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DR. JAMES DERRICK ADAMS M.D.
NPI 1497940753
Family Medicine in London, KY

Active since September 10, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1406 W 5TH ST, STE 201, LONDON, KY 40741(606) 330-2377(606) 330-2369 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James Derrick Adams M.d. NPPES

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

DR. JAMES DERRICK ADAMS M.D. (NPI 1497940753) is an individual family medicine provider in London, Kentucky, licensed in Kentucky (43263) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Knox County Hospital, and is a graduate of University Of Louisville School Of Medicine (2007).

NPPES Registry Identity

NPI1497940753
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JAMES DERRICK ADAMSCredential: M.D.
Location Address1406 W 5TH ST, STE 201London, KY 40741-1688
Mailing Address740 E Laurel RdLondon, KY 40741-8601 · (606) 330-3404 · Fax (606) 330-2369
Phone(606) 330-2377
Fax(606) 330-2369
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2007
Enumeration DateSeptember 10, 2007
Last NPPES UpdateJanuary 18, 2023
NPPES CertifiedJanuary 18, 2023
✔ NPI 1497940753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 43263
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 43263 (KY)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 43263 (KY)
1406 W 5TH ST, London, KY 40741
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Other Identifiers 1

Medicaid7100102930KY

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 Derrick Adams 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 ID7517006828
PECOS Enrollment IDI20091130000234
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
46 services15 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services18 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.
16 services16 patients
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.
13 services13 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Knox County Hospital

Critical Access Hospitals · Barbourville, KY
OwnershipGovernment - Local
CMS Certification Number181328
Location80 Hospital DriveBarbourville, KY 40906 · Knox County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40741 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 14

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

ROBIN R HOUSE APRN NP
Nurse Practitioner (Family)
1406 W 5TH ST, SUITE 201
LONDON, KY 40741
Laurel County (606) 330-2377
DR. JOSEPH TYLOR SILVERS D.O.
Family Medicine (Sports Medicine)
1406 W 5TH ST
LONDON, KY 40741
Laurel County (606) 526-4970
DR. AMY MARTIN HIGGINS M.D.
Internal Medicine
1406 W 5TH ST
LONDON, KY 40741
Laurel County (606) 526-4970
MARYMOUNT MEDICAL CENTER PHYSICIAN SERVICES
Clinic/Center (Primary Care)
1406 W 5TH ST, STE 201
LONDON, KY 40741
Laurel County (606) 330-2377
MR. DONALD G MAGUET PT
Physical Therapist
1406 W 5TH ST, SUITE 100
LONDON, KY 40741
Laurel County (606) 877-1242
CRYSTAL GAIL HOOD APRN
Nurse Practitioner
1406 W 5TH ST
LONDON, KY 40741
Laurel County (606) 526-4970
AKSHATHA RAO M.D.
Internal Medicine
1406 W 5TH ST, SUITE 201
LONDON, KY 40741
Laurel County (606) 330-2377
SAINT JOSEPH MEDICAL FOUNDATION, INC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1406 W 5TH ST, STE 302
LONDON, KY 40741
Laurel County (606) 330-7300

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 Adams's NPI number?

The NPI number for James Adams is 1497940753. It was assigned to this individual provider in the NPPES registry on September 10, 2007.

Where is James Adams located?

James Adams practices at 1406 W 5th St Ste 201, London, KY 40741. The listed phone number is (606) 330-2377.

What is James Adams's specialty?

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

Is James Adams enrolled in Medicare?

Yes. James Adams 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 Adams accept?

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

According to CMS data, James Adams is affiliated with Knox County Hospital.

When was this NPI record last updated?

The NPPES record for James Adams was last updated on January 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.