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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: October 25, 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
Phone(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
Open in Google Maps ↗

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 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.

Medicare Billing Reassignment

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

Kentucky Medical Services Foundation, Inc
1.6 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 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.

JACOB A BISHOP MD
Psychiatry & Neurology (Psychiatry)
245 FOUNTAIN CT
LEXINGTON, KY 40509
Fayette County (859) 323-6861
ADAM JEFFERY CLARK MD
Psychiatry & Neurology (Psychiatry)
245 FOUNTAIN CT
LEXINGTON, KY 40509
Fayette County (859) 323-6021
JESSICA LIENESCH MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
245 FOUNTAIN CT
LEXINGTON, KY 40509
Fayette County (859) 323-6021
MACKENZIE NICOLE GRAEBE MD
Psychiatry & Neurology (Psychiatry)
245 FOUNTAIN CT
LEXINGTON, KY 40509
Fayette County (858) 323-6021
JESSICA SORRELL LPCC
Counselor (Professional)
245 FOUNTAIN CT
LEXINGTON, KY 40509
Fayette County (859) 323-6021
SHARON TURPIN M.S.
Psychologist (Clinical)
245 FOUNTAIN CT
LEXINGTON, KY 40509
Fayette County (859) 323-6021
DANIELLE MARIE ANDERSON M.D.
Family Medicine
245 FOUNTAIN CT, STE 225
LEXINGTON, KY 40509
Fayette County (859) 323-6021
AMY LYNN MEADOWS M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
245 FOUNTAIN CT, SUITE 225
LEXINGTON, KY 40509
Fayette County (859) 323-6021

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.

Which organization bills Medicare for James Hawthorne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Hawthorne reassigns Medicare benefits to Kentucky Medical Services Foundation, Inc (Lexington, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Hawthorne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Hawthorne accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield 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.