Individual provider Active NPI

Lance McLean Hottman, D.O.

  • Emergency Medicine Physician
  • Louisville, KY
National Provider Identifier
1164638631
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
03270 Issued in KY
Practice address
1 Audubon Plaza Dr
Louisville, KY 40217-1318
Phone
(502) 636-7225
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 03270 KY Primary

Addresses

Primary practice location

1 Audubon Plaza Dr
Louisville, KY 40217-1318

Mailing address

PO Box 4778
Bloomington, IN 47402-4778
Phone (812) 336-1690

Other identifiers 3

IdentifierTypeStateIssuer
03270OtherKYLICENSE
200967670MedicaidIN
7100076530MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101022000451 KY Practitioner - Emergency MedicinePractitioner - Osteopathic Manipulative Medicine 1759451123 Reassigns benefits to 1 organization
I20191211003023 IN Practitioner - Emergency Medicine 1759451123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Floyd Emergency Medicine Associates PC Emergency Medicine CurrentSince Dec 1, 2019 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince May 1, 2011 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Ky-I Medical Services, P.S.C. Past Accepting new patients
Kentuckiana Emergency Physicians, PLLC Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Guernsey County, LTD Emergency Medicine Past Accepting new patients
Kentuckiana Emergency Physicians Past Accepting new patients
Qualified Emergency Specialists Inc Emergency Medicine Past Accepting new patients

Locations

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

700 E Spring St
Ste 200
New Albany, IN 47150
Phone (812) 945-7536

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

299 Kings Daughters Dr
Hatton, KY 40601
Phone (502) 875-5240

320 N Loretto Rd
Lebanon, KY 40033
Phone (270) 692-3161

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1164638631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4778",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474024778",
            "telephone_number": "812-336-1690",
            "fax_number": "812-349-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AUDUBON PLAZA DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171318",
            "telephone_number": "502-636-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOTTMAN",
        "first_name": "LANCE",
        "middle_name": "MCLEAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "03270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "03270",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200967670",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100076530",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.