Megan Brinkworth Vissing, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

01083286A Issued in IN

Practice address

2241 Green Valley Rd
New Albany, IN 47150-4647

Phone

(502) 583-1749

Fax

(502) 329-8184

NPI assigned

Apr 18, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

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

Specialty

Dermatology

Education

Indiana University School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associates in Dermatology, PLLCGroup PAC ID 1658263876, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Louisville Hospital Hospital, Louisville, KY, CCN 180141

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Associates in Dermatology, PLLC

  • Dermatology Physician
  • Louisville, KY
  • NPI 1629083399

  IN

  Medicare reassignment Care Compare group NPD

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

• University Medical Center, Inc

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1861554438
  Care Compare affiliation

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1962856880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950132",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950132",
            "telephone_number": "888-980-8992",
            "fax_number": "405-792-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 GREEN VALLEY RD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504647",
            "telephone_number": "502-583-1749",
            "fax_number": "502-329-8184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3810 Springhurst Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402416162",
            "country_code": "US",
            "telephone_number": "502-583-1749",
            "fax_number": "502-329-8184",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1028 N Dixie Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427012508",
            "country_code": "US",
            "telephone_number": "502-583-1749",
            "fax_number": "502-329-8184",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Stonecrest Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Shelbyville",
            "state": "KY",
            "postal_code": "400658126",
            "country_code": "US",
            "telephone_number": "502-583-1749",
            "fax_number": "502-329-8184",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 W Walnut St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "KY",
            "postal_code": "400331381",
            "country_code": "US",
            "telephone_number": "502-583-1749",
            "fax_number": "502-329-8184",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10302 Brookridge Village Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402914475",
            "country_code": "US",
            "telephone_number": "502-583-1749",
            "fax_number": "502-329-8184",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Audubon Plaza Dr Ste 630",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402171362",
            "country_code": "US",
            "telephone_number": "502-583-1749",
            "fax_number": "502-329-8184",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "908 Wallace Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Leitchfield",
            "state": "KY",
            "postal_code": "427541495",
            "country_code": "US",
            "telephone_number": "502-583-1749",
            "fax_number": "502-329-8184",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "114 Manor Ave",
            "address_purpose": "LOCATION",
            "city": "Bardstown",
            "state": "KY",
            "postal_code": "400043230",
            "country_code": "US",
            "telephone_number": "502-583-1749",
            "fax_number": "502-329-8184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VISSING",
        "first_name": "MEGAN",
        "middle_name": "BRINKWORTH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-18",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KY",
            "license": "53361",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME133213",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "TRN22679",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IN",
            "license": "01083286A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300037166",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in New Albany, IN
• Providers in New Albany, IN by specialty
• Dermatology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.