NPIMap

Individual provider Active NPI

Courtney Raybon

  • Diagnostic Radiology Physician
  • Louisville, KY
National Provider Identifier
1396139895
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
57593 Issued in KY
Practice address
4001 Dutchmans LN
Louisville, KY 40207-4714
Phone
(502) 893-1000
NPI assigned
Mar 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 59381 TN
Diagnostic Radiology Physician 2085R0202X 57593 KY Primary

Addresses

Primary practice location

4001 Dutchmans LN
Louisville, KY 40207-4714

Mailing address

9152 Taylorsville Rd # 276
Louisville, KY 40299-1752
Phone (502) 447-8786

Other identifiers 2

IdentifierTypeStateIssuer
300075010MedicaidIN
7100666940MedicaidKY

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230330002391 KY Practitioner - Diagnostic Radiology 5991126591 Reassigns benefits to 1 organization
I20240319003310 IN Practitioner - Diagnostic Radiology 5991126591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Georgia School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic X-Ray Physicians, PSCGroup PAC ID 1355239534, 36 clinicians

Practice addresses (Care Compare)

1 Audubon Plaza Dr
Louisville, KY 40217-1318
Phone (502) 636-7111

1220 Missouri Ave
Jeffersonville, IN 47130-3725
Phone (502) 447-8786

Hospital & facility affiliations

  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088
  • Norton Clark Hospital Hospital, Jeffersonville, IN, CCN 150009
  • Norton Scott Hospital Hospital, Scottsburg, IN, CCN 151334
  • UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Hospital, Louisville, KY, CCN 180040
  • University of Louisville Hospital Hospital, Louisville, KY, CCN 180141

Merit-based Incentive Payment System (MIPS)

Final score
97.52 of 100Reported as group
Quality
100
Improvement activities
40
Cost
91.74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59381TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic X-Ray Physicians, PSC Diagnostic Radiology CurrentSince Apr 1, 2023 Accepting new patients
Tuhc Radiology Group LLC Diagnostic Radiology Past Accepting new patients

Locations

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

2021 Mercy Way
Ste 102
Jeffersonville, IN 47130
Phone (812) 218-4630

1220 Missouri Ave
Jeffersonvlle, IN 47130
Phone (812) 282-2072

1451 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-8500

130 Hunter Station Way
Sellersburg, IN 47172
Phone (812) 246-4808

157 Towne Dr
Ste 101
Elizabethtown, KY 42701
Phone (270) 740-5201

315 E Broadway
Louisville, KY 40202
Phone (502) 272-5331

4960 Norton Healthcare Blvd
Louisville, KY 40241
Phone (502) 446-8000

4915 Norton Healthcare Blvd
Ste 102
Louisville, KY 40241
Phone (502) 446-6625

9344 Cedar Center Way
Louisville, KY 40291
Phone (502) 753-3390

4123 Dutchmans Ln
Ste 500
Louisville, KY 40207
Phone (502) 894-9494

9152 Taylorsville Rd
Louisville, KY 40299
Phone (502) 424-5635

1 Audubon Plaza Dr
Louisville, KY 40217
Phone (502) 634-6767

4420 Dixie Hwy
Ste 108
Louisville, KY 40216
Phone (502) 449-6466

850 S 28th St
Louisville, KY 40211
Phone (502) 629-7650

4130 Dutchmans Ln
Ste 400
Louisville, KY 40207
Phone (502) 897-0697

115 Huston Dr
Shepherdsville, KY 40165
Phone (502) 365-2655

Interoperability endpoints

  • Direct secure messaging: craybon31661@direct.vumc.org

Organizations & group practices 2

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.

Hospital & facility affiliations 39

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1396139895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9152 TAYLORSVILLE RD # 276",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991752",
            "telephone_number": "502-447-8786",
            "fax_number": "502-447-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 DUTCHMANS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074714",
            "telephone_number": "502-893-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYBON",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-23",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "59381",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "57593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300075010",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100666940",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.