Active NPI
Michael Wayne McQuillen, MD
- Orthopaedic Surgery Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 39813
- Practice address
- 4001 Kresge Way
Suite 100
Louisville, KY 40207-4640 - Phone
- (502) 897-6579
- Fax
- (502) 897-2725
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 39813 | KY | Primary |
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | 39813 | KY | |
| Specialist | 174400000X | 39813 | KY |
Addresses
Primary practice location
4001 Kresge Way
Suite 100
Louisville, KY 40207-4640
Mailing address
2700 Stanley Gault Pkwy
Suite 129
Louisville, KY 40223-5132
Phone (502) 253-4917
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64125750 | Medicaid | KY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mmcquillen7924@bhkydirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Louisville School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3900 Kresge Way
Louisville, KY 40207-4681
4002 Kresge Way
Suite 110
Louisville, KY 40207-4605
Phone (502) 928-8700
Hospital & facility affiliations
- Baptist Health Louisville
- Baptist Health Lagrange
- Baptist Health Hardin
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| CC Bpci PLC | Orthopaedic Surgery | Past | Accepting new patients |
| Campbell Clinic, PC | Orthopaedic Surgery | Past | Accepting new patients |
Locations
4371 New Shepherdsville Rd
Unit 100
Bardstown, KY 40004
Phone (502) 337-6815
4001 Kresge Way
Ste 100
Louisville, KY 40207
Phone (502) 897-6579
2700 Stanley Gault Pkwy
Ste 129
Louisville, KY 40223
Phone (502) 253-4900
3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313
Organizations & group practices 4
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.
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1780961300
-
- Orthopaedic Surgery Physician
- Germantown, TN
- NPI 1003835141
-
- Orthopaedic Surgery Physician
- Germantown, TN
- NPI 1881387330
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elizabethtown, KY
- NPI 1689282147
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1265539498
-
- General Acute Care Hospital
- La Grange, KY
- NPI 1306925540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607472000000",
"number": "1992763494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 STANLEY GAULT PKWY",
"address_2": "SUITE 129",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402235132",
"telephone_number": "502-253-4917",
"fax_number": "502-489-5751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 KRESGE WAY",
"address_2": "SUITE 100",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074640",
"telephone_number": "502-897-6579",
"fax_number": "502-897-2725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCQUILLEN",
"first_name": "MICHAEL",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2020-12-09",
"certification_date": "2020-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "KY",
"license": "39813",
"primary": true
},
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "KY",
"license": "39813",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "KY",
"license": "39813",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64125750",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmcquillen7924@bhkydirect.com",
"affiliation": "N",
"address_1": "4001 Kresge Way",
"address_2": "Suite 100",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402074640",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.