JAMES VAN BUREN M.D.
NPI 1235491184
Pediatrics in Lexington, KY

Q: What is James Van Buren's NPI number?

The NPI number for James Van Buren is 1235491184. It was assigned to this individual provider in the NPPES registry on June 15, 2012.

Q: What is James Van Buren's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for James Van Buren was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 15, 2012PECOS Enrolled

2400 GREATSTONE PT, LEXINGTON, KY 40504(859) 257-9800 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Aug 29, 2017, Aug 24, 2016 (3 updates tracked since 2016).

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About James Van Buren M.d. NPPES

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

JAMES VAN BUREN M.D. (NPI 1235491184) is an individual pediatrics provider in Lexington, Kentucky, licensed in Kentucky (49638) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235491184

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameJAMES VAN BURENCredential: M.D.

Location Address2400 GREATSTONE PTLexington, KY 40504-3274

Mailing Address2400 Greatstone PtLexington, KY 40504-3274 · (859) 257-9800

Phone(859) 257-9800

Sole ProprietorNo

Enumeration DateJune 15, 2012

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1235491184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in KY · 49638

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2400 GREATSTONE PT, Lexington, KY 40504

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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 (PECOS)

James Van Buren M.d. 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.

Medicare Billing Reassignment

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

Kentucky Medical Services Foundation, Inc

4.9 mi

Internal Medicine

2333 ALUMNI PARK PLZ, SUITE 200
Lexington, KY 40517

Reassigned Medicare billing, Kentucky enrollment
1,502 clinicians in this Medicare group

NPI 1326091448 (859) 257-7910

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40504 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

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

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.

ROBERT JAY WILDMAN PA-C

Physician Assistant (Medical)