DR. JAMES EDWARD LYNCH M.D.
NPI 1114246840
Surgery in Morehead, KY

Q: What is James Lynch's NPI number?

The NPI number for James Lynch is 1114246840. It was assigned to this individual provider in the NPPES registry on May 20, 2010.

Q: What is James Lynch's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for James Lynch was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 20, 2010PECOS EnrolledAccepts Medicare Assignment

79.84/100

CMS Quality Rating

425 CLINIC DR, MOREHEAD, KY 40351(606) 784-7551(606) 784-1184 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. James Edward Lynch M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAMES EDWARD LYNCH M.D. (NPI 1114246840) is an individual surgery provider in Morehead, Kentucky, licensed in Kentucky (48372) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with St Claire Regional Medical Center, and is a graduate of University Of Texas Medical Branch At Galveston (2010).

NPPES Registry Identity

NPI1114246840

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. JAMES EDWARD LYNCHCredential: M.D.

Location Address425 CLINIC DRMorehead, KY 40351-1077

Mailing Address425 Clinic DrMorehead, KY 40351-1077 · (606) 784-7551 · Fax (606) 784-1184

Phone(606) 784-7551

Fax(606) 784-1184

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2010

Enumeration DateMay 20, 2010

Last NPPES UpdateMarch 7, 2023

✔ NPI 1114246840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in KY · 48372

Definition

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.

425 CLINIC DR, Morehead, KY 40351

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Other Identifiers 2

Medicaid7100268110KY

Other48372KY · State Medical License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James Edward Lynch M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890009831

PECOS Enrollment IDI20150804004328

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

40 services26 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

14 services14 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

14 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Claire Regional Medical Center

Acute Care Hospitals · Morehead, KY

3/5 CMS rating

OwnershipGovernment - Federal

CMS Certification Number180018

Location222 Medical CircleMorehead, KY 40351 · Rowan County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40351 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.84/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

58.43

Promoting Interoperability

Improvement Activities

Cost

71.06

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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ST CLAIRE MEDICAL CENTER INC

Surgery