CHARLES PRINCE M.D.
NPI 1861429615
Internal Medicine - Interventional Cardiology in Louisville, KY

Q: What is Charles Prince's NPI number?

The NPI number for Charles Prince is 1861429615. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Q: What is Charles Prince's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Charles Prince was last updated on March 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment

73.19/100

CMS Quality Rating

1900 BLUEGRASS AVE, SUITE 103, LOUISVILLE, KY 40215(502) 367-4500(502) 368-9820 Get Directions Write a Review

NPPES record last updated: March 8, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Charles Prince M.d. NPPES

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

CHARLES PRINCE M.D. (NPI 1861429615) is an individual interventional cardiology provider in Louisville, Kentucky, licensed in Kentucky (25560) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Jewish Hospital & St Mary's Healthcare, and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1861429615

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameCHARLES PRINCECredential: M.D.

Location Address1900 BLUEGRASS AVE, SUITE 103Louisville, KY 40215-1144

Mailing Address100 E Liberty St Ste 800Louisville, KY 40202-1428 · (502) 367-4500 · Fax (502) 368-8139

Phone(502) 367-4500

Fax(502) 368-9820

Sole ProprietorNo

Medical School CMSWashington University School Of MedicineGraduated 1980

Enumeration DateJune 27, 2006

Last NPPES UpdateMarch 8, 2018

✔ NPI 1861429615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in KY · 25560

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 25560 (KY)

1900 BLUEGRASS AVE, Louisville, KY 40215

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Secondary Practice Location 1

Location 11900 Bluegrass Ave, Suite 103Louisville, KY 40215-1144 · Phone (502) 367-4500 · Fax (502) 368-9820

Other Identifiers 1

Medicaid64004864KY

Accepted Insurance

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

Charles Prince 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 ID4789627845

PECOS Enrollment IDI20050614000219

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 9

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 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.

193 services83 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.

123 services99 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

38 services32 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

28 services17 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

21 services20 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

15 services14 patients

Hospital Affiliations CMS Care Compare 2

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

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

Taylor Regional Hospital

Acute Care Hospitals · Campbellsville, KY

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number180087

Location1700 Old Lebanon RoadCampbellsville, KY 42718 · Taylor 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

$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.

73.19/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

58.74

Promoting Interoperability

100

Improvement Activities

Cost

51.91

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.

ANDREA E PORTER APRN

Nurse Practitioner

1900 BLUEGRASS AVE, SUITE 103
LOUISVILLE, KY 40215

Jefferson County (502) 367-4500

MRS. CATHY ELIZABETH COLLIER APRN

Nurse Practitioner

1900 BLUEGRASS AVE, SUITE 103
LOUISVILLE, KY 40215

Jefferson County (502) 367-4500

ERIN EICHENBERGER APRN-C, FNP

Nurse Practitioner (Family)

1900 BLUEGRASS AVE
LOUISVILLE, KY 40215

Jefferson County (502) 367-4500

ARUN UMMAT M.D.

Internal Medicine (Interventional Cardiology)

1900 BLUEGRASS AVE, SUITE 103
LOUISVILLE, KY 40215

Jefferson County (502) 367-4500

LORI ANNE ROGERS ARNP

Nurse Practitioner

1900 BLUEGRASS AVE, SUITE 103
LOUISVILLE, KY 40215

Jefferson County (502) 367-4500

BLUEGRASS CARDIOLOGY ASSOCIATES PLLC

Nurse Practitioner

1900 BLUEGRASS AVE, SUITE 103
LOUISVILLE, KY 40215

Jefferson County (502) 367-4500

GRIFFIN KNEPP DNP, APRN, FNP-C

Nurse Practitioner (Family)

1900 BLUEGRASS AVE
LOUISVILLE, KY 40215

Jefferson County (502) 367-4500

MR. LAL KUMAR TANWANI M.D.

Internal Medicine

1900 BLUEGRASS AVE, SUITE 108
LOUISVILLE, KY 40215

Jefferson County (502) 361-2524

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 Charles Prince's NPI number?

The NPI number for Charles Prince is 1861429615. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Charles Prince located?

Charles Prince practices at 1900 Bluegrass Ave Suite 103, Louisville, KY 40215. The listed phone number is (502) 367-4500.

What is Charles Prince's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Charles Prince enrolled in Medicare?

Yes. Charles Prince 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 Charles Prince accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Charles Prince 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 Charles Prince affiliated with any hospitals?

According to CMS data, Charles Prince is affiliated with Jewish Hospital & St Mary's Healthcare and Taylor Regional Hospital.

When was this NPI record last updated?

The NPPES record for Charles Prince was last updated on March 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.