JAMES CHRISTOPHER GOETZ M.D.
NPI 1700827714
Internal Medicine in Ashland, KY

Q: What is James Goetz's NPI number?

The NPI number for James Goetz is 1700827714. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Q: What is James Goetz's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for James Goetz was last updated on October 25, 2021. 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.

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment

82.94/100

CMS Quality Rating

2201 LEXINGTON AVE, ASHLAND, KY 41101(606) 408-4000(606) 408-6825 Get Directions Write a Review

NPPES record last updated: October 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 4, 2021, Mar 1, 2017, Feb 22, 2017 (3 updates tracked since 2017).

On this page

About James Christopher Goetz M.d. NPPES

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

JAMES CHRISTOPHER GOETZ M.D. (NPI 1700827714) is an individual internal medicine provider in Ashland, Kentucky, licensed in Kentucky (49116) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and is a graduate of University Of Toledo College Of Medicine (1990).

NPPES Registry Identity

NPI1700827714

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameJAMES CHRISTOPHER GOETZCredential: M.D.

Location Address2201 LEXINGTON AVEAshland, KY 41101-2843

Mailing AddressPo Box 2379Ashland, KY 41105-2379 · (606) 408-6200 · Fax (606) 408-6612

Phone(606) 408-4000

Fax(606) 408-6825

Sole ProprietorNo

Medical School CMSUniversity Of Toledo College Of MedicineGraduated 1990

Enumeration DateJune 9, 2006

Last NPPES UpdateOctober 25, 20213 updates tracked since enumeration

NPPES CertifiedOctober 25, 2021

✔ NPI 1700827714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in KY · 49116✔ Licensed in WV · 17206

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2201 LEXINGTON AVE, Ashland, KY 41101

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Other Identifiers 3

Medicaid0075599000WV

Medicaid0921462OH

Other110072402Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, 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

James Christopher Goetz 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 ID4981696093

PECOS Enrollment IDI20170309002640

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 4

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.

460 services222 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

275 services127 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.

206 services193 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.

158 services154 patients

Hospital Affiliations CMS Care Compare 4

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

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180009

Location2201 Lexington AvenueAshland, KY 41101 · Boyd County

Emergency services

Paul B Hall Regional Medical Center

Acute Care Hospitals · Paintsville, KY

1/5 CMS rating

OwnershipProprietary

CMS Certification Number180078

Location625 James S Trimble BoulevardPaintsville, KY 41240 · Johnson County

Emergency services

Three Rivers Medical Center

Acute Care Hospitals · Louisa, KY

3/5 CMS rating

OwnershipProprietary

CMS Certification Number180128

Location2485 Highway 644Louisa, KY 41230 · Lawrence County

Emergency services

St Mary's Medical Center

Acute Care Hospitals · Huntington, WV

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number510007

Location2900 1st AvenueHuntington, WV 25702 · Cabell County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41101 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

$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.

82.94/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

70.01

Promoting Interoperability

100

Improvement Activities

Cost

65.57

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

61%102 patients3/55-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 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers47 claims47 services$20.38 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier20 claims20 services$7.14 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers47 claims47 services$114.26 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DALKEITH FITZLAWSON TUCKER D.O.

Emergency Medicine

2201 LEXINGTON AVE
ASHLAND, KY 41101

Boyd County (606) 408-0605

ELIZABETH JEAN LOAN APRN

Nurse Practitioner (Family)

2201 LEXINGTON AVE
ASHLAND, KY 41101

Boyd County (606) 408-4000

DONALD A KRAFT MD

Emergency Medicine

2201 LEXINGTON AVE
ASHLAND, KY 41101

Boyd County (606) 327-4000

DOUGLAS M MOTTLEY M.D.

Specialist

2201 LEXINGTON AVE, SUITE 8B
ASHLAND, KY 41101

Boyd County (606) 327-5190

JASON G. ELLIS CRNA

Nurse Anesthetist, Certified Registered

2201 LEXINGTON AVE
ASHLAND, KY 41101

Boyd County (606) 408-4000

ASHLEY LUSTER

Pharmacist

2201 LEXINGTON AVE
ASHLAND, KY 41101

Boyd County (606) 408-1225

HASSAN R ABUL-KHOUDOUD MD

Hospitalist

2201 LEXINGTON AVE
ASHLAND, KY 41101

Boyd County (606) 408-4000

ASHLAND HOSPITAL CORPORATION

Durable Medical Equipment & Medical Supplies

2201 LEXINGTON AVE
ASHLAND, KY 41101

Boyd County (606) 408-4000

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 Goetz's NPI number?

The NPI number for James Goetz is 1700827714. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is James Goetz located?

James Goetz practices at 2201 Lexington Ave, Ashland, KY 41101. The listed phone number is (606) 408-4000.

What is James Goetz's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is James Goetz enrolled in Medicare?

Yes. James Goetz 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 Goetz accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list James Goetz 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 Goetz affiliated with any hospitals?

According to CMS data, James Goetz is affiliated with King's Daughters' Medical Center, Paul B Hall Regional Medical Center, Three Rivers Medical Center and St Mary's Medical Center.

When was this NPI record last updated?

The NPPES record for James Goetz was last updated on October 25, 2021. 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.