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DR. PRABODH MEHTA M.D.
NPI 1982606604
Internal Medicine - Cardiovascular Disease in Elizabethtown, KY

Active since August 12, 2005PECOS Enrolled
95.5/100
CMS Quality Rating
1324 WOODLAND DRIVE,, SUITE A, ELIZABETHTOWN, KY 42701(270) 765-5921(270) 765-4391 Get Directions Write a Review

NPPES record last updated: September 15, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Prabodh Mehta M.d. NPPES

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

DR. PRABODH MEHTA M.D. (NPI 1982606604) is an individual cardiovascular disease provider in Elizabethtown, Kentucky, licensed in Kentucky (30758) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982606604
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. PRABODH MEHTACredential: M.D.
Location Address1324 WOODLAND DRIVE,, SUITE AElizabethtown, KY 42701-2746
Mailing Address1324 Woodland Drive,, Suite AElizabethtown, KY 42701-2746 · (270) 765-5921 · Fax (270) 765-4391
Phone(270) 765-5921
Fax(270) 765-4391
Sole ProprietorNo
Enumeration DateAugust 12, 2005
Last NPPES UpdateSeptember 15, 2016
✔ NPI 1982606604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in KY · 30758
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1324 WOODLAND DRIVE,, Elizabethtown, KY 42701
Open in Google Maps ↗

Other Identifiers 3

Medicaid64307580KY
Medicare PIN0200204KY
Medicare UPINE64589KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 (PECOS)

Dr. Prabodh Mehta M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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.
85 services56 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
50 services37 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.
23 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42701 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
$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.

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

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 Prabodh Mehta's NPI number?

The NPI number for Prabodh Mehta is 1982606604. It was assigned to this individual provider in the NPPES registry on August 12, 2005.

Where is Prabodh Mehta located?

Prabodh Mehta practices at 1324 Woodland Drive, Suite A, Elizabethtown, KY 42701. The listed phone number is (270) 765-5921.

What is Prabodh Mehta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Prabodh Mehta enrolled in Medicare?

Yes. Prabodh Mehta is registered in the Medicare PECOS enrollment system.

What insurance does Prabodh Mehta accept?

Health plans from CareSource list Prabodh Mehta 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 Prabodh Mehta was last updated on September 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.