DR. DOUGLAS MICHAEL JR. ANSERT (M.D.) – Internal Medicine Physician, NPI 1699017038

DR. DOUGLAS MICHAEL JR. ANSERT (M.D.) is a healthcare provider. based in Louisville, Kentucky. specializing in INTERNAL MEDICINE, PEDIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. 49861 (KY). The NPI Number for DR. DOUGLAS MICHAEL JR. ANSERT (M.D.) is 1699017038

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. DOUGLAS MICHAEL JR. ANSERT (M.D.)
NPI
1699017038
Phone
(502) 852-4277
Address
550 S JACKSON ST
Enumeration Date
25 March 2013
Last Update Date
28 June 2021

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
2703512323
Graduation Year
2013 (13 years ago)
PAC ID
4284949546
Group Practice PAC ID
5597867184
Professional Enrollment ID
I20170907001835
Address ID
KY401609111RA75XXXTRLX302
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

2,216 INTERNAL MEDICINE in KY

Provider Addresses for DR. DOUGLAS MICHAEL JR. ANSERT (M.D.)

  • 550 S JACKSON ST

    LOUISVILLE, KY 402021622

    Phone: (502) 852-4277

    Type: Mailing

  • 75 NATURE TRL STE 3

    RADCLIFF, KY 401609187

    Phone: (270) 351-2323

    Fax: (270) 351-8031

    Type: Location

  • 596 WESTPORT RD STE 101

    ELIZABETHTOWN, KY 427012998

    Phone: (270) 769-6888

    Fax: (270) 769-9199

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 35 Open Payments records for all available years, with a total value of $666.

Total Amount is formed as General ($666) + Research ($0) + Ownership ($0) = $666.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($114).

Total Amount

$666

General + Research + Ownership

Payments

35

Total payment records

General Amount

$666

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2017-09-07

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
I20170907001835IInternal MedicineKYTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes462196$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit152152$0
G0008Administration of influenza virus vaccine9390$0
90662Influenza vaccine split virus, preservative free7673$0
0124AAdm sarscv2 bvl 30mcg/.3ml a7271$0
View full utilization report →

Insurance plans in this area (ZIP 40202)

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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: 5597867184View full group profile
NameSpecialtyState
Nurse PractitionerKY
-KY
-KY
General PracticeKY
P S Y C H I A T R YKY
Thoracic Surgery, Cardiac SurgeryKY
N E U R O S U R G E R YKY
Physician AssistantKY
Emergency Medicine, General PracticeKY
Hematology/Oncology, Internal MedicineKY

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. DOUGLAS MICHAEL JR. ANSERT (M.D.)?
DR. DOUGLAS MICHAEL JR. ANSERT (M.D.) — NPI 1699017038 — is the standard way to identify this listing.
Does CMS list DR. DOUGLAS MICHAEL JR. ANSERT (M.D.) as active?
Yes — DR. DOUGLAS MICHAEL JR. ANSERT (M.D.) is active in the NPI listing used on this page.
What taxonomy line describes DR. DOUGLAS MICHAEL JR. ANSERT (M.D.)?
For research purposes, treat DR. DOUGLAS MICHAEL JR. ANSERT (M.D.) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. DOUGLAS MICHAEL JR. ANSERT (M.D.)?
DR. DOUGLAS MICHAEL JR. ANSERT (M.D.)'s geographic hint is Louisville, Kentucky in our summary view.
Why does DR. DOUGLAS MICHAEL JR. ANSERT (M.D.) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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