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MR. JAMES D HOURIGAN MD
NPI 1215026505
Obstetrics & Gynecology in Danville, KY

Active since October 12, 2006PECOS EnrolledAccepts Medicare Assignment
96.68/100
CMS Quality Rating
333 S 3RD ST, DANVILLE, KY 40422(859) 236-7712(859) 236-7246 Get Directions Write a Review

NPPES record last updated: June 10, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. James D Hourigan Md NPPES

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

MR. JAMES D HOURIGAN MD (NPI 1215026505) is an individual obstetrics & gynecology provider in Danville, Kentucky, licensed in Kentucky (35743) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Ephraim Mcdowell Regional Medical Center, and is a graduate of University Of Kentucky College Of Medicine (1992).

NPPES Registry Identity

NPI1215026505
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameMR. JAMES D HOURIGANCredential: MD
Location Address333 S 3RD STDanville, KY 40422-2016
Mailing AddressPo Box 1080Burkesville, KY 42717-1080 · (270) 864-1472 · Fax (270) 858-4607
Phone(859) 236-7712
Fax(859) 236-7246
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1992
Enumeration DateOctober 12, 2006
Last NPPES UpdateJune 10, 2021
NPPES CertifiedJune 10, 2021
✔ NPI 1215026505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in KY · 35743
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
333 S 3RD ST, Danville, KY 40422
Open in Google Maps ↗

Other Identifiers 3

Other000000344381KY · Anthem Blue Cross & Blue Shield
Medicaid64012214KY
Other35743KY · Medical License Number

Accepted Insurance

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

Mr. James D Hourigan 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 ID1850365818
PECOS Enrollment IDI20040825000017
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 Reassignment

Medicare enrollment records show James Hourigan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ephraim Mcdowell Health Resource, Inc
Same address
Physician Assistant
333 S 3RD ST STE C
Danville, KY 40422
  • Reassigned Medicare billing, Kentucky enrollment
  • 247 clinicians in this Medicare group
NPI 1033044359 (859) 236-8730

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.

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
14 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Ephraim Mcdowell Regional Medical Center

Acute Care Hospitals · Danville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180048
Location217 South Third StreetDanville, KY 40422 · Boyle County
Emergency services Birthing friendly

The James B. Haggin Memorial Hospital

Critical Access Hospitals · Harrodsburg, KY
OwnershipVoluntary non-profit - Other
CMS Certification Number181302
Location464 Linden AvenueHarrodsburg, KY 40330 · Mercer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40422 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
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.

96.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.69
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 17

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

MRS. ANNE E TURCEA MD
Obstetrics & Gynecology
333 S 3RD ST, SUITE A
DANVILLE, KY 40422
Boyle County (859) 236-7712
EPHRAIM MCDOWELL H EALTH RESOURCE,INC
Obstetrics & Gynecology
333 S 3RD ST
DANVILLE, KY 40422
Boyle County (859) 239-2318
DR. DONALD JEFF COVELL M.D.
Orthopaedic Surgery
333 S 3RD ST, SUITE B
DANVILLE, KY 40422
Boyle County (859) 236-8730
MR. MICHAEL W GLOVER MD
Obstetrics & Gynecology
333 S 3RD ST, SUITE A
DANVILLE, KY 40422
Boyle County (859) 236-7712
JEREMY DAVID CAUDILL PA-C
Physician Assistant
333 S 3RD ST, STE B
DANVILLE, KY 40422
Boyle County (859) 236-8730
CUMBERLAND FAMILY MEDICAL CENTER INC
Clinic/Center (Federally Qualified Health Center (FQHC))
333 S 3RD ST, STE A
DANVILLE, KY 40422
Boyle County (859) 236-7712
MADISON KILBY APRN, CNM
Advanced Practice Midwife
333 S 3RD ST
DANVILLE, KY 40422
Boyle County (859) 236-7712
DR. SHELBY T WHITE M.D.
Orthopaedic Surgery
333 S 3RD ST, STE B
DANVILLE, KY 40422
Boyle County (859) 236-8730

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 Hourigan's NPI number?

The NPI number for James Hourigan is 1215026505. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is James Hourigan located?

James Hourigan practices at 333 S 3rd St, Danville, KY 40422. The listed phone number is (859) 236-7712.

What is James Hourigan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is James Hourigan enrolled in Medicare?

Yes. James Hourigan 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 organization bills Medicare for James Hourigan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Hourigan reassigns Medicare benefits to Ephraim Mcdowell Health Resource, Inc (Danville, KY). The 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 Hourigan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Hourigan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list James Hourigan 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 Hourigan affiliated with any hospitals?

According to CMS data, James Hourigan is affiliated with Ephraim Mcdowell Regional Medical Center and The James B. Haggin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for James Hourigan was last updated on June 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.