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DR. MICHAEL WAYNE MCQUILLEN MD
NPI 1992763494
Orthopaedic Surgery in Louisville, KY

Active since May 03, 2006PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
4001 KRESGE WAY, SUITE 100, LOUISVILLE, KY 40207(502) 897-6579(502) 897-2725 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael Wayne Mcquillen Md NPPES

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

DR. MICHAEL WAYNE MCQUILLEN MD (NPI 1992763494) is an individual orthopaedic surgery provider in Louisville, Kentucky, licensed in Kentucky (39813) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Louisville, and is a graduate of University Of Louisville School Of Medicine (1996).

NPPES Registry Identity

NPI1992763494
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. MICHAEL WAYNE MCQUILLENCredential: MD
Location Address4001 KRESGE WAY, SUITE 100Louisville, KY 40207-4640
Mailing Address2700 Stanley Gault Pkwy, Suite 129Louisville, KY 40223-5132 · (502) 253-4917 · Fax (502) 489-5751
Phone(502) 897-6579
Fax(502) 897-2725
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1996
Enumeration DateMay 3, 2006
Last NPPES UpdateDecember 9, 2020
NPPES CertifiedDecember 9, 2020
✔ NPI 1992763494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in KY · 39813
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedSpecialistTaxonomy 174400000X · License 39813 (KY)
Also ListedOrthopaedic Surgery · Foot and Ankle SurgeryTaxonomy 207XX0004X · License 39813 (KY)
4001 KRESGE WAY, Louisville, KY 40207
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Other Identifiers 1

Medicaid64125750KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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. Michael Wayne Mcquillen 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 ID7012944754
PECOS Enrollment IDI20060427000232
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.

X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
388 services200 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.
328 services211 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.
314 services156 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
189 services103 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.
103 services103 patients
X-ray of ankle, 2 views 73600
An X-ray of the ankle, 2 views, is a quick, painless test that produces images of the bones and joints in your ankle. Two different angles are used to provide a more complete picture. It helps detect fractures, sprains, arthritis, or other abnormalities. It's safe and typically takes only a few minutes.
32 services26 patients

Hospital Affiliations CMS Care Compare 2

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

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 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.

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 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Cane, includes canes of all materials, adjustable or fixed, with tip E0100
DME-Other DME · category DE000N
1 supplier15 claims15 services$17.54 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers22 claims22 services$15.09 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers13 claims13 services$6.03 avg. paid by Medicare
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf L1902
DME-Orthotic Devices · category DF003N
1 supplier28 claims28 services$64.05 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
2 suppliers15 claims16 services$214.21 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 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 Michael Mcquillen's NPI number?

The NPI number for Michael Mcquillen is 1992763494. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Michael Mcquillen located?

Michael Mcquillen practices at 4001 Kresge Way Suite 100, Louisville, KY 40207. The listed phone number is (502) 897-6579.

What is Michael Mcquillen's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Michael Mcquillen enrolled in Medicare?

Yes. Michael Mcquillen 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 Michael Mcquillen accept?

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

According to CMS data, Michael Mcquillen is affiliated with Baptist Health Louisville and Baptist Health Lagrange.

When was this NPI record last updated?

The NPPES record for Michael Mcquillen was last updated on December 9, 2020. 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.