JAMES W WELCH M.D.
NPI 1669407078
Radiology - Diagnostic Radiology in Lexington, KY

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
85.61/100
CMS Quality Rating
1218 S BROADWAY STE 310, LEXINGTON, KY 40504(859) 219-0542(859) 219-9433 Get Directions Write a Review

NPPES record last updated: September 18, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About James W Welch M.d. NPPES

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

JAMES W WELCH M.D. (NPI 1669407078) is an individual diagnostic radiology provider in Lexington, Kentucky, licensed in Kentucky (37126) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Kettering Health Main Campus, and is a graduate of University Of Louisville School Of Medicine (1996).

NPPES Registry Identity

NPI1669407078
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJAMES W WELCHCredential: M.D.
Location Address1218 S BROADWAY STE 310Lexington, KY 40504-2759
Mailing Address1218 S Broadway Ste 310Lexington, KY 40504-2759 · (859) 219-0542 · Fax (859) 219-9433
Fax(859) 219-9433
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1996
Enumeration DateJuly 12, 2006
Last NPPES UpdateSeptember 18, 2009
NPI 1669407078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in KY · 37126
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1218 S BROADWAY STE 310, Lexington, KY 40504

Other Identifiers 7

Medicare UPINH58613KY
Medicare ID-Type Unspecified0639918KY
Medicare PIN00057001KY
Medicare ID-Type Unspecified1276430KY
Medicare PIN0572138KY
Medicare ID-Type Unspecified0638918KY
Medicaid64047939KY

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

James W Welch 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 ID4284697558
PECOS Enrollment IDI20041108000633
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 46

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
506 services485 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
484 services463 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
356 services347 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
219 services217 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
145 services145 patients
Ct scan of blood vessels of neck with contrast 70498
A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.
138 services133 patients

Hospital Affiliations CMS Care Compare 5

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

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Fort Hamilton Hughes Memorial Hospital

Acute Care Hospitals · Hamilton, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360132
Location630 Eaton AvenueHamilton, OH 45013 · Butler County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Kettering Health Miamisburg

Acute Care Hospitals · Miamisburg, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360239
Location4000 Miamisburg-Centerville RoadMiamisburg, OH 45342 · Montgomery County
Emergency services

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360360
Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40504 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.

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.

85.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.61
Improvement Activities40
Cost71.07

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.

Radiology (Diagnostic Radiology)
1218 S BROADWAY STE 310
LEXINGTON, KY 40504
Physician Assistant
1218 S BROADWAY STE 310
LEXINGTON, KY 40504
Radiology (Diagnostic Radiology)
1218 S BROADWAY STE 310
LEXINGTON, KY 40504
Physician Assistant
1218 S BROADWAY STE 310
LEXINGTON, KY 40504
Radiology (Diagnostic Radiology)
1218 S BROADWAY STE 310
LEXINGTON, KY 40504
Physician Assistant
1218 S BROADWAY STE 310
LEXINGTON, KY 40504

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 Welch's NPI number?

The NPI number for James Welch is 1669407078. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is James Welch located?

James Welch practices at 1218 S Broadway Ste 310, Lexington, KY 40504. The listed phone number is (859) 219-0542.

What is James Welch's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is James Welch enrolled in Medicare?

Yes. James Welch 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 Welch accept?

Health plans from CareSource list James Welch 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 Welch affiliated with any hospitals?

According to CMS data, James Welch is affiliated with Kettering Health Main Campus, Fort Hamilton Hughes Memorial Hospital, Kettering Health Dayton, Kettering Health Miamisburg and Soin Medical Center.

When was this NPI record last updated?

The NPPES record for James Welch was last updated on September 18, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.