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MR. GREGORY LUCAS MCFALL APRN
NPI 1861168676
Nurse Practitioner - Psychiatric/Mental Health in Louisville, KY

Active since August 20, 2021PECOS EnrolledAccepts Medicare Assignment
10510 SANDBOURNE WAY, LOUISVILLE, KY 40241(502) 599-0227 Get Directions Write a Review

NPPES record last updated: August 20, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Gregory Lucas Mcfall Aprn NPPES

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

MR. GREGORY LUCAS MCFALL APRN (NPI 1861168676) is an individual psychiatric/mental health provider in Louisville, Kentucky, licensed in Kentucky (3016501) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1861168676
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. GREGORY LUCAS MCFALLCredential: APRN
Location Address10510 SANDBOURNE WAYLouisville, KY 40241-5103
Mailing Address10510 Sandbourne WayLouisville, KY 40241-5103 · (502) 599-0227
Phone(502) 599-0227
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 20, 2021
NPPES CertifiedAugust 20, 2021
✔ NPI 1861168676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in KY · 3016501
10510 SANDBOURNE WAY, Louisville, KY 40241
Open in Google Maps ↗

Other Identifiers 1

Other3016501KY · Kentucky Board Of Nursing

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Gregory Lucas Mcfall Aprn 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 ID9537566310
PECOS Enrollment IDI20210921002193
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Gregory Mcfall reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ppl Therapeutic Services PLLC
5.7 mi
Professional
8206 HIGHVIEW CT
Crestwood, KY 40014
  • Reassigned Medicare billing, Kentucky enrollment
  • 84 clinicians in this Medicare group
NPI 1104323252 (502) 262-2887
Associates In Behavioral Health Psc
11 mi
Psychiatry
302 E BRECKINRIDGE ST
Louisville, KY 40203
  • Reassigned Medicare billing, Kentucky enrollment
  • 10 clinicians in this Medicare group
NPI 1619384120 (502) 777-7708

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
472 services96 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
175 services52 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
171 services52 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
115 services66 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
35 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40241 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
$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.

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 Gregory Mcfall's NPI number?

The NPI number for Gregory Mcfall is 1861168676. It was assigned to this individual provider in the NPPES registry on August 20, 2021.

Where is Gregory Mcfall located?

Gregory Mcfall practices at 10510 Sandbourne Way, Louisville, KY 40241. The listed phone number is (502) 599-0227.

What is Gregory Mcfall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Gregory Mcfall enrolled in Medicare?

Yes. Gregory Mcfall 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.

Which organizations bill Medicare for Gregory Mcfall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gregory Mcfall reassigns Medicare benefits to 2 organizations: Ppl Therapeutic Services PLLC (Crestwood, KY) and Associates In Behavioral Health Psc (Louisville, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gregory Mcfall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gregory Mcfall accept?

Health plans from Anthem Blue Cross and Blue Shield list Gregory Mcfall 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.

When was this NPI record last updated?

The NPPES record for Gregory Mcfall was last updated on August 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.