JAMES PATRICK FOUTS III MD
NPI 1215031851
Emergency Medicine in Evansville, IN

Active since September 12, 2006PECOS Enrolled
82.82/100
CMS Quality Rating
600 MARY ST, EVANSVILLE, IN 47747(812) 450-3405(812) 450-3099 Get Directions Write a Review

NPPES record last updated: July 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James Patrick Fouts Iii Md NPPES

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

JAMES PATRICK FOUTS III MD (NPI 1215031851) is an individual emergency medicine provider in Evansville, Indiana, licensed in Indiana (01053587A) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1215031851
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJAMES PATRICK FOUTS IIICredential: MD
Location Address600 MARY STEvansville, IN 47747-0001
Mailing AddressPo Box 3407Evansville, IN 47733-3407 · (812) 450-6815 · Fax (812) 450-6822
Fax(812) 450-3099
Sole ProprietorNo
Enumeration DateSeptember 12, 2006
Last NPPES UpdateJuly 21, 2019
NPI 1215031851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in IN · 01053587A Licensed in KY · 34864
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
600 MARY ST, Evansville, IN 47747

Secondary Practice Location 1

Location 1800 Rose Street, Room M53Lexington, KY 40536-0298 · Phone (859) 323-5908 · Fax (859) 323-8056

Other Identifiers 9

Other000000381078IN · Bcbs - Gateway
Other070163IN · Hamp #
Other1951571IN · First Health #
Other7240252IN · Aetna #
Medicaid64438641KY
Other614066IN · Healthlink #
Medicaid200320890IN
Medicaid323118214 PYE 1IL
Other000000195763IN · Bcbs - Mary Street

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 (PECOS)

James Patrick Fouts Iii Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
367 services359 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
221 services216 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
74 services74 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47747 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
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.

82.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.28
Promoting Interoperability100
Improvement Activities40
Cost45.24

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.

Emergency Medicine
600 MARY ST
EVANSVILLE, IN 47747
Emergency Medicine
600 MARY ST
EVANSVILLE, IN 47747
Nurse Practitioner (Acute Care)
600 MARY ST
EVANSVILLE, IN 47747
Hospitalist
600 MARY ST
EVANSVILLE, IN 47747
Internal Medicine
600 MARY ST
EVANSVILLE, IN 47747
Hospitalist
600 MARY ST
EVANSVILLE, IN 47747
Emergency Medicine
600 MARY ST
EVANSVILLE, IN 47747
Pharmacist
600 MARY ST
EVANSVILLE, IN 47747

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 Fouts's NPI number?

The NPI number for James Fouts is 1215031851. It was assigned to this individual provider in the NPPES registry on September 12, 2006.

Where is James Fouts located?

James Fouts practices at 600 Mary St, Evansville, IN 47747. The listed phone number is (812) 450-3405.

What is James Fouts's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is James Fouts enrolled in Medicare?

Yes. James Fouts is registered in the Medicare PECOS enrollment system.

What insurance does James Fouts accept?

Health plans from CareSource list James Fouts 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.

When was this NPI record last updated?

The NPPES record for James Fouts was last updated on July 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.