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

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: February 14, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 14, 2019, Feb 1, 2016 (2 updates tracked since 2016).

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 maintains a secondary practice location in Barbourville.

NPPES Registry Identity

NPI1164443271
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JAMES S BAZZICredential: MD
Location Address3600 CUMBERLAND AVEMiddlesboro, KY 40965-2614
Mailing AddressPo Box 1240, 315 Hospital Drive Ste 4Barbourville, KY 40906 · (606) 546-6624 · Fax (606) 545-9326
Fax(606) 242-1468
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateJuly 22, 2006
Last NPPES UpdateFebruary 14, 20192 updates tracked since enumeration
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

Other Names 1

Former Name (1)Dr. Jamal S Bazzi Md

Secondary Practice Location 1

Location 180 Hospital Dr Ste 2Barbourville, KY 40906-7363 · Phone (606) 545-4460 · Fax (606) 545-4469

Accepted 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
Quality76.55
Promoting Interoperability100
Improvement Activities40

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.

Pharmacist
3600 CUMBERLAND AVE
MIDDLESBORO, KY 40965
Occupational Therapist
3600 CUMBERLAND AVE
MIDDLESBORO, KY 40965
Pediatrics
3600 CUMBERLAND AVE
MIDDLESBORO, KY 40965
Emergency Medicine
3600 CUMBERLAND AVE
MIDDLESBORO, KY 40965
Pharmacist
3600 CUMBERLAND AVE, MIDDLESBORO ARH PHARMACY
MIDDLESBORO, KY 40965
Nurse Anesthetist, Certified Registered
3600 CUMBERLAND AVE
MIDDLESBORO, KY 40965
Hospitalist
3600 CUMBERLAND AVE
MIDDLESBORO, KY 40965
Radiology (Diagnostic Radiology)
3600 CUMBERLAND AVE
MIDDLESBORO, KY 40965

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 February 14, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.