Active NPI 1699817429 Individual Practitioner Male Practitioner

Dr. John Samuel Oldham , MD

Surgery • Louisville, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Oldham, MD is a certified Surgery practicing in Louisville, KY. With approximately 31 years of clinical experience since graduating from University Of Louisville School Of Medicine in 1995, Dr. Oldham delivers high-quality medical care to the local community at 950 BRECKENRIDGE LN STE 10.

Dr. Oldham is affiliated with Baptist Health Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, stomach reduction procedure with partial removal of stomach using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

950 Breckenridge Ln Ste 10

Louisville, KY 402075931

Telephone 5028949499

Fax 5028949595

Medicare Profile & Education

Medical School

University Of Louisville School Of Medicine

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Louisville, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +10.3 yrs vs City Avg

City Avg: 20.7 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

114 Specialists

Practicing in Louisville, KY (495 Statewide)

Telehealth Adoption Rate

3.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Oldham (31 Years) 31 Yrs

Louisville Specialty Average (20.7 Years) 20.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	19	$243.00	$115.62
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	21	20	$297.00	$85.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	19	$343.00	$141.41
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	13	13	$5000.00	$1023.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	28	$343.00	$154.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	22	$243.00	$111.68
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	25	25	$297.00	$108.71
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	22	22	$4818.18	$944.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	30	$218.40	$119.31
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	25	25	$484.00	$105.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	25	$298.20	$167.16
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	23	23	$5000.00	$849.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	38	38	$572.00	$131.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	27	$202.00	$119.06
99213 Established patient office or other outpatient visit, typically 15 minutes	32	26	$137.00	$85.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	22	$273.00	$166.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$202.00	$104.06
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	15	15	$4733.33	$814.78
43774 Removal of stomach reduction device and port beneath the skin using an endoscope	14	14	$2083.00	$940.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	36	$202.00	$99.42
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	30	29	$572.00	$129.87
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	24	$273.00	$136.05
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	24	24	$5000.00	$899.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	49	$202.00	$101.23
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	38	38	$273.00	$131.98
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	37	37	$572.00	$124.43
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	25	25	$5000.00	$996.70
43245 Dilation of stomach outlet using an endoscope	12	11	$390.00	$146.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	61	43	$136.23	$66.00
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	45	43	$503.76	$121.91
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	34	$273.62	$116.58
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	29	29	$5000.00	$973.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$202.25	$100.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$310.80	$146.95
43774 Removal of stomach reduction device and port beneath the skin using an endoscope	13	13	$2086.38	$925.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	49	33	$136.00	$64.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	35	35	$274.00	$132.82
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	28	28	$489.00	$119.52
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	26	26	$5000.00	$1026.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$311.00	$145.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$203.00	$100.29

Medical Specialties & State Licenses

CMS Verified: 2024-05-31

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License KY 35422

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Baptist Health Medical Group Inc

1023 New Moody Lane, La Grange, KY 400319182

Phone: 5022226008

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Carolyn Thomas , RD, LD

Dietitian, Registered

NPI 1104004043

Registered Dietitian, Licensed Dietitian

Rebecca Lockhart , ARNP

Nurse Practitioner

NPI 1174521660

Advanced Registered Nurse Practitioner

Allison Spalding , APRN

Nurse Practitioner - Family

NPI 1851833206

Advanced Practice Registered Nurse

Sarah Smith , APRN

Nurse Practitioner - Acute Care

NPI 1932489978

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location May 31, 2024

Registered at 950 BRECKENRIDGE LN STE 10, LOUISVILLE, KY 402075931 (Tel: 5028949499)

📍

Updated Business Mailing Address May 31, 2024

Registered at 950 BRECKENRIDGE LN STE 10, LOUISVILLE, KY 402075931 (Tel: 5028949499)

✅

NPI Profile Active January 26, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location January 26, 2015

Registered at 3900 KRESGE WAY, SUITE 42, LOUISVILLE, KY 402074660 (Tel: 5028949499)

📍

Updated Business Mailing Address January 26, 2015

Registered at PO BOX 950248, LOUISVILLE, KY 402950248 (Tel: 5024895730)

👤

Provider Name / Credentials Updated January 26, 2015

Recorded as JOHN OLDHAM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2015

Surgery (License #35422 in KY)

🟢

Initial NPI Registration & Enumeration February 12, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699817429

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 12, 2007

Last Update: May 31, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

950 Breckenridge Ln Ste 10

Louisville, KY 402075931

Phone: 5028949499

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.