200 E CHESTNUT ST, Louisville, KY 40202

Other Names 1

Other Name (5)Ardyle Cagata

Other Identifiers 8

Medicaid64304785KY
Medicaid200270800IN
Other3682676KY · Cigna - Nics
Other3730062000KY · Passport Advantage - Nics
Other000000625001KY · Anthem - Nics
Other055105KY · Siho - Nics
Other611276316UKY · Humana - Nics
Other50025123KY · Passport - Nics

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

Ardel C Cagata 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 ID7517853914
PECOS Enrollment IDI20051107000826
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 5

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
801 services233 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
240 services222 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
180 services168 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
162 services158 patients
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.
48 services31 patients

Hospital Affiliations CMS Care Compare

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

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

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
$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.

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

Referred Medical Equipment & Supplies CMS DME claims 4

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers11 claims11 services$48.30 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers61 claims61 services$14.69 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers19 claims19 services$3.21 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers60 claims60 services$63.25 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 20

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

Radiology (Diagnostic Radiology)
200 E CHESTNUT ST
LOUISVILLE, KY 40202
Radiology (Diagnostic Radiology)
200 E CHESTNUT ST
LOUISVILLE, KY 40202
Radiology (Diagnostic Radiology)
200 E CHESTNUT ST
LOUISVILLE, KY 40202
Radiology (Diagnostic Radiology)
200 E CHESTNUT ST
LOUISVILLE, KY 40202
Radiology (Diagnostic Radiology)
200 E CHESTNUT ST
LOUISVILLE, KY 40202
Radiology (Diagnostic Radiology)
200 E CHESTNUT ST
LOUISVILLE, KY 40202
Radiology (Diagnostic Radiology)
200 E CHESTNUT ST
LOUISVILLE, KY 40202
Radiology (Diagnostic Radiology)
200 E CHESTNUT ST
LOUISVILLE, KY 40202

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 Ardel Cagata's NPI number?

The NPI number for Ardel Cagata is 1790784320. It was assigned to this individual provider in the NPPES registry on July 15, 2005. The provider is also known as Ardyle Cagata.

Where is Ardel Cagata located?

Ardel Cagata practices at 200 E Chestnut St Services Bldg, Ste 303, Louisville, KY 40202. The listed phone number is (502) 629-6552.

What is Ardel Cagata's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Ardel Cagata enrolled in Medicare?

Yes. Ardel Cagata 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 Ardel Cagata accept?

Health plans from CareSource list Ardel Cagata 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 Ardel Cagata affiliated with any hospitals?

According to CMS data, Ardel Cagata is affiliated with Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Ardel Cagata was last updated on March 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.