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VICTOR JOSE ANCIANO GRANADILLO MD
NPI 1841686995
Orthopaedic Surgery in Louisville, KY

Active since April 15, 2015PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
4402 CHURCHMAN AVE STE 300, LOUISVILLE, KY 40215(502) 363-0588(502) 363-0972 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 24, 2021, Aug 16, 2021, Aug 4, 2021 and 2 more (5 updates tracked since 2020).

About Victor Jose Anciano Granadillo Md NPPES

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

VICTOR JOSE ANCIANO GRANADILLO MD (NPI 1841686995) is an individual orthopaedic surgery provider in Louisville, Kentucky, licensed in Kentucky (55434) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Uofl Health - Shelbyville Hospital, and is a graduate of Harvard Medical School (2015).

NPPES Registry Identity

NPI1841686995
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameVICTOR JOSE ANCIANO GRANADILLOCredential: MD
Location Address4402 CHURCHMAN AVE STE 300Louisville, KY 40215-3101
Mailing AddressPo Box 909Louisville, KY 40201-0909 · (502) 588-0328
Phone(502) 363-0588
Fax(502) 363-0972
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 2015
Enumeration DateApril 15, 2015
Last NPPES UpdateAugust 24, 20215 updates tracked since enumeration
NPPES CertifiedAugust 24, 2021
✔ NPI 1841686995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in KY · 55434
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
4402 CHURCHMAN AVE STE 300, Louisville, KY 40215
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Other Identifiers 3

Other0397730024NC · Nsc#
Medicaid7100757450KY
Medicaid300053739IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Victor Jose Anciano Granadillo 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 ID5698082915
PECOS Enrollment IDI20210817003198
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 10

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.

X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
139 services97 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.
114 services82 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
72 services19 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
56 services33 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.
45 services40 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.
39 services39 patients

Hospital Affiliations CMS Care Compare 2

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

Uofl Health - Shelbyville Hospital

Acute Care Hospitals · Shelbyville, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number180016
Location727 Hospital DriveShelbyville, KY 40065 · Shelby County
Emergency services

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40215 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
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.

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
Individually scored

Referred Medical Equipment & Supplies CMS DME claims 2

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

Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf L1902
DME-Orthotic Devices · category DF003N
1 supplier16 claims17 services$54.43 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
1 supplier33 claims33 services$213.37 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 3

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

MELISSA DAWN EDDS PA-C
Physician Assistant
4402 CHURCHMAN AVE STE 300
LOUISVILLE, KY 40215
Jefferson County (502) 363-0588
MOLLY LOUISE CHRISTOFF PA-C
Physician Assistant
4402 CHURCHMAN AVE STE 300
LOUISVILLE, KY 40215
Jefferson County (502) 363-0588
BRISYN D. RITCHIE APN
Nurse Practitioner (Family)
4402 CHURCHMAN AVE STE 300
LOUISVILLE, KY 40215
Jefferson County (502) 363-0588

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 Victor Anciano Granadillo's NPI number?

The NPI number for Victor Anciano Granadillo is 1841686995. It was assigned to this individual provider in the NPPES registry on April 15, 2015.

Where is Victor Anciano Granadillo located?

Victor Anciano Granadillo practices at 4402 Churchman Ave Ste 300, Louisville, KY 40215. The listed phone number is (502) 363-0588.

What is Victor Anciano Granadillo's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Victor Anciano Granadillo enrolled in Medicare?

Yes. Victor Anciano Granadillo 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 Victor Anciano Granadillo 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 Victor Anciano Granadillo 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 Victor Anciano Granadillo affiliated with any hospitals?

According to CMS data, Victor Anciano Granadillo is affiliated with UofL Health - Shelbyville Hospital and Jewish Hospital & St Mary's Healthcare.

When was this NPI record last updated?

The NPPES record for Victor Anciano Granadillo was last updated on August 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.