DR. SUSAN S.B. TATE M.D.
NPI 1811913585
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Louisville, KY

Q: What is Susan Tate's NPI number?

The NPI number for Susan Tate is 1811913585. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Q: What is Susan Tate's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Q: When was this NPI record last updated?

The NPPES record for Susan Tate was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 July 14, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 18D2059446 · Waiver

2934 BRECKENRIDGE LN STE 2, LOUISVILLE, KY 40220(502) 454-7871(502) 454-7872 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

On this page

About Dr. Susan S.b. Tate M.d. NPPES

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

DR. SUSAN S.B. TATE M.D. (NPI 1811913585) is an individual urogynecology and reconstructive pelvic surgery provider in Louisville, Kentucky, licensed in Kentucky (39021) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through May 22, 2027, and is affiliated with Norton Hospitals, Inc.

NPPES Registry Identity

NPI1811913585

Entity TypeIndividualFemale

Primary Taxonomy207VF0040X

Provider Legal NameDR. SUSAN S.B. TATECredential: M.D.

Location Address2934 BRECKENRIDGE LN STE 2Louisville, KY 40220-3903

Mailing Address2934 Breckenridge Ln Ste 2Louisville, KY 40220-3903 · (502) 454-7871 · Fax (502) 454-7872

Phone(502) 454-7871

Fax(502) 454-7872

Sole ProprietorYes

Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1988

Enumeration DateJuly 14, 2006

Last NPPES UpdateJune 23, 2026

NPPES CertifiedJune 23, 2026

✔ NPI 1811913585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207VF0040X

License✔ Licensed in KY · 39021

Definition

A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

2934 BRECKENRIDGE LN STE 2, Louisville, KY 40220

Open in Google Maps ↗

Secondary Practice Location 1

Location 19115 Leesgate Rd Ste BLouisville, KY 40222-6017 · Phone (502) 454-7871

Other Identifiers 7

Other000000337344KS · Anthem

Other50004926KY · Passport Pcp

Medicaid200502730IN

Other50015262KY · Passport Speciality

Other50004854KY · Passport Speciality

Medicaid64084148KY

Other000000338030KY · Anthem

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. Susan S.b. Tate 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 ID7618941949

PECOS Enrollment IDI20040823001322

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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2059446

Susan Tate, MD, Psc · Louisville, KY

Active · expires May 22, 2027

CLIA Number18D2059446

Laboratory TypePhysician Office

Certificate Effective DateMay 23, 2025

Certificate Expiration DateMay 22, 2027

Laboratory DirectorDr. Susan B. Tate

Laboratory Phone(502) 454-7869

Laboratory LocationSusan Tate, MD, Psc9115 Leesgate Rd Suite B, Louisville, KY 40222

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

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.

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

187 services98 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

94 services75 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

52 services52 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

41 services41 patients

Simple bladder irrigation and/or instillation 51700

Bladder irrigation and/or instillation is a process where a sterile solution is introduced into the bladder to cleanse it or deliver medication. This procedure helps manage certain bladder conditions, ensuring optimal bladder health.

40 services20 patients

Simple measurement of pressure of urine flow in bladder 51725

This procedure measures the strength of your urine flow. A small, soft tube is gently placed into your body to reach the bladder. It records the pressure while you empty your bladder. It helps check if there are any blockages or issues with bladder control.

29 services29 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.

22 services22 patients

Electronic assessment of bladder emptying 51741

Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.

21 services18 patients

Insertion of temporary bladder tube 51701

This procedure involves placing a small tube into your lower abdomen to help drain urine from your bladder. It's a temporary measure, often used when normal urination is not possible. The tube remains in place until you can urinate on your own again.

19 services18 patients

Creation of sling around urethra in female to control leakage 57288

This procedure involves creating a supportive loop around a tube in your lower body that carries liquid waste. This helps manage any unwanted leakage, providing you with better control and comfort.

19 services19 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.

17 services16 patients

Repair of herniated rectum into vaginal wall 57250

This procedure involves correcting a physical condition where part of the rectum bulges into the vaginal area. It's done by repositioning the rectum and strengthening the tissue between the two areas to prevent recurrence.

15 services15 patients

Surgical repair of vaginal defect using an endoscope 57425

This procedure involves the use of a special instrument, an endoscope, to help fix an issue within your body. It's a minimally invasive method, meaning less discomfort and quicker recovery compared to traditional surgery.

14 services14 patients

Repair of protrusion of intestine into rectum or vagina through abdomen 57270

This is a surgical procedure to correct a condition where part of the intestine has moved into an incorrect location. It involves making an incision in the abdomen, repositioning the intestine, and securing it in its proper place. This helps relieve discomfort and prevent complications.

12 services12 patients

Repair of vaginal defect using an endoscope 57423

This procedure involves the use of a special instrument called an endoscope to correct an issue within the pelvic region. It's a minimally invasive method, meaning it requires small incisions, reducing recovery time and discomfort.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40220 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

$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.

Referred Medical Equipment & Supplies CMS DME claims

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

Non-implanted pelvic floor electrical stimulator, complete system E0740

DME-Other DME · category DE000N

1 supplier11 claims11 services$39.09 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 4

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

SUSAN B TATE MD PSC

Obstetrics & Gynecology

2934 BRECKENRIDGE LN STE 2
LOUISVILLE, KY 40220

Jefferson County (502) 454-7871

MICHAEL ALT DO PSC

Psychiatry & Neurology (Neurology)

2934 BRECKENRIDGE LN STE 2
LOUISVILLE, KY 40220

Jefferson County (502) 454-7871

JANICE N EKLUND APRN

Nurse Practitioner (Women's Health)

2934 BRECKENRIDGE LN STE 2
LOUISVILLE, KY 40220

Jefferson County (502) 454-7871

MICHAEL ALT DO

Psychiatry & Neurology (Neurology)

2934 BRECKENRIDGE LN STE 2
LOUISVILLE, KY 40220

Jefferson County (502) 454-7871

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 Susan Tate's NPI number?

The NPI number for Susan Tate is 1811913585. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Susan Tate located?

Susan Tate practices at 2934 Breckenridge Ln Ste 2, Louisville, KY 40220. The listed phone number is (502) 454-7871.

What is Susan Tate's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Susan Tate enrolled in Medicare?

Yes. Susan Tate 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.

Does Susan Tate hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2059446) is associated with this NPI, valid through May 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Susan Tate affiliated with any hospitals?

According to CMS data, Susan Tate is affiliated with Norton Hospitals, Inc and Baptist Health Louisville.

When was this NPI record last updated?

The NPPES record for Susan Tate was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

About Dr. Susan S.b. Tate M.d. NPPES

NPPES Registry Identity

Specialties & Licenses

Secondary Practice Location 1

Other Identifiers 7

Medicare Participation & PECOS CMS

Medicare Enrollment Status

CLIA Laboratory Certificates CMS CLIA

Certificate of Waiver · 18D2059446

Areas of Expertise CMS Part B claims 15

Hospital Affiliations CMS Care Compare 2

Norton Hospitals, Inc

Baptist Health Louisville

Physician Visit Costs CMS claims · ZIP area

Referred Medical Equipment & Supplies CMS DME claims

Other Providers at the Same Location NPPES 4

Frequently Asked Questions NPPES & CMS

What is Susan Tate's NPI number?

Where is Susan Tate located?

What is Susan Tate's specialty?

Is Susan Tate enrolled in Medicare?

Does Susan Tate hold a CLIA laboratory certificate?

Is Susan Tate affiliated with any hospitals?

When was this NPI record last updated?

Certificate of Waiver 18D2059446