DR. JAMES HUSTON M.D.
NPI 1164789020
Orthopaedic Surgery in Lawrence, KS

Q: What is James Huston's NPI number?

The NPI number for James Huston is 1164789020. It was assigned to this individual provider in the NPPES registry on April 17, 2012.

Q: What is James Huston'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 Huston was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 17, 2012PECOS EnrolledAccepts Medicare Assignment

85.39/100

CMS Quality Rating

6265 ROCK CHALK DR, SUITE 1500, LAWRENCE, KS 66049(785) 843-9125(785) 505-5312 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 4, 2024, Nov 23, 2020, Sep 30, 2020 and 1 more (4 updates tracked since 2018).

On this page

About Dr. James Huston M.d. NPPES

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

DR. JAMES HUSTON M.D. (NPI 1164789020) is an individual orthopaedic surgery provider in Lawrence, Kansas, licensed in Kansas (0441314) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Ottawa, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2012).

NPPES Registry Identity

NPI1164789020

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. JAMES HUSTONCredential: M.D.

Location Address6265 ROCK CHALK DR, SUITE 1500Lawrence, KS 66049

Mailing Address325 Maine Street, Mso LibraryLawrence, KS 66044 · (785) 505-2988 · Fax (785) 505-5228

Phone(785) 843-9125

Fax(785) 505-5312

Sole ProprietorNo

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2012

Enumeration DateApril 17, 2012

Last NPPES UpdateSeptember 4, 20244 updates tracked since enumeration

NPPES CertifiedAugust 29, 2024

✔ NPI 1164789020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in KS · 0441314

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.

6265 ROCK CHALK DR, Lawrence, KS 66049

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware 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

Dr. James Huston 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 ID4587968920

PECOS Enrollment IDI20180904000693

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

Medicare enrollment records show James Huston reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lawrence Physicians LLC

Same address

Surgery

6265 ROCK CHALK DR, SUITE 2400
Lawrence, KS 66049

Reassigned Medicare billing, Kansas enrollment
281 clinicians in this Medicare group

NPI 1528603719 (785) 505-3715

Newman Memorial County Hospital

60 mi

Emergency Medicine

1201 W 12TH AVE
Emporia, KS 66801

Reassigned Medicare billing, Kansas enrollment
Also billed through NPI 1245643576 (Kansas)
86 clinicians in this Medicare group

NPI 1457379273 (620) 343-6800

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 17

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

760 services69 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.

226 services203 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

205 services154 patients

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.

203 services178 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

154 services124 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

154 services142 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.

126 services99 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

70 services68 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

68 services64 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.

50 services50 patients

Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose J7323

Hyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.

36 services21 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

20 services20 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

20 services20 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.

17 services17 patients

Treatment of broken neck of thigh bone with bone implant 27245

This procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.

12 services11 patients

Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement 27236

This procedure involves treating a fracture at the top of your thigh bone. A stabilizing device or prosthetic replacement is placed to aid in healing. This helps restore mobility and function while reducing pain. The treatment aims for a quick and safe recovery.

11 services11 patients

Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426

Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Adventhealth Ottawa

Acute Care Hospitals · Ottawa, KS

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number170014

Location1301 S Main StreetOttawa, KS 66067 · Franklin County

Birthing friendly

Lmh

Acute Care Hospitals · Lawrence, KS

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number170137

Location325 Maine StreetLawrence, KS 66044 · Douglas County

Emergency services Birthing friendly

Allen County Regional Hospital

Critical Access Hospitals · Iola, KS

OwnershipGovernment - State

CMS Certification Number171373

Location3066 North Kentucky StreetIola, KS 66749 · Allen County

Emergency services

Newman Regional Health

Critical Access Hospitals · Emporia, KS

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number171384

Location1201 West 12th AvenueEmporia, KS 66801 · Lyon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66049 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$66.40 typical visit price

range $16.88 – $132.11

Typical copayment $16.60 (range $4.22 – $33.02)

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.

85.39/100

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

Scored as part of a group practice

Quality

81.44

Promoting Interoperability

100

Improvement Activities

Cost

69.88

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)

Lower rates are better for this measure.

0.03%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Knee orthosis, elastic with joints, prefabricated, off-the-shelf L1812

DME-Orthotic Devices · category DF011N

2 suppliers19 claims19 services$60.28 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.

EMILY NICOLE HERONEMUS DO

Family Medicine (Sports Medicine)

6265 ROCK CHALK DR, SUITE 1500
LAWRENCE, KS 66049

Douglas County (785) 843-9125

DR. JENNIFER BIHLMAIER DO

Family Medicine

6265 ROCK CHALK DR, SUITE 1100
LAWRENCE, KS 66049

Douglas County (785) 842-5070

HEATHER N EICHMAN LSCSW

Social Worker (Clinical)

6265 ROCK CHALK DR
LAWRENCE, KS 66049

Douglas County (913) 327-7505

THOMAS R. MARCELLINO SR. MD

Family Medicine

6265 ROCK CHALK DR, SUITE 1100
LAWRENCE, KS 66049

Douglas County (785) 842-5070

DR. JOHN DONALD GALLIGAN M.D.

Orthopaedic Surgery (Foot and Ankle Surgery)

6265 ROCK CHALK DR, SUITE 1500
LAWRENCE, KS 66049

Douglas County (785) 843-9125

KATHRYN R GOTTFRIED RANDALL O.T.

Occupational Therapist

6265 ROCK CHALK DR
LAWRENCE, KS 66049

Douglas County (785) 838-7885

DR. JENNIFER ANDREA HAWASLI MD

Surgery (Surgical Oncology)

6265 ROCK CHALK DR, SUITE 2400
LAWRENCE, KS 66049

Douglas County (785) 505-3715

JENNIFER MARIE ROHAUS APRN

Nurse Practitioner (Psychiatric/Mental Health)

6265 ROCK CHALK DR
LAWRENCE, KS 66049

Douglas County (913) 327-7505

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 Huston's NPI number?

The NPI number for James Huston is 1164789020. It was assigned to this individual provider in the NPPES registry on April 17, 2012.

Where is James Huston located?

James Huston practices at 6265 Rock Chalk Dr Suite 1500, Lawrence, KS 66049. The listed phone number is (785) 843-9125.

What is James Huston's specialty?

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

Is James Huston enrolled in Medicare?

Yes. James Huston 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 Huston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Huston reassigns Medicare benefits to 2 organizations: Lawrence Physicians LLC (Lawrence, KS) and Newman Memorial County Hospital (Emporia, KS). 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 Huston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Huston accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas City and 3 other insurers list James Huston 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 Huston affiliated with any hospitals?

According to CMS data, James Huston is affiliated with Adventhealth Ottawa, Lmh, Allen County Regional Hospital and Newman Regional Health.

When was this NPI record last updated?

The NPPES record for James Huston was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.