DR. JAMES JAY KEMPINERS M.D.
NPI 1598842213
Otolaryngology in Fort Thomas, KY

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
40 N GRAND AVE, SUITE 101, FORT THOMAS, KY 41075(859) 781-4900(859) 572-3044 Get Directions Write a Review

NPPES record last updated: May 1, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. James Jay Kempiners M.d. NPPES

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

DR. JAMES JAY KEMPINERS M.D. (NPI 1598842213) is an individual otolaryngology provider in Fort Thomas, Kentucky, licensed in Kentucky (40097) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Ft Thomas, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2001).

NPPES Registry Identity

NPI1598842213
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. JAMES JAY KEMPINERSCredential: M.D.
Location Address40 N GRAND AVE, SUITE 101Fort Thomas, KY 41075-4107
Mailing Address40 N Grand Ave, Suite 101Fort Thomas, KY 41075-4107 · (859) 781-4900 · Fax (859) 572-3044
Fax(859) 572-3044
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2001
Enumeration DateNovember 1, 2006
Last NPPES UpdateMay 1, 2018
NPI 1598842213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in KY · 40097
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Also ListedOtolaryngology · Pediatric OtolaryngologyTaxonomy 207YP0228X · License 40097 (KY)
Also ListedOtolaryngology · Otolaryngic AllergyTaxonomy 207YX0602X · License 40097 (KY)
Also ListedOtolaryngology · Otology & NeurotologyTaxonomy 207YX0901X · License 40097 (KY)
40 N GRAND AVE, Fort Thomas, KY 41075

Other Identifiers 10

Medicaid2651152OH
Other35086041OH · Oh Medical License
Other000000392085Anthem
Other1061788IN · In License Number
Medicaid200810540IN
Medicaid65917965KY
Medicaid701342OH
Other7808772Aetna
Medicaid100015770IN
Other40097KY · Ky Medical License

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 and accepts Medicare assignment

Dr. James Jay Kempiners 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 ID8729097118
PECOS Enrollment IDI20060412000579, I20060426000683
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 11

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.

Established patient office or other outpatient visit, 30-39 minutes 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.
127 services95 patients
New patient office or other outpatient visit, 45-59 minutes 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
67 services67 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
65 services58 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
49 services34 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
48 services17 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
36 services26 patients

Hospital Affiliations CMS Care Compare 3

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

St Elizabeth Ft Thomas

Acute Care Hospitals · Fort Thomas, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180001
Location85 North Grand AvenueFort Thomas, KY 41075 · Campbell County
Emergency services

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

St Elizabeth Florence

Acute Care Hospitals · Florence, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180045
Location4900 Houston RoadFlorence, KY 41042 · Boone County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41075 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
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.

Ophthalmology
40 N GRAND AVE, SUITE 200
FORT THOMAS, KY 41075
Audiologist
40 N GRAND AVE, SUITE 100
FORT THOMAS, KY 41075
Otolaryngology
40 N GRAND AVE, SUITE 101
FORT THOMAS, KY 41075
Otolaryngology
40 N GRAND AVE, SUITE 101
FORT THOMAS, KY 41075
Dentist (General Practice)
40 N GRAND AVE, SUITE 206
FORT THOMAS, KY 41075
Surgery
40 N GRAND AVE, SUITE 202
FORT THOMAS, KY 41075
Audiologist
40 N GRAND AVE, SUITE 100
FORT THOMAS, KY 41075
Dentist (General Practice)
40 N GRAND AVE, SUITE 206
FORT THOMAS, KY 41075

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 Kempiners's NPI number?

The NPI number for James Kempiners is 1598842213. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is James Kempiners located?

James Kempiners practices at 40 N Grand Ave Suite 101, Fort Thomas, KY 41075. The listed phone number is (859) 781-4900.

What is James Kempiners's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is James Kempiners enrolled in Medicare?

Yes. James Kempiners 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 Kempiners accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and MedMutual list James Kempiners 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 Kempiners affiliated with any hospitals?

According to CMS data, James Kempiners is affiliated with St Elizabeth Ft Thomas, St Elizabeth Edgewood and St Elizabeth Florence.

When was this NPI record last updated?

The NPPES record for James Kempiners was last updated on May 1, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.