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JAMES P O'ROURKE MD, FACS, FCCP
NPI 1144226598
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Paducah, KY

Active since June 21, 2005PECOS EnrolledAccepts Medicare Assignment
1532 LONE OAK RD, SUITE 445, PADUCAH, KY 42003(270) 538-5830(270) 538-5835 Get Directions Write a Review

NPPES record last updated: December 16, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About James P O'rourke Md, Facs, Fccp NPPES

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

JAMES P O'ROURKE MD, FACS, FCCP (NPI 1144226598) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Paducah, Kentucky, licensed in Kentucky (28762) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Mercy Health - Lourdes Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1982).

NPPES Registry Identity

NPI1144226598
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameJAMES P O'ROURKECredential: MD, FACS, FCCP
Location Address1532 LONE OAK RD, SUITE 445Paducah, KY 42003-7913
Mailing AddressPo Box 636961Cincinnati, OH 45263-6961 · (513) 981-5130 · Fax (513) 981-5015
Phone(270) 538-5830
Fax(270) 538-5835
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1982
Enumeration DateJune 21, 2005
Last NPPES UpdateDecember 16, 2014
✔ NPI 1144226598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in KY · 28762
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
1532 LONE OAK RD, Paducah, KY 42003
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINA97334KY
Medicaid64287626KY
Medicare PIN00931003KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James P O'rourke Md, Facs, Fccp 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 ID3577642917
PECOS Enrollment IDI20080509000335, I20250609002124
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.

Medicare Billing Reassignments

3

Medicare enrollment records show James O'rourke reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baptist Health Medical Group Inc
1.9 mi
Family Medicine
2605 KENTUCKY AVE, SUITE 306
Paducah, KY 42003
  • Reassigned Medicare billing, Kentucky enrollment
  • Also billed through NPI 1629740774 (Kentucky)
  • 967 clinicians in this Medicare group
NPI 1922401611 (270) 415-7653
Kings Daughters Medical Specialties Inc
325 mi
Physical Medicine & Rehabilitation
1279 OLD ABBOTT MOUNTAIN RD
Prestonsburg, KY 41653
  • Reassigned Medicare billing, Kentucky enrollment
  • 531 clinicians in this Medicare group
NPI 1710215736 (606) 886-1260
Ascension Medical Group-Fox Valley Wisconsin, Inc
493 mi
Multi-Specialty
101 MAIN ST
Neenah, WI 54956
  • Reassigned Medicare billing, Wisconsin enrollment
  • 444 clinicians in this Medicare group
NPI 1730126392 (920) 727-4200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.
13 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Mercy Health - Lourdes Hospital

Acute Care Hospitals · Paducah, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180102
Location1530 Lone Oak RoadPaducah, KY 42003 · Mc Cracken County
Emergency services Birthing friendly

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Chesapeake General Hospital

Acute Care Hospitals · Chesapeake, VA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number490120
Location736 Battlefield Blvd, NorthChesapeake, VA 23320 · Chesapeake City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42003 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
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
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.

Other Providers at the Same Location NPPES 20

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

GARY BODNARCHUK M.D.
Internal Medicine (Gastroenterology)
1532 LONE OAK RD, SUITE 310
PADUCAH, KY 42003
McCracken County (270) 443-0777
DR. STEPHEN W LUIGS MD
Internal Medicine
1532 LONE OAK RD, SUITE G10
PADUCAH, KY 42003
McCracken County (270) 441-0021
ROSS EDWARD JONES MD
Internal Medicine (Gastroenterology)
1532 LONE OAK RD, SUITE 310
PADUCAH, KY 42003
McCracken County (270) 443-0777
LANCE D WILLIAMSON APRN
Nurse Practitioner
1532 LONE OAK RD, SUITE 315
PADUCAH, KY 42003
McCracken County (270) 538-5880
DEBORAH LYNN BRAY APRN
Clinical Nurse Specialist
1532 LONE OAK RD, SUITE 415
PADUCAH, KY 42003
McCracken County (270) 442-0103
NIRANJAN SIVA MD
Psychiatry & Neurology (Neurology)
1532 LONE OAK RD, SUITE 150
PADUCAH, KY 42003
McCracken County (270) 538-6700
MR. WILLIAM E HOGANCAMP M.D.
Psychiatry & Neurology (Neurology)
1532 LONE OAK RD, SUITE 150
PADUCAH, KY 42003
McCracken County (270) 538-6700
DR. PATRICK K ELLISON M.D.
Urology
1532 LONE OAK RD, SUITE 310
PADUCAH, KY 42003
McCracken County (270) 538-6200

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 O'rourke's NPI number?

The NPI number for James O'rourke is 1144226598. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Where is James O'rourke located?

James O'rourke practices at 1532 Lone Oak Rd Suite 445, Paducah, KY 42003. The listed phone number is (270) 538-5830.

What is James O'rourke's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is James O'rourke enrolled in Medicare?

Yes. James O'rourke 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.

Which organizations bill Medicare for James O'rourke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James O'rourke reassigns Medicare benefits to 3 organizations: Baptist Health Medical Group Inc (Paducah, KY), Kings Daughters Medical Specialties Inc (Prestonsburg, KY) and Ascension Medical Group-Fox Valley Wisconsin, Inc (Neenah, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James O'rourke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James O'rourke accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, Molina Healthcare and Network Health list James O'rourke 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 O'rourke affiliated with any hospitals?

According to CMS data, James O'rourke is affiliated with Mercy Health - Lourdes Hospital, Baptist Health Lexington and Chesapeake General Hospital.

When was this NPI record last updated?

The NPPES record for James O'rourke was last updated on December 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.