MRS. CHARLOTTE KAY INGWERSEN (M.D.) – Family Medicine Physician, NPI 1003810987
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,717 FAMILY PRACTICE in KY
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Provider Addresses for MRS. CHARLOTTE KAY INGWERSEN (M.D.)
Jewish Hospital Medical Plaza, 100, East Liberty Street, Louisville, Jefferson County, Kentucky, 40202, United States
SUITE 800
LOUISVILLE, KY 402021434
Phone: (502) 543-4119
Fax: (502) 543-1462
Type: Mailing
Adam Shepherd Parkway, Shepherdsville, Bullitt County, Kentucky, 40165, United States
SHEPHERDSVILLE, KY 401657500
Phone: (502) 543-4119
Fax: (502) 543-1462
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 306 Open Payments records for all available years, with a total value of $4,162.
Total Amount is formed as General ($4,162) + Research ($0) + Ownership ($0) = $4,162.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($853).
Total Amount
$4,162
General + Research + Ownership
Payments
306
Total payment records
General Amount
$4,162
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $853 |
| Amgen Inc. | $521 |
| PFIZER INC. | $482 |
| Novo Nordisk Inc | $421 |
| Lilly USA, LLC | $191 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-12-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051213000314 | I | Family Practice | KY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 427 | 171 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 160 | 97 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 108 | 108 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 95 | 21 | $0 |
| G0008 | Administration of influenza virus vaccine | 57 | 56 | $0 |
Insurance plans in this area (ZIP 40202)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | KY | |
| - | KY | |
| - | KY | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| O P H T H A L M O L O G Y | KY | |
| Certified Registered Nurse Anesthetist (Crna) | KY |
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