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

DR. JAMES S BAZZI MD
NPI 1164443271
Orthopaedic Surgery in Middlesboro, KY

Q: What is James Bazzi's NPI number?

The NPI number for James Bazzi is 1164443271. It was assigned to this individual provider in the NPPES registry on July 22, 2006. The provider is also known as Dr. Jamal S Bazzi MD.

Q: What is James Bazzi's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for James Bazzi was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since July 22, 2006PECOS EnrolledAccepts Medicare Assignment

97.4/100

CMS Quality Rating

3600 CUMBERLAND AVE, MIDDLESBORO, KY 40965(606) 242-1463(606) 242-1468 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 6, 2026, Feb 14, 2019, Feb 1, 2016 (3 updates tracked since 2016).

On this page

About Dr. James S Bazzi Md NPPES

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

DR. JAMES S BAZZI MD (NPI 1164443271) is an individual orthopaedic surgery provider in Middlesboro, Kentucky, licensed in Kentucky (39345) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Middlesboro Arh Hospital, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1164443271

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. JAMES S BAZZICredential: MD

Location Address3600 CUMBERLAND AVEMiddlesboro, KY 40965-2614

Mailing Address2004 Cumberland Ave Ste 100Middlesboro, KY 40965-1385 · (606) 248-3015 · Fax (606) 248-3024

Phone(606) 242-1463

Fax(606) 242-1468

Sole ProprietorNo

Medical School CMSOtherGraduated 1988

Enumeration DateJuly 22, 2006

Last NPPES UpdateAugust 6, 20263 updates tracked since enumeration

NPPES CertifiedAugust 6, 2026

✔ NPI 1164443271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in KY · 39345

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

3600 CUMBERLAND AVE, Middlesboro, KY 40965

Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Jamal S Bazzi Md

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

Dr. James S Bazzi Md 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 ID345286399

PECOS Enrollment IDI20050630000255

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 4

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.

353 services155 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

183 services80 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

114 services114 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.

76 services52 patients

Hospital Affiliations CMS Care Compare 2

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

Middlesboro Arh Hospital

Acute Care Hospitals · Middlesboro, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180020

Location3600 West Cumberland AvenueMiddlesboro, KY 40965 · Bell County

Emergency services Birthing friendly

Harlan Arh Hospital

Acute Care Hospitals · Harlan, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number180050

Location81 Ball Park RoadHarlan, KY 40831 · Harlan County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40965 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.

97.4/100

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

Scored through an Alternative Payment Model

Quality

76.55

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

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

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier12 claims12 services$22.14 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

1 supplier12 claims12 services$9.85 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 20

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

ZACHARY MATTHEW NEVERSTITCH PHARMD

Pharmacist

3600 CUMBERLAND AVE
MIDDLESBORO, KY 40965

Bell County (606) 242-1100

MRS. MELANIE DIANE HARRIS OTR L

Occupational Therapist

3600 CUMBERLAND AVE
MIDDLESBORO, KY 40965

Bell County (606) 242-1427

DEBORAH L. GEVER MD

Pediatrics

3600 CUMBERLAND AVE
MIDDLESBORO, KY 40965

Bell County (606) 242-1100

APPALACHIAN REGIONAL HEALTHCARE, INC.

Emergency Medicine

3600 CUMBERLAND AVE
MIDDLESBORO, KY 40965

Bell County (606) 242-1100

KALI STICKLEY WEAVER PHARM.D.

Pharmacist

3600 CUMBERLAND AVE, MIDDLESBORO ARH PHARMACY
MIDDLESBORO, KY 40965

Bell County (606) 242-1167

ROBERT R HUGHES CRNA

Nurse Anesthetist, Certified Registered

3600 CUMBERLAND AVE
MIDDLESBORO, KY 40965

Bell County (606) 242-1100

COMPREHENSIVE HOSPITALIST SERVICES OF KENTUCKY LLC

Hospitalist

3600 CUMBERLAND AVE
MIDDLESBORO, KY 40965

Bell County (877) 693-5700

ABUL HASHEM MDPC

Radiology (Diagnostic Radiology)

3600 CUMBERLAND AVE
MIDDLESBORO, KY 40965

Bell County (606) 242-1428

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 Bazzi's NPI number?

The NPI number for James Bazzi is 1164443271. It was assigned to this individual provider in the NPPES registry on July 22, 2006. The provider is also known as Dr. Jamal S Bazzi MD.

Where is James Bazzi located?

James Bazzi practices at 3600 Cumberland Ave, Middlesboro, KY 40965. The listed phone number is (606) 242-1463.

What is James Bazzi's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is James Bazzi enrolled in Medicare?

Yes. James Bazzi 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 Bazzi accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list James Bazzi 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 Bazzi affiliated with any hospitals?

According to CMS data, James Bazzi is affiliated with Middlesboro Arh Hospital and Harlan Arh Hospital.

When was this NPI record last updated?

The NPPES record for James Bazzi was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.