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DR. KERRY LYNN SHORT M.D.
NPI 1902879901
Urology - Pediatric Urology in Louisville, KY

Active since February 09, 2006PECOS EnrolledAccepts Medicare Assignment
87.62/100
CMS Quality Rating
4001 KRESGE WAY, LOUISVILLE, KY 40207(502) 897-7416(502) 895-6638 Get Directions Write a Review

NPPES record last updated: April 12, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kerry Lynn Short M.d. NPPES

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

DR. KERRY LYNN SHORT M.D. (NPI 1902879901) is an individual pediatric urology provider in Louisville, Kentucky, licensed in Kentucky (20965) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with T J Samson Community Hospital, and is a graduate of University Of Louisville School Of Medicine (1979).

NPPES Registry Identity

NPI1902879901
Entity TypeIndividualMale
Primary Taxonomy2088P0231X
Provider Legal NameDR. KERRY LYNN SHORTCredential: M.D.
Location Address4001 KRESGE WAYLouisville, KY 40207-4640
Mailing Address4001 Kresge Way, 315Louisville, KY 40207-4640 · (502) 897-7416 · Fax (502) 895-6638
Phone(502) 897-7416
Fax(502) 895-6638
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1979
Enumeration DateFebruary 9, 2006
Last NPPES UpdateApril 12, 2021
NPPES CertifiedApril 12, 2021
✔ NPI 1902879901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians
Taxonomy Code2088P0231X
License✔ Licensed in KY · 20965
Definition
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
4001 KRESGE WAY, Louisville, KY 40207
Open in Google Maps ↗

Other Identifiers 1

Medicaid64209653KY

Accepted Insurance

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

Dr. Kerry Lynn Short 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 ID9436319407
PECOS Enrollment IDI20120328000886
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 Reassignment

Medicare enrollment records show Kerry Short reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

T J Samson Community Hospital
86 mi
Family Medicine
1325 N RACE ST
Glasgow, KY 42141
  • Reassigned Medicare billing, Kentucky enrollment
  • 323 clinicians in this Medicare group
NPI 1093752040 (270) 651-4797

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

Hospital Affiliations CMS Care Compare

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

T J Samson Community Hospital

Acute Care Hospitals · Glasgow, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180017
Location1301 North Race StreetGlasgow, KY 42141 · Barren County
Emergency services Birthing friendly

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.

87.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40
Cost47.2

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.

WYGAL & NEWMAN LLC
Specialist
4001 KRESGE WAY, SUITE 324
LOUISVILLE, KY 40207
Jefferson County (502) 894-4408
JANET L HONCHELL MD
Obstetrics & Gynecology
4001 KRESGE WAY, SUITE 324
LOUISVILLE, KY 40207
Jefferson County (502) 894-4408
DR. ANDREW D. BAILEY M.D.
Internal Medicine (Gastroenterology)
4001 KRESGE WAY, SUITE 130
LOUISVILLE, KY 40207
Jefferson County (502) 896-8447
DR. REID B BROWN M.D.
Orthopaedic Surgery
4001 KRESGE WAY, SUITE 100
LOUISVILLE, KY 40207
Jefferson County (502) 897-6579
ANDREW D BAILEY MD
Internal Medicine (Gastroenterology)
4001 KRESGE WAY, SUITE 130
LOUISVILLE, KY 40207
Jefferson County (502) 896-8447
JOHN M WEETER MD
Surgery (Plastic and Reconstructive Surgery)
4001 KRESGE WAY, STE 220
LOUISVILLE, KY 40207
Jefferson County (502) 895-5466
MRS. ELLEN JEAN JOFFE PA-C
Physician Assistant (Surgical)
4001 KRESGE WAY, SUITE 200
LOUISVILLE, KY 40207
Jefferson County (502) 895-1995
ORTHOPAEDIC SPECIALISTS PLLC
Specialist
4001 KRESGE WAY, SUITE 330
LOUISVILLE, KY 40207
Jefferson County (502) 212-2663

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 Kerry Short's NPI number?

The NPI number for Kerry Short is 1902879901. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Where is Kerry Short located?

Kerry Short practices at 4001 Kresge Way, Louisville, KY 40207. The listed phone number is (502) 897-7416.

What is Kerry Short's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is Kerry Short enrolled in Medicare?

Yes. Kerry Short 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 organization bills Medicare for Kerry Short's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kerry Short reassigns Medicare benefits to T J Samson Community Hospital (Glasgow, KY). The 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 Kerry Short's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kerry Short accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter of Tennessee list Kerry Short 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 Kerry Short affiliated with any hospitals?

According to CMS data, Kerry Short is affiliated with T J Samson Community Hospital.

When was this NPI record last updated?

The NPPES record for Kerry Short was last updated on April 12, 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.