Prescott Plastic Surgery & Med Spa PLLC
NPI 1124125497 · Plastic and Reconstructive Surgery Physician · Louisville, KY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prescott Plastic Surgery & Med Spa PLLC is a Plastic and Reconstructive Surgery Physician organization in Louisville, KY (NPI 1124125497).
Provider details
- NPI number
- 1124125497
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Angela Prescott, Owner/ Provider(502) 589-8000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Joseph C Banis Jr, PLLC
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2025-11-19
- Certified
- 2025-11-19
Frequently asked questions
- What is Prescott Plastic Surgery & Med Spa PLLC's NPI number?
- Prescott Plastic Surgery & Med Spa PLLC's National Provider Identifier (NPI) is 1124125497, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prescott Plastic Surgery & Med Spa PLLC?
- Prescott Plastic Surgery & Med Spa PLLC is classified in the NPPES registry as Plastic and Reconstructive Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Prescott Plastic Surgery & Med Spa PLLC located?
- Prescott Plastic Surgery & Med Spa PLLC's practice location on file with NPPES is 2507 Bush Ridge Dr Ste B, Louisville, KY 40245-5885.
- What is Prescott Plastic Surgery & Med Spa PLLC's phone number?
- The practice phone number listed in the NPPES registry for Prescott Plastic Surgery & Med Spa PLLC is (502) 589-8000.
- Does Prescott Plastic Surgery & Med Spa PLLC accept Medicare?
- Prescott Plastic Surgery & Med Spa PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Prescott Plastic Surgery & Med Spa PLLC?
- The authorized official listed on Prescott Plastic Surgery & Med Spa PLLC's NPPES record is Angela Prescott, Owner/ Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prescott Plastic Surgery & Med Spa PLLC's NPI active?
- Yes — Prescott Plastic Surgery & Med Spa PLLC's NPI (1124125497) is active in the NPPES registry as of the last update on 2025-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.