DR. JAMES KEVIN HOLBROOK MD
NPI 1235551680
Family Medicine in Stanton, KY

Q: What is James Holbrook's NPI number?

The NPI number for James Holbrook is 1235551680. It was assigned to this individual provider in the NPPES registry on January 19, 2014.

Q: What is James Holbrook's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for James Holbrook was last updated on April 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 19, 2014PECOS EnrolledAccepts Medicare Assignment

68 E ELKINS ST, STANTON, KY 40380(606) 663-2511(859) 498-8160 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 7, 2026, Nov 11, 2020 (2 updates tracked since 2020).

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About Dr. James Kevin Holbrook Md NPPES

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

DR. JAMES KEVIN HOLBROOK MD (NPI 1235551680) is an individual family medicine provider in Stanton, Kentucky, licensed in Kentucky (27278) and active in the NPI registry since January 2014. He is enrolled in Medicare PECOS, is affiliated with Clark Regional Medical Center, and is a graduate of University Of Kentucky College Of Medicine (1989).

NPPES Registry Identity

NPI1235551680

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JAMES KEVIN HOLBROOKCredential: MD

Location Address68 E ELKINS STStanton, KY 40380-2311

Mailing Address68 E Elkins StStanton, KY 40380-2311 · (606) 663-2511 · Fax (859) 498-8160

Phone(606) 663-2511

Fax(859) 498-8160

Sole ProprietorNo

Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1989

Enumeration DateJanuary 19, 2014

Last NPPES UpdateApril 7, 20262 updates tracked since enumeration

NPPES CertifiedApril 7, 2026

✔ NPI 1235551680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in KY · 27278

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

68 E ELKINS ST, Stanton, KY 40380

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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 from Home State Health, Ambetter Health and more.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 Kevin Holbrook 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 ID2365661436

PECOS Enrollment IDI20140923000595

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 2

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.

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

42 services19 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

22 services20 patients

Hospital Affiliations CMS Care Compare

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

Clark Regional Medical Center

Acute Care Hospitals · Winchester, KY

3/5 CMS rating

OwnershipProprietary

CMS Certification Number180092

Location175 Hospital DriveWinchester, KY 40391 · Clark County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40380 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.

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.

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment

0%41 patients

Breast Cancer Screening

63%182 patients3/55-star benchmark: 93%

Cervical Cancer Screening

51%265 patients3/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

57%220 patients3/55-star benchmark: 87%

Colorectal Cancer Screening

63%438 patients3/55-star benchmark: 88%

Controlling High Blood Pressure

78%298 patients4/55-star benchmark: 91%

Diabetes: Eye Exam

13%150 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

10%150 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

98%2,521 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

5%257 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

65%872 patients3/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

89%723 patients4/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 88% · 760 patients

Patients screened: 93% · 760 patients

76%190 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

84%211 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 4% · 248 patients

Patients totalRate: 22% · 266 patients

21%266 patients2/55-star benchmark: 100%

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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier15 claims15 services$19.92 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier15 claims15 services$111.65 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 11

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

KENTUCKY HOSPITAL, LLC

Clinic/Center (Physical Therapy)