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DR. JAMES ROBERT WERKMEISTER M.D.
NPI 1295708857
Family Medicine in Lancaster, KY

Active since February 13, 2006PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
187 FARRA DR, LANCASTER, KY 40444(859) 792-1766(859) 792-1766 Get Directions Write a Review

NPPES record last updated: October 21, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. James Robert Werkmeister M.d. NPPES

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

DR. JAMES ROBERT WERKMEISTER M.D. (NPI 1295708857) is an individual family medicine provider in Lancaster, Kentucky, licensed in Kentucky (29800) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Ephraim Mcdowell Regional Medical Center, and is a graduate of University Of Kentucky College Of Medicine (1992).

NPPES Registry Identity

NPI1295708857
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JAMES ROBERT WERKMEISTERCredential: M.D.
Location Address187 FARRA DRLancaster, KY 40444-8764
Mailing Address187 Farra DrLancaster, KY 40444-8764 · (859) 792-1766 · Fax (859) 792-1793
Phone(859) 792-1766
Fax(859) 792-1766
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1992
Enumeration DateFebruary 13, 2006
Last NPPES UpdateOctober 21, 2010
✔ NPI 1295708857 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 · 29800
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.
187 FARRA DR, Lancaster, KY 40444
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINF88423KY
Medicaid64298003KY
Medicare ID-Type Unspecified0985701KY

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 Robert Werkmeister 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.

PECOS PAC ID840286910
PECOS Enrollment IDI20051114000745
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 6

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
461 services205 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
198 services122 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
74 services58 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
55 services55 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
25 services21 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services19 patients

Hospital Affiliations CMS Care Compare 5

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

Ephraim Mcdowell Regional Medical Center

Acute Care Hospitals · Danville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180048
Location217 South Third StreetDanville, KY 40422 · Boyle County
Emergency services Birthing friendly

Baptist Health Richmond

Acute Care Hospitals · Richmond, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180049
Location801 Eastern BypassRichmond, KY 40475 · Madison County
Emergency services Birthing friendly

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Saint Joseph East

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180143
Location150 North Eagle Creek DriveLexington, KY 40509 · Fayette County
Emergency services Birthing friendly

Ephraim Mcdowell Fort Logan Hospital

Critical Access Hospitals · Stanford, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181315
Location110 Metker TrailStanford, KY 40484 · Lincoln County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40444 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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 11

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers22 claims57 services$6.22 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers17 claims17 services$107.29 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers17 claims48 services$43.27 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers16 claims96 services$3.21 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
6 suppliers29 claims29 services$20.55 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
6 suppliers40 claims40 services$117.70 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 4

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

MADISAN MILLER MD
Internal Medicine
187 FARRA DR
LANCASTER, KY 40444
Garrard County (859) 792-1766
MRS. KELLY J WERKMEISTER PA-C
Physician Assistant (Medical)
187 FARRA DR
LANCASTER, KY 40444
Garrard County (859) 792-1766
BAPTIST HEALTH MEDICAL GROUP INC
Clinic/Center (Rural Health)
187 FARRA DR
LANCASTER, KY 40444
Garrard County (859) 792-1766
LANCASTER PRIMARY CARE PSC
Family Medicine
187 FARRA DR
LANCASTER, KY 40444
Garrard County (859) 792-1797

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 Werkmeister's NPI number?

The NPI number for James Werkmeister is 1295708857. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Where is James Werkmeister located?

James Werkmeister practices at 187 Farra Dr, Lancaster, KY 40444. The listed phone number is (859) 792-1766.

What is James Werkmeister's specialty?

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

Is James Werkmeister enrolled in Medicare?

Yes. James Werkmeister 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 Werkmeister accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list James Werkmeister 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 Werkmeister affiliated with any hospitals?

According to CMS data, James Werkmeister is affiliated with Ephraim Mcdowell Regional Medical Center, Baptist Health Richmond, Baptist Health Lexington, Saint Joseph East and Ephraim Mcdowell Fort Logan Hospital.

When was this NPI record last updated?

The NPPES record for James Werkmeister was last updated on October 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.