Active NPI 1952363566 Individual Practitioner Male Practitioner

Dr. Robert E Darnell , MD

Surgery • Louisville, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Robert Darnell, MD is a certified Surgery practicing in Louisville, KY. With approximately 35 years of clinical experience since graduating from University Of Louisville School Of Medicine in 1991, Dr. Darnell delivers high-quality medical care to the local community at 4123 DUTCHMANS LN.

Dr. Darnell is affiliated with Community Medical Associates Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, initial hospital care with straightforward or low-level medical decision making, if using time, at least, colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4123 Dutchmans Ln
Suite 607

Louisville, KY 40207

Telephone 5028996470

Fax 5028996479

Associated Practice Facility / Clinic

🏢 Louisville General Surgery Pllc Facility NPI 1386606416

Medicare Profile & Education

Medical School

University Of Louisville School Of Medicine

Graduation Year

1991

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

35 Yrs +14.3 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

69.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Darnell (35 Years) 35 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
99231 Follow-up hospital inpatient care per day, typically 15 minutes	186	73	$125.00	$48.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	97	92	$438.00	$129.74
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	60	60	$608.00	$181.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$503.86	$163.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	34	$326.26	$124.71
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	29	29	$838.00	$249.24
99213 Established patient office or other outpatient visit, typically 15 minutes	25	24	$222.96	$88.62
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	18	18	$606.00	$182.50
45380 Biopsy of large bowel using an endoscope	16	16	$660.00	$162.90
47562 Removal of gallbladder using an endoscope	15	15	$2108.00	$656.01
43246 Insertion of stomach tube using a flexible endoscope	14	13	$658.00	$189.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	184	89	$114.18	$47.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	105	103	$399.14	$124.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$467.00	$156.95
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	45	45	$553.00	$174.09
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	36	36	$762.00	$239.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	35	$305.00	$120.09
99213 Established patient office or other outpatient visit, typically 15 minutes	35	27	$207.00	$84.67
45380 Biopsy of large bowel using an endoscope	27	27	$600.00	$118.19
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	17	$1111.00	$85.15
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	14	14	$562.86	$173.80
49505 Repair of groin hernia (5 years or older)	13	12	$1627.23	$516.73
47562 Removal of gallbladder using an endoscope	12	12	$1916.00	$627.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	169	65	$114.00	$36.81
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	80	76	$398.00	$129.14
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	62	61	$553.00	$170.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$467.00	$158.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	38	$305.00	$118.98
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	21	$1111.00	$106.36
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	20	20	$762.00	$243.64
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$207.00	$85.57
45380 Biopsy of large bowel using an endoscope	17	17	$600.00	$176.19
47562 Removal of gallbladder using an endoscope	12	12	$1916.00	$636.86
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$366.00	$95.98
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	11	11	$551.00	$177.11
43246 Insertion of stomach tube using a flexible endoscope	11	11	$598.00	$157.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	245	93	$114.00	$37.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	91	84	$398.00	$131.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$467.00	$159.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	37	$305.00	$120.93
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	34	34	$553.00	$180.26
99221 Initial hospital inpatient care per day, typically 30 minutes	27	24	$295.00	$97.24
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	26	26	$762.00	$246.30
99213 Established patient office or other outpatient visit, typically 15 minutes	22	20	$207.00	$86.86
45380 Biopsy of large bowel using an endoscope	22	22	$600.00	$137.50
43246 Insertion of stomach tube using a flexible endoscope	20	20	$598.00	$153.34
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	17	$1111.00	$112.94
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	15	$366.00	$90.58
49505 Repair of groin hernia (5 years or older)	16	15	$1511.00	$491.41
47562 Removal of gallbladder using an endoscope	15	15	$1916.00	$642.14
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	14	14	$551.00	$179.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$306.00	$106.86
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$553.00	$171.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	163	77	$114.00	$38.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	79	79	$467.00	$154.92
99221 Initial hospital inpatient care per day, typically 30 minutes	72	70	$295.00	$99.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	34	$305.91	$104.07
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	29	29	$553.00	$180.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$398.00	$135.85
43246 Insertion of stomach tube using a flexible endoscope	21	19	$598.00	$151.95
47562 Removal of gallbladder using an endoscope	18	18	$1916.00	$652.29
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	15	15	$762.00	$254.75
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$207.33	$69.28
45380 Biopsy of large bowel using an endoscope	14	14	$600.00	$146.63
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$1111.00	$108.75
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$553.00	$177.02
49505 Repair of groin hernia (5 years or older)	11	11	$1785.73	$562.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	270	107	$114.00	$38.19
99221 Initial hospital inpatient care per day, typically 30 minutes	129	118	$295.00	$97.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	92	92	$467.00	$154.50
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	38	38	$553.00	$181.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	35	$305.00	$103.18
43246 Insertion of stomach tube using a flexible endoscope	31	30	$598.00	$170.13
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	26	25	$762.00	$254.39
45380 Biopsy of large bowel using an endoscope	26	26	$600.00	$131.98
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	21	21	$1111.00	$95.59
47562 Removal of gallbladder using an endoscope	21	21	$1916.00	$597.90
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$366.00	$100.06
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	12	12	$551.00	$176.41
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$553.00	$176.07
49505 Repair of groin hernia (5 years or older)	11	11	$1511.00	$475.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	269	112	$113.00	$37.72
99221 Initial hospital inpatient care per day, typically 30 minutes	120	109	$295.00	$97.27
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	54	54	$628.00	$178.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$468.00	$154.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$305.00	$99.32
99213 Established patient office or other outpatient visit, typically 15 minutes	30	25	$205.00	$68.32
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	28	$210.00	$69.92
43246 Insertion of stomach tube using a flexible endoscope	28	27	$620.00	$188.95
47562 Removal of gallbladder using an endoscope	26	26	$1910.00	$612.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	13	$122.00	$40.71
45380 Biopsy of large bowel using an endoscope	20	20	$751.00	$161.84
45378 Diagnostic exam of large bowel using a flexible endoscope	17	17	$628.00	$169.01
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	15	15	$628.00	$180.79
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	14	14	$892.00	$242.52
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	12	$387.00	$83.63
44120 Partial removal of small bowel	11	11	$3575.00	$1019.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	187	89	$210.00	$68.99
99221 Initial hospital inpatient care per day, typically 30 minutes	107	100	$295.00	$96.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	107	107	$305.00	$98.96
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	34	34	$628.00	$180.68
99213 Established patient office or other outpatient visit, typically 15 minutes	32	31	$205.00	$67.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$398.00	$130.78
43246 Insertion of stomach tube using a flexible endoscope	25	25	$620.00	$164.82
45378 Diagnostic exam of large bowel using a flexible endoscope	23	23	$628.00	$162.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	16	$122.00	$40.09
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	22	22	$892.00	$249.93
47562 Removal of gallbladder using an endoscope	20	20	$1910.00	$620.42
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	18	$697.89	$110.60
49505 Repair of groin hernia (5 years or older)	13	13	$1505.00	$476.75
45380 Biopsy of large bowel using an endoscope	13	13	$751.00	$169.25
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	12	12	$628.00	$180.11
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$387.00	$81.90

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License KY 32076

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

64320765 (KY)

Hospital & Practice Group Affiliations

Community Medical Associates Inc

4950 Norton Healthcare Blvd, Louisville, KY 402412848

Community Medical Associates Inc

4960 Norton Healthcare Blvd, Louisville, KY 402412831

Phone: 5024468125

Community Medical Associates Inc

825 Barret Ave, Louisville, KY 402041743

Phone: 5022725165

Practice Associates & Co-Workers

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

8 Associated Practitioners

Neteka Brock

Specialist/Technologist, Other - Surgical Assistant

NPI 1023955424

Kelly Joy , PA-C

Physician Assistant

NPI 1144554957

Physician Assistant (Certified)

Dr. Robert Deweese , MD

Surgery

NPI 1174585707

Doctor of Medicine (M.D.)

Dr. Jeffrey Howard , MD, MBA, MPH

Surgery

NPI 1386062131

Doctor of Medicine (M.D.), Master of Business Administration, Master of Public Health

Dr. Gregory Strothman , MD

Surgery

NPI 1396708715

Doctor of Medicine (M.D.)

Alissa Doll

Surgery - Surgical Oncology

NPI 1548793219

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 09, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 09, 2016

Registered at 4123 DUTCHMANS LN, SUITE 607, LOUISVILLE, KY 40207 (Tel: 5028996470)

📍

Updated Business Mailing Address July 09, 2016

Registered at PO BOX 776351, CHICAGO, IL 606776351 (Tel: 5025889490)

👤

Provider Name / Credentials Updated July 09, 2016

Recorded as ROBERT DARNELL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2016

Surgery (License #32076 in KY)

🟢

Initial NPI Registration & Enumeration April 06, 2006

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: 1952363566

Entity Type:

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

Enumeration Date: April 06, 2006

Last Update: July 09, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 776351

Chicago, IL 606776351

Phone: 5025889490

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.