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ROBERT E DARNELL MD
NPI 1952363566
Surgery in Louisville, KY

Active since April 06, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4123 DUTCHMANS LN, SUITE 607, LOUISVILLE, KY 40207(502) 899-6470(502) 899-6479 Get Directions Write a Review

NPPES record last updated: July 9, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Robert E Darnell Md NPPES

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

ROBERT E DARNELL MD (NPI 1952363566) is an individual surgery provider in Louisville, Kentucky, licensed in Kentucky (32076) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and is a graduate of University Of Louisville School Of Medicine (1991).

NPPES Registry Identity

NPI1952363566
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameROBERT E DARNELLCredential: MD
Location Address4123 DUTCHMANS LN, SUITE 607Louisville, KY 40207
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116
Phone(502) 899-6470
Fax(502) 899-6479
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1991
Enumeration DateApril 6, 2006
Last NPPES UpdateJuly 9, 2016
✔ NPI 1952363566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in KY · 32076
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
4123 DUTCHMANS LN, Louisville, KY 40207
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Other Identifiers 7

Medicare PIN0991602KY
Medicare UPING29282KY
Medicare PIN0983201KY
Medicaid64320765KY
Medicare PIN0386604KY
Medicare PIN179060EIN
Medicare PIN0395204KY

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

Robert E Darnell 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 ID941287940
PECOS Enrollment IDI20050913000550
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 11

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
186 services73 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
97 services92 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
60 services60 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.
51 services51 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.
35 services34 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
29 services29 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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.

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

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.

DR. ELIZABETH TURCOTTE DNP, NNP
Nurse Practitioner (Neonatal, Critical Care)
4123 DUTCHMANS LN
LOUISVILLE, KY 40207
Jefferson County (502) 896-2500
AMANDA BELLE HETTINGER MD
Psychiatry & Neurology (Psychiatry)
4123 DUTCHMANS LN, SUITE 503
LOUISVILLE, KY 40207
Jefferson County (502) 409-5600
DR. RYAN EDWARD MODLINSKI M.D.
Family Medicine (Sports Medicine)
4123 DUTCHMANS LN, SUITE 401
LOUISVILLE, KY 40207
Jefferson County (502) 394-6341
MRS. RHONDA W. HOWARD APRN.
Nurse Practitioner
4123 DUTCHMANS LN, SUITE 515
LOUISVILLE, KY 40207
Jefferson County (502) 899-6907
FRANCES MARIE ROSENBAUM MD
Obstetrics & Gynecology
4123 DUTCHMANS LN, SUITE 300
LOUISVILLE, KY 40207
Jefferson County (502) 899-6700
DR. PUSHKARAJ JADHAV MD
Pediatrics (Neonatal-Perinatal Medicine)
4123 DUTCHMANS LN, SUITE 301
LOUISVILLE, KY 40207
Jefferson County (502) 896-2500
ROBERT CRAIG DEWEESE MD
Surgery
4123 DUTCHMANS LN, SUITE 607
LOUISVILLE, KY 40207
Jefferson County (502) 899-6470
CHRISTINE KAY COOPER ARNP
Nurse Practitioner (Neonatal)
4123 DUTCHMANS LN, SUITE 301
LOUISVILLE, KY 40207
Jefferson County (502) 896-2500

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 Robert Darnell's NPI number?

The NPI number for Robert Darnell is 1952363566. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Where is Robert Darnell located?

Robert Darnell practices at 4123 Dutchmans Ln Suite 607, Louisville, KY 40207. The listed phone number is (502) 899-6470.

What is Robert Darnell's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Robert Darnell enrolled in Medicare?

Yes. Robert Darnell 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 Robert Darnell accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Robert Darnell 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 Robert Darnell affiliated with any hospitals?

According to CMS data, Robert Darnell is affiliated with Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Robert Darnell was last updated on July 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.