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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. JAMES RADFORD WEST JR. M.D.
NPI 1144206392
Family Medicine in Barbourville, KY

Active since December 20, 2005PECOS Enrolled
97.4/100
CMS Quality Rating
602 KNOX ST, BARBOURVILLE, KY 40906(606) 546-6027(606) 546-2084 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 4, 2026, Jul 13, 2026 (2 updates tracked since 2026).

About Mr. James Radford West Jr. M.d. NPPES

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

MR. JAMES RADFORD WEST JR. M.D. (NPI 1144206392) is an individual family medicine provider in Barbourville, Kentucky, licensed in Kentucky (35035) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Hazard Arh Regional Medical Center, and is a graduate of University Of Louisville School Of Medicine (1998).

NPPES Registry Identity

NPI1144206392
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. JAMES RADFORD WEST JR.Credential: M.D.
Location Address602 KNOX STBarbourville, KY 40906-1304
Mailing Address602 Knox StBarbourville, KY 40906-1304 · (606) 546-6027 · Fax (606) 546-2084
Phone(606) 546-6027
Fax(606) 546-2084
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1998
Enumeration DateDecember 20, 2005
Last NPPES UpdateAugust 4, 20262 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
✔ NPI 1144206392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 35035
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
602 KNOX ST, Barbourville, KY 40906
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Other Identifiers 3

Other080181882KY · Rr Medicare
Other000000237346KY · Bcbs
Medicaid64063084KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

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

Mr. James Radford West Jr. 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 ID2961530183
PECOS Enrollment IDI20100510000364
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 7

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
98 services88 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
98 services46 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
77 services71 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
53 services23 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
33 services15 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Hazard Arh Regional Medical Center

Acute Care Hospitals · Hazard, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180029
Location100 Medical Center DriveHazard, KY 41701 · Perry County
Emergency services Birthing friendly

Knox County Hospital

Critical Access Hospitals · Barbourville, KY
OwnershipGovernment - Local
CMS Certification Number181328
Location80 Hospital DriveBarbourville, KY 40906 · Knox County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40906 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
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
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.

97.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.55
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
3 suppliers11 claims20 services$2.00 avg. paid by Medicare
Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers14 claims14 services$63.10 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
1 supplier11 claims11 services$76.19 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier16 claims16 services$66.62 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers147 claims147 services$19.13 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
3 suppliers51 claims51 services$916.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

PAUL CHRISTEN PEDERSEN M.D.
General Practice
602 KNOX ST
BARBOURVILLE, KY 40906
Knox County (606) 546-6027
MICHELLE LOUISE BROUGHTON APRN
Nurse Practitioner
602 KNOX ST
BARBOURVILLE, KY 40906
Knox County (606) 546-6027
AMANDA L HERRELL DO
Family Medicine
602 KNOX ST
BARBOURVILLE, KY 40906
Knox County (606) 546-6027
BAPTIST HEALTH MEDICAL GROUP INC
Clinic/Center (Rural Health)
602 KNOX ST
BARBOURVILLE, KY 40906
Knox County (606) 546-6027
MRS. CYNTHIA GOODIN APRN
Nurse Practitioner (Family)
602 KNOX ST
BARBOURVILLE, KY 40906
Knox County (606) 546-6027
KATHLEEN P. FLYNN PA-C
Physician Assistant
602 KNOX ST, KNOX FAMILY MEDICINE
BARBOURVILLE, KY 40906
Knox County (606) 546-6027
MRS. ANNE HUI PEDERSEN P.T.
Physical Therapist
602 KNOX ST
BARBOURVILLE, KY 40906
Knox County (606) 546-6027
KNOX FAMILY MEDICINE PSC
Family Medicine
602 KNOX ST
BARBOURVILLE, KY 40906
Knox County (606) 546-6027

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James West's NPI number?

The NPI number for James West is 1144206392. It was assigned to this individual provider in the NPPES registry on December 20, 2005.

Where is James West located?

James West practices at 602 Knox St, Barbourville, KY 40906. The listed phone number is (606) 546-6027.

What is James West's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James West enrolled in Medicare?

Yes. James West is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does James West accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list James West as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James West affiliated with any hospitals?

According to CMS data, James West is affiliated with Hazard Arh Regional Medical Center and Knox County Hospital.

When was this NPI record last updated?

The NPPES record for James West was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.