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DR. JAMES R RINNE M.D.
NPI 1629077409
Ophthalmology in Campbellsville, KY

Active since July 14, 2005PECOS EnrolledAccepts Medicare Assignment
64.82/100
CMS Quality Rating
119 WELL PARK LANE STE 2, CAMPBELLSVILLE, KY 42718(270) 465-9237(270) 465-9418 Get Directions Write a Review

NPPES record last updated: June 30, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. James R Rinne M.d. NPPES

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

DR. JAMES R RINNE M.D. (NPI 1629077409) is an individual ophthalmology provider in Campbellsville, Kentucky, licensed in Kentucky (28400) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1984).

NPPES Registry Identity

NPI1629077409
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. JAMES R RINNECredential: M.D.
Location Address119 WELL PARK LANE STE 2Campbellsville, KY 42718-4997
Mailing Address119 Well Park Lane Ste 2Campbellsville, KY 42718-4997 · (270) 465-9237 · Fax (270) 465-9418
Phone(270) 465-9237
Fax(270) 465-9418
Sole ProprietorYes
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1984
Enumeration DateJuly 14, 2005
Last NPPES UpdateJune 30, 2022
NPPES CertifiedJune 30, 2022
✔ NPI 1629077409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in KY · 28400
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
119 WELL PARK LANE STE 2, Campbellsville, KY 42718
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Other Identifiers 2

Medicaid684204003KY
Medicaid64284003KY

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 R Rinne 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 ID4486789633
PECOS Enrollment IDI20100313000016
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 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.
527 services357 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
106 services103 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
66 services64 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
58 services58 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.
55 services52 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
47 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42718 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.

64.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality60.83
Improvement Activities40
Cost34.95

Reported Quality Measures

Breast Cancer Screening
0%352 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%173 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
0%716 patients1/55-star benchmark: 88%
Diabetes: Eye Exam
79%265 patients4/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%262 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
92%1,905 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%876 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
0%1,218 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%1,881 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 82% · 349 patients
Patients screened: 92% · 349 patients
0%34 patients1/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
42%154 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 912 patients
Patients totalRate: 0% · 912 patients
0%912 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers12 claims12 services$55.87 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers11 claims20 services$20.53 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Rinne's NPI number?

The NPI number for James Rinne is 1629077409. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Where is James Rinne located?

James Rinne practices at 119 Well Park Lane Ste 2, Campbellsville, KY 42718. The listed phone number is (270) 465-9237.

What is James Rinne's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is James Rinne enrolled in Medicare?

Yes. James Rinne 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.

When was this NPI record last updated?

The NPPES record for James Rinne was last updated on June 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.