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DR. FRANKLIN O DE LA CRUZ M.D.
NPI 1982674370
Obstetrics & Gynecology in Bardstown, KY

Active since January 26, 2006PECOS EnrolledAccepts Medicare Assignment
201 S 5TH ST, SUITE #9, BARDSTOWN, KY 40004(502) 348-7755(502) 349-0815 Get Directions Write a Review

NPPES record last updated: June 8, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 8, 2021, Apr 17, 2020 (2 updates tracked since 2020).

About Dr. Franklin O De La Cruz M.d. NPPES

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

DR. FRANKLIN O DE LA CRUZ M.D. (NPI 1982674370) is an individual obstetrics & gynecology provider in Bardstown, Kentucky, licensed in Kentucky (29164) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1982674370
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. FRANKLIN O DE LA CRUZCredential: M.D.
Location Address201 S 5TH ST, SUITE #9Bardstown, KY 40004-1142
Mailing AddressPo Box 936London, KY 40743-0936 · (502) 348-7755 · Fax (606) 330-7825
Phone(502) 348-7755
Fax(502) 349-0815
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateJanuary 26, 2006
Last NPPES UpdateJune 8, 20212 updates tracked since enumeration
NPPES CertifiedJune 8, 2021
✔ NPI 1982674370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in KY · 29164
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedSpecialistTaxonomy 174400000X · License 29164 (KY)
201 S 5TH ST, Bardstown, KY 40004
Open in Google Maps ↗

Secondary Practice Location 1

Location 1200 E Chestnut StLouisville, KY 40202-1831 · Phone (502) 629-8000 · Fax (303) 306-7753

Other Identifiers 3

Other1052134KY · Passport
Other29164KY · State License
Medicaid64291644KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Franklin O De La Cruz 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 ID7810975695
PECOS Enrollment IDI20040927000159
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 Reassignments

6

Medicare enrollment records show Franklin De La Cruz reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baptist Health Medical Group Inc
21 mi
Internal Medicine
2413 RING RD STE 100
Elizabethtown, KY 42701
  • Reassigned Medicare billing, Kentucky enrollment
  • 967 clinicians in this Medicare group
NPI 1093338527 (270) 737-0077
Community Medical Associates
24 mi
Radiology
157 TOWNE DR STE 101
Elizabethtown, KY 42701
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,896 clinicians in this Medicare group
NPI 1669245510 (270) 740-5201
Pediatrix Medical Group Of Kentucky Psc
54 mi
Neonatal-Perinatal Medicine
1740 NICHOLASVILLE RD
Lexington, KY 40503
  • Reassigned Medicare billing, Kentucky enrollment
  • 17 clinicians in this Medicare group
NPI 1821195520 (859) 260-6580
Obhg Kentucky, P.S.C.
161 mi
Obstetrics & Gynecology
2201 LEXINGTON AVE
Ashland, KY 41101
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Obhg Kentucky Psc
  • 123 clinicians in this Medicare group
NPI 1457644122 (864) 908-3530
Ob Hospitalist Group LLC
518 mi
Obstetrics & Gynecology
1000 W MORENO ST
Pensacola, FL 32501
  • Reassigned Medicare billing, Florida enrollment
  • 683 clinicians in this Medicare group
NPI 1679292569 (864) 908-3530
Florida Hospital Medical Group Inc
681 mi
Family Medicine
1115 E RIDGEWOOD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 3,005 clinicians in this Medicare group
NPI 1225034234 (407) 841-1100

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.

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 40004 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.

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.

WHITLEY NICHOLE BARNES
Social Worker (Clinical)
201 S 5TH ST
BARDSTOWN, KY 40004
Nelson County (502) 331-5478
ANGELA MARIE BALLARD
Nurse Practitioner
201 S 5TH ST
BARDSTOWN, KY 40004
Nelson County (502) 348-5968
DR. KAITLYN CASSADY MD
Pediatrics
201 S 5TH ST
BARDSTOWN, KY 40004
Nelson County (502) 348-6309
BARDSTOWN PRIMARY CARE, PLLC
Clinic/Center (Rural Health)
201 S 5TH ST
BARDSTOWN, KY 40004
Nelson County (502) 348-7554
DANIEL JOHN FINN MD
Pediatrics
201 S 5TH ST
BARDSTOWN, KY 40004
Nelson County (502) 348-6309
ROBERT ALAN SMITH MD
Pediatrics
201 S 5TH ST
BARDSTOWN, KY 40004
Nelson County (502) 348-6309
MRS. MONICA B STRENECKY APRN
Nurse Practitioner (Family)
201 S 5TH ST
BARDSTOWN, KY 40004
Nelson County (502) 348-6309
BLANFORD PEDIATRIC THERAPY LLC
Social Worker
201 S 5TH ST
BARDSTOWN, KY 40004
Nelson County (502) 331-5478

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 Franklin De La Cruz's NPI number?

The NPI number for Franklin De La Cruz is 1982674370. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Franklin De La Cruz located?

Franklin De La Cruz practices at 201 S 5th St Suite #9, Bardstown, KY 40004. The listed phone number is (502) 348-7755.

What is Franklin De La Cruz's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Franklin De La Cruz enrolled in Medicare?

Yes. Franklin De La Cruz 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 organizations bill Medicare for Franklin De La Cruz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Franklin De La Cruz reassigns Medicare benefits to 6 organizations: Baptist Health Medical Group Inc (Elizabethtown, KY), Community Medical Associates (Elizabethtown, KY), Pediatrix Medical Group Of Kentucky Psc (Lexington, KY), Obhg Kentucky, P.S.C. (Ashland, KY), Ob Hospitalist Group LLC (Pensacola, FL) and 1 more organization, listed in the Medicare section above. Each 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 Franklin De La Cruz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Franklin De La Cruz accept?

Health plans from Anthem Blue Cross and Blue Shield list Franklin De La Cruz 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 Franklin De La Cruz affiliated with any hospitals?

According to CMS data, Franklin De La Cruz is affiliated with Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Franklin De La Cruz was last updated on June 8, 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.