JAMES DONALD HAWTHORNE III M.D.
NPI 1285952283
Psychiatry & Neurology - Psychiatry in Lexington, KY

Active since May 14, 2010PECOS Enrolled
100/100
CMS Quality Rating
245 FOUNTAIN CT, LEXINGTON, KY 40509(859) 494-4624 Get Directions Write a Review

NPPES record last updated: June 23, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James Donald Hawthorne Iii M.d. NPPES

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

JAMES DONALD HAWTHORNE III M.D. (NPI 1285952283) is an individual psychiatry provider in Lexington, Kentucky, licensed in Kentucky (47184) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285952283
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameJAMES DONALD HAWTHORNE IIICredential: M.D.
Location Address245 FOUNTAIN CTLexington, KY 40509-1888
Mailing Address245 Fountain CtLexington, KY 40509-1888 · (859) 494-4624
Sole ProprietorNo
Enumeration DateMay 14, 2010
Last NPPES UpdateJune 23, 2014
NPI 1285952283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in KY · 47184
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
245 FOUNTAIN CT, Lexington, KY 40509

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 Donald Hawthorne Iii 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40509 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
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
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.

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

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.

Psychiatry & Neurology (Psychiatry)
245 FOUNTAIN CT
LEXINGTON, KY 40509
Psychiatry & Neurology (Psychiatry)
245 FOUNTAIN CT
LEXINGTON, KY 40509
Psychiatry & Neurology (Psychiatry)
245 FOUNTAIN CT
LEXINGTON, KY 40509
Counselor (Professional)
245 FOUNTAIN CT
LEXINGTON, KY 40509
Psychologist (Clinical)
245 FOUNTAIN CT
LEXINGTON, KY 40509
Family Medicine
245 FOUNTAIN CT, STE 225
LEXINGTON, KY 40509
Psychiatry & Neurology (Child & Adolescent Psychiatry)
245 FOUNTAIN CT, SUITE 225
LEXINGTON, KY 40509
Pharmacy (Community/Retail Pharmacy)
245 FOUNTAIN CT
LEXINGTON, KY 40509

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 Hawthorne's NPI number?

The NPI number for James Hawthorne is 1285952283. It was assigned to this individual provider in the NPPES registry on May 14, 2010.

Where is James Hawthorne located?

James Hawthorne practices at 245 Fountain Ct, Lexington, KY 40509. The listed phone number is (859) 494-4624.

What is James Hawthorne's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is James Hawthorne enrolled in Medicare?

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

What insurance does James Hawthorne accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list James Hawthorne 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 Hawthorne was last updated on June 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.