DR. JAMES E. WHEELER M.D.
NPI 1275537094
Family Medicine in Louisville, KY
About Dr. James E. Wheeler M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAMES E. WHEELER M.D. (NPI 1275537094) is an individual family medicine provider in Louisville, Kentucky, licensed in Kentucky (34850) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Jewish Hospital & St Mary's Healthcare, and is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses
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.
Other Identifiers 3
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 and accepts Medicare assignment
Dr. James E. Wheeler 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.
Areas of Expertise CMS Part B claims 15
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jewish Hospital & St Mary's Healthcare
Acute Care Hospitals · Louisville, KYNorton Hospitals, Inc
Acute Care Hospitals · Louisville, KYBaptist Health Louisville
Acute Care Hospitals · Louisville, KYBaptist Health Lagrange
Acute Care Hospitals · La Grange, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40299 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOUISVILLE, KY 40299
JEFFERSONTOWN, KY 40299
JEFFERSONTOWN, KY 40299
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 Wheeler's NPI number?
The NPI number for James Wheeler is 1275537094. It was assigned to this individual provider in the NPPES registry on June 9, 2005.
Where is James Wheeler located?
James Wheeler practices at 10216 Taylorsville Rd Ste 400, Louisville, KY 40299. The listed phone number is (502) 267-5456.
What is James Wheeler's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is James Wheeler enrolled in Medicare?
Yes. James Wheeler 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.
What insurance does James Wheeler accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list James Wheeler 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 Wheeler affiliated with any hospitals?
According to CMS data, James Wheeler is affiliated with Jewish Hospital & St Mary's Healthcare, Norton Hospitals, Inc, Baptist Health Louisville and Baptist Health Lagrange.
When was this NPI record last updated?
The NPPES record for James Wheeler was last updated on December 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.