SUSAN BERSOT VINCI (M.D.) – Anesthesiology Physician, NPI 1083970347

SUSAN BERSOT VINCI (M.D.) is a healthcare provider. based in Prospect, Kentucky. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 49408 (KY). The NPI Number for SUSAN BERSOT VINCI (M.D.) is 1083970347

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN BERSOT VINCI (M.D.)
NPI
1083970347
Phone
(773) 343-1996
Address
12912 DEER CROSS DR
Enumeration Date
11 April 2012
Last Update Date
27 April 2018

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
5028978100
Graduation Year
2012 (14 years ago)
PAC ID
4385939420
Group Practice PAC ID
0244590305
Professional Enrollment ID
I20160829000417
Address ID
KY402074605LO4000XWAYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

756 ANESTHESIOLOGY in KY

Provider Addresses for SUSAN BERSOT VINCI (M.D.)

  • 12912 DEER CROSS DR

    PROSPECT, KY 400598118

    Phone: (773) 343-1996

    Fax: (000) 000-0000

    Type: Mailing

  • 200 ABRAHAM FLEXNER WAY

    ANESTHESIA DEPARTMENT

    LOUISVILLE, KY 402021886

    Phone: (502) 587-4404

    Fax: (502) 587-4156

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2023-03-10 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2016-08-29

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160829000417IAnesthesiologyKYTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00320Anesthesia for other procedure on neck area (1 year or older)1414$0
00670Anesthesia for extensive surgery on spine1312$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1313$0
View full utilization report →

Insurance plans in this area (ZIP 40059)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244590305View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YIN
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)TN
A N E S T H E S I O L O G YIA

Reviews

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Frequently asked questions

Is there an official ID for SUSAN BERSOT VINCI (M.D.) in U.S. healthcare records?
The official identifier for SUSAN BERSOT VINCI (M.D.) is NPI 1083970347.
Is there an active status for SUSAN BERSOT VINCI (M.D.)?
For scheduling context, SUSAN BERSOT VINCI (M.D.) is shown as active in the registry.
How would a patient describe SUSAN BERSOT VINCI (M.D.)'s focus?
For SUSAN BERSOT VINCI (M.D.), the primary taxonomy reads as Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Where in Kentucky is SUSAN BERSOT VINCI (M.D.) registered?
Use Prospect, Kentucky as the headline location for SUSAN BERSOT VINCI (M.D.) here.
When was this NPI issued?
Enumeration for SUSAN BERSOT VINCI (M.D.) is noted as April 11, 2012 where the registry provides it.

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