DR. MICHAEL DATHAN CHESNUT M.D. NPI 1821127333

Internal Medicine in Louisville, KY

NPI 1821127333 Individual Male Years of Experience 17 Internal Medicine PECOS Enrolled Accepts Medicare Approved Payment

About MICHAEL CHESNUT

Michael Chesnut is an internal medicine provider established in Louisville, Kentucky and his medical specialization is internal medicine with more than 17 years of experience. He graduated from University Of Louisville School Of Medicine in 2004. The NPI number of Michael Chesnut is 1821127333 and was assigned on March 2007. The practitioner's primary taxonomy code is 207R00000X with license number 40644 (KY). The provider is registered as an individual and his NPI record was last updated 9 years ago.

An internist like Dr. Michael Dathan Chesnut M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Michael Chesnut is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Michael Chesnut is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Norton Hospitals, Inc, Baptist Health Louisville, Jewish Hospital & St Mary's Healthcare and Baptist Health Floyd.

NPI

1821127333

Provider NameDR. MICHAEL DATHAN CHESNUT M.D.
Provider Location Address9715 WHITE BLOSSOM BLVD LOUISVILLE, KY 40241
Provider Mailing Address9715 WHITE BLOSSOM BLVD LOUISVILLE, KY 40241
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year2004
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date03-02-2007
Last Update Date08-07-2012


Primary Taxonomy

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.40644
License StateKY
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Business Address

DR. MICHAEL DATHAN CHESNUT M.D.
9715 WHITE BLOSSOM BLVD
LOUISVILLE, KY
ZIP 40241
Phone: (502) 767-1248
Fax: (502) 587-3884

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Mailing Address

DR. MICHAEL DATHAN CHESNUT M.D.
9715 WHITE BLOSSOM BLVD
LOUISVILLE, KY
ZIP 40241
Phone: (502) 767-1248
Fax: (502) 587-3884



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID9638266067
PECOS Enrollment IDI20071101000655
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 705Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 488Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • 313Hemoglobin A1C level (HCPCS:83036)
  • 182Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • 157Urinalysis, manual test (HCPCS:81002)
  • 39Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 20X-ray of chest, 2 views, front and side (HCPCS:71020)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Michael Chesnut is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
NORTON HOSPITALS, INC200 EAST CHESTNUT STREET
LOUISVILLE, KY 40202
(502) 629-8000Acute Care Hospitals180088
BAPTIST HEALTH LOUISVILLE4000 KRESGE WAY
LOUISVILLE, KY 40207
(502) 897-8100Acute Care Hospitals180130
JEWISH HOSPITAL & ST MARY'S HEALTHCARE200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202
(502) 587-4011Acute Care Hospitals180040
BAPTIST HEALTH FLOYD1850 STATE ST
NEW ALBANY, IN 47150
(812) 944-7701Acute Care Hospitals150044

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
3883MEDICARE PIN (08)KY
CA5672MEDICARE PIN (08)KY
0958MEDICARE PIN (08)KY
1821127333OTHER (01)KY
0782MEDICARE PIN (08)KY

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.