JAMES DEREK SWORD DO
NPI 1356751929
Family Medicine in Pikeville, KY

Q: What is James Sword's NPI number?

The NPI number for James Sword is 1356751929. It was assigned to this individual provider in the NPPES registry on May 5, 2014.

Q: What is James Sword'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 Sword was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.

Active since May 05, 2014PECOS EnrolledAccepts Medicare Assignment

80.89/100

CMS Quality Rating

911 BYPASS ROAD, PIKEVILLE MEDICAL CENTER RESIDENCY PROGRAM, PIKEVILLE, KY 41501(606) 218-3985(606) 218-4620 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About James Derek Sword Do NPPES

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

JAMES DEREK SWORD DO (NPI 1356751929) is an individual family medicine provider in Pikeville, Kentucky, licensed in Kentucky (04006) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Lexington, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1356751929

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJAMES DEREK SWORDCredential: DO

Location Address911 BYPASS ROAD, PIKEVILLE MEDICAL CENTER RESIDENCY PROGRAMPikeville, KY 41501

Mailing Address911 Bypass Road, Pikeville Medical Center Residency ProgramPikeville, KY 41501 · (606) 218-3985 · Fax (606) 218-4620

Phone(606) 218-3985

Fax(606) 218-4620

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMay 5, 2014

Last NPPES UpdateSeptember 23, 2025

NPPES CertifiedSeptember 23, 2025

✔ NPI 1356751929 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 · 04006

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.

911 BYPASS ROAD, Pikeville, KY 41501

Open in Google Maps ↗

Secondary Practice Location 1

Location 11221 S BroadwayLexington, KY 40504-2701 · Phone (859) 258-4000

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

James Derek Sword Do 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 ID7517251689

PECOS Enrollment IDI20160811002810

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 3

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

64 services61 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

62 services59 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41501 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.

80.89/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

62.29

Promoting Interoperability

100

Improvement Activities

Cost

Referred Medical Equipment & Supplies CMS DME claims

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

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier28 claims28 services$2.90 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 6

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

MS. CIARA MARY FERGUSON RD,LD

Dietitian, Registered

911 BYPASS ROAD
PIKEVILLE, KY 41501

Pike County (606) 218-3500

MR. MICHAEL A. SCROGGINS CRNA

Nurse Anesthetist, Certified Registered

911 BYPASS ROAD
PIKEVILLE, KY 41501

Pike County (606) 218-3500

DR. WILLIAM SAMUEL LEIGHTON D.O.

Anesthesiology

911 BYPASS ROAD, DEPARTMENT OF ANESTHESIOLOGY
PIKEVILLE, KY 41501

Pike County (606) 218-3500

PIKEVILLE MEDICAL CENTER INC.

Pharmacy (Specialty Pharmacy)

911 BYPASS ROAD, BUILDING E SUITE 2
PIKEVILLE, KY 41501

Pike County (606) 218-3576

GINA DIANA ARNP

Nurse Practitioner (Adult Health)

911 BYPASS ROAD, 5TH FLOOR ELLIOTT BUILDING
PIKEVILLE, KY 41501

Pike County (606) 218-2217

ESTHER LEE GRECO D.O.

Family Medicine

911 BYPASS ROAD, PIKEVILLE MEDICAL CENTER RESIDENCY PROGRAM
PIKEVILLE, KY 41501

Pike County (606) 218-3985

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 Sword's NPI number?

The NPI number for James Sword is 1356751929. It was assigned to this individual provider in the NPPES registry on May 5, 2014.

Where is James Sword located?

James Sword practices at 911 Bypass Road Pikeville Medical Center Residency Program, Pikeville, KY 41501. The listed phone number is (606) 218-3985.

What is James Sword's specialty?

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

Is James Sword enrolled in Medicare?

Yes. James Sword 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 Sword accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list James Sword 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 Sword was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.