DR. DONNA LYNN BETZ D.O.
NPI 1942401005
Family Medicine in Shelbyville, KY

Active since May 29, 2007PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
140 STONECREST RD STE 101, SHELBYVILLE, KY 40065(502) 928-1060(502) 928-1061 Get Directions Write a Review

NPPES record last updated: July 12, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 12, 2019, Jun 18, 2019, Jan 23, 2019 (3 updates tracked since 2019).

About Dr. Donna Lynn Betz D.o. NPPES

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

DR. DONNA LYNN BETZ D.O. (NPI 1942401005) is an individual family medicine provider in Shelbyville, Kentucky, licensed in Kentucky (02683) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Uofl Health - Shelbyville Hospital, and maintains a secondary practice location in Shelbyville.

NPPES Registry Identity

NPI1942401005
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DONNA LYNN BETZCredential: D.O.
Location Address140 STONECREST RD STE 101Shelbyville, KY 40065-8143
Mailing Address2700 Stanley Gault Pkwy Ste 129Louisville, KY 40223-5176 · (502) 253-4900 · Fax (502) 489-5751
Fax(502) 928-1061
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 1999
Enumeration DateMay 29, 2007
Last NPPES UpdateJuly 12, 20193 updates tracked since enumeration
NPI 1942401005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in KY · 02683
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
140 STONECREST RD STE 101, Shelbyville, KY 40065

Secondary Practice Location 1

Location 1130 Stonecrest Rd, Ste 106Shelbyville, KY 40065-8126 · Phone (502) 647-1000 · Fax (502) 647-1006

Other Identifiers 1

Medicaid7100090310KY

Accepted 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

Dr. Donna Lynn Betz D.o. 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 ID9537205083
PECOS Enrollment IDI20091014000141
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.

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.
335 services155 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.
161 services95 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
111 services111 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
58 services29 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
28 services20 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
26 services26 patients

Hospital Affiliations CMS Care Compare 4

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

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Baptist Health Lagrange

Acute Care Hospitals · La Grange, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180138
Location1025 New Moody LaneLa Grange, KY 40031 · Oldham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40065 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.

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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers23 claims53 services$6.36 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$57.34 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 4

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

Family Medicine
140 STONECREST RD STE 101
SHELBYVILLE, KY 40065
Nurse Practitioner (Family)
140 STONECREST RD STE 101
SHELBYVILLE, KY 40065
Family Medicine
140 STONECREST RD STE 101
SHELBYVILLE, KY 40065
Clinic/Center (Rural Health)
140 STONECREST RD STE 101
SHELBYVILLE, KY 40065

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 Donna Betz's NPI number?

The NPI number for Donna Betz is 1942401005. It was assigned to this individual provider in the NPPES registry on May 29, 2007.

Where is Donna Betz located?

Donna Betz practices at 140 Stonecrest Rd Ste 101, Shelbyville, KY 40065. The listed phone number is (502) 928-1060.

What is Donna Betz's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Donna Betz enrolled in Medicare?

Yes. Donna Betz 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 Donna Betz accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Donna Betz 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 Donna Betz affiliated with any hospitals?

According to CMS data, Donna Betz is affiliated with UofL Health - Shelbyville Hospital, Norton Hospitals, Inc, Baptist Health Louisville and Baptist Health Lagrange.

When was this NPI record last updated?

The NPPES record for Donna Betz was last updated on July 12, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.