JAMES G WHITELEY JR. MD
NPI 1659326247
Surgery in Louisville, KY

Q: What is James Whiteley's NPI number?

The NPI number for James Whiteley is 1659326247. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Q: What is James Whiteley's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for James Whiteley was last updated on September 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since May 23, 2006PECOS EnrolledAccepts Medicare Assignment

3 AUDUBON PLAZA DR, SUITE 450, LOUISVILLE, KY 40217(502) 636-0800(502) 636-0957 Get Directions Write a Review

NPPES record last updated: September 24, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About James G Whiteley Jr. Md NPPES

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

JAMES G WHITELEY JR. MD (NPI 1659326247) is an individual surgery provider in Louisville, Kentucky, licensed in Kentucky (36800) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Jackson Purchase Medical Center, and is a graduate of University Of Louisville School Of Medicine (1993).

NPPES Registry Identity

NPI1659326247

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameJAMES G WHITELEY JR.Credential: MD

Location Address3 AUDUBON PLAZA DR, SUITE 450Louisville, KY 40217-1319

Mailing Address3 Audubon Plaza Dr, Suite 450Louisville, KY 40217-1319 · (502) 636-0800 · Fax (502) 636-0957

Phone(502) 636-0800

Fax(502) 636-0957

Sole ProprietorNo

Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1993

Enumeration DateMay 23, 2006

Last NPPES UpdateSeptember 24, 2008

✔ NPI 1659326247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in KY · 36800

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

3 AUDUBON PLAZA DR, Louisville, KY 40217

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Other Identifiers 2

Medicare UPINH61906KY

Medicare PIN0225211KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James G Whiteley Jr. Md 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 ID6406937507

PECOS Enrollment IDI20080115000391

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.

Medicare Billing Reassignment

Medicare enrollment records show James Whiteley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pinelake Physician Practice LLC

189 mi

Rural Health

417 S 6TH ST
Mayfield, KY 42066

Reassigned Medicare billing, Kentucky enrollment
71 clinicians in this Medicare group

NPI 1922645134 (270) 247-1104

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

44 services44 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.

36 services34 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

28 services28 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.

23 services23 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

19 services12 patients

Hospital Affiliations CMS Care Compare

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

Jackson Purchase Medical Center

Acute Care Hospitals · Mayfield, KY

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number180116

Location1099 Medical Center CircleMayfield, KY 42066 · Graves County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40217 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

$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.

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.

JEANNE M THOMPSON M.D.

Internal Medicine

3 AUDUBON PLAZA DR, LL2
LOUISVILLE, KY 40217

Jefferson County (502) 636-8095

NEUROSCIENCE ASSOCIATES, PSC

Psychiatry & Neurology (Neurology)

3 AUDUBON PLAZA DR, SUITE 110
LOUISVILLE, KY 40217

Jefferson County (502) 634-3433

CARDIOVASCULAR ASSOCIATES, PSC

Internal Medicine (Cardiovascular Disease)

3 AUDUBON PLAZA DR, SUITE 350
LOUISVILLE, KY 40217

Jefferson County (502) 891-8300

BRYAN JESSOP ECKERLE

Psychiatry & Neurology (Neurology)

3 AUDUBON PLAZA DR, LL2
LOUISVILLE, KY 40217

Jefferson County (502) 636-4940

DR. NORMAN D RADTKE M.D.

Ophthalmology

3 AUDUBON PLAZA DR, SUITE 240
LOUISVILLE, KY 40217

Jefferson County (502) 636-2823

GARY F BLOEMER M.D.

Orthopaedic Surgery

3 AUDUBON PLAZA DR, SUITE 430
LOUISVILLE, KY 40217

Jefferson County (502) 588-9490

NORTON HOSPITALS INC

Clinic/Center (Rehabilitation)

3 AUDUBON PLAZA DR, STE L12
LOUISVILLE, KY 40217

Jefferson County (502) 629-8000

ALICE HOANG JOHNSON MD

Internal Medicine

3 AUDUBON PLAZA DR, LL-2
LOUISVILLE, KY 40217

Jefferson County (502) 636-8095

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 Whiteley's NPI number?

The NPI number for James Whiteley is 1659326247. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is James Whiteley located?

James Whiteley practices at 3 Audubon Plaza Dr Suite 450, Louisville, KY 40217. The listed phone number is (502) 636-0800.

What is James Whiteley's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is James Whiteley enrolled in Medicare?

Yes. James Whiteley 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.

Which organization bills Medicare for James Whiteley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Whiteley reassigns Medicare benefits to Pinelake Physician Practice LLC (Mayfield, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Whiteley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Whiteley accept?

Health plans from Anthem Blue Cross and Blue Shield list James Whiteley 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 Whiteley affiliated with any hospitals?

According to CMS data, James Whiteley is affiliated with Jackson Purchase Medical Center.

When was this NPI record last updated?

The NPPES record for James Whiteley was last updated on September 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.