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JAMES H SHOPTAW M.D.
NPI 1710951942
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Hazard, KY

Active since February 15, 2006PECOS EnrolledAccepts Medicare Assignment
90.48/100
CMS Quality Rating
210 BLACK GOLD BLVD, HAZARD, KY 41701(606) 487-7000(606) 487-7022 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 31, 2026, May 29, 2025, Aug 7, 2018 and 2 more (5 updates tracked since 2017).

About James H Shoptaw M.d. NPPES

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

JAMES H SHOPTAW M.D. (NPI 1710951942) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Hazard, Kentucky, licensed in Kentucky (37469) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Whitesburg Arh Hospital, and is a graduate of Medical College Of Georgia School Of Medicine (1989).

NPPES Registry Identity

NPI1710951942
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameJAMES H SHOPTAWCredential: M.D.
Location Address210 BLACK GOLD BLVDHazard, KY 41701-2620
Mailing Address210 Black Gold BlvdHazard, KY 41701-2620 · (606) 487-7000 · Fax (606) 487-7022
Phone(606) 487-7000
Fax(606) 487-7022
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1989
Enumeration DateFebruary 15, 2006
Last NPPES UpdateJuly 31, 20265 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
✔ NPI 1710951942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in KY · 37469✔ Licensed in GA · 033699
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
210 BLACK GOLD BLVD, Hazard, KY 41701
Open in Google Maps ↗

Other Identifiers 1

Medicaid64054315KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.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 H Shoptaw 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 ID3678543089
PECOS Enrollment IDI20170822002228
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 Reassignments

4

Medicare enrollment records show James Shoptaw reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Appalachian Regional Healthcare, Inc.
Same address
Cardiovascular Disease
210 BLACK GOLD BLVD STE 210
Hazard, KY 41701
  • Reassigned Medicare billing, Kentucky enrollment
  • 419 clinicians in this Medicare group
NPI 1225380389 (606) 487-7000
Arh Tug Valley Health Services, Inc.
35 mi
Multi-Specialty
787 PARKWAY DR
Salyersville, KY 41465
  • Reassigned Medicare billing, Kentucky enrollment
  • 242 clinicians in this Medicare group
NPI 1942962105 (606) 349-3511
Mppg, Inc.
379 mi
Family Medicine
4731 WATERS AVE
Savannah, GA 31404
  • Reassigned Medicare billing, Georgia enrollment
  • 104 clinicians in this Medicare group
NPI 1033131172 (912) 350-4905
Hospital Authority Of Valdosta And Lowndes County, Georgia
417 mi
Clinic/Center
603 E DENNIS AVE
Nashville, GA 31639
  • Reassigned Medicare billing, Georgia enrollment
  • 112 clinicians in this Medicare group
NPI 1447591649 (229) 686-2096

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 3

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.
18 services16 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.
14 services14 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Whitesburg Arh Hospital

Acute Care Hospitals · Whitesburg, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180002
Location240 Hospital RoadWhitesburg, KY 41858 · Letcher County
Emergency services Birthing friendly

Highlands Arh Regional Medical Center

Acute Care Hospitals · Prestonsburg, KY
2/5 CMS rating
OwnershipProprietary
CMS Certification Number180005
Location5000 Kentucky Route 321Prestonsburg, KY 41653 · Floyd County
Emergency services Birthing friendly

Hazard Arh Regional Medical Center

Acute Care Hospitals · Hazard, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180029
Location100 Medical Center DriveHazard, KY 41701 · Perry County
Emergency services Birthing friendly

Manchester Memorial Hospital

Acute Care Hospitals · Manchester, KY
OwnershipVoluntary non-profit - Church
CMS Certification Number180043
Location210 Marie Langdon DriveManchester, KY 40962 · Clay County
Emergency services Birthing friendly

Harlan Arh Hospital

Acute Care Hospitals · Harlan, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180050
Location81 Ball Park RoadHarlan, KY 40831 · Harlan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41701 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
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
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.

90.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.5
Promoting Interoperability95.74
Improvement Activities40

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
1 supplier12 claims12 services$17.71 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 suppliers24 claims24 services$100.07 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$34.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Marty ***** July 5, 2025

5/5
Dr Shoptaw did my open heart Oct 2015. Quadruple bypass and widow maker repair. Excellent results from the beginning to the end.
Provider 5/5 Office Staff 5/5
Visited this provider? Share your experience.

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.

MS. NANCY R HELTON RN
Registered Nurse
210 BLACK GOLD BLVD, STE 107
HAZARD, KY 41701
Perry County (606) 436-2350
STEVEN HALL APRN
Nurse Practitioner (Family)
210 BLACK GOLD BLVD, STE 106
HAZARD, KY 41701
Perry County (606) 436-0711
ALLISON DREW DEZARN APRN
Nurse Practitioner
210 BLACK GOLD BLVD
HAZARD, KY 41701
Perry County (606) 436-0711
DR. AMY GOODSON PH.D.
Psychologist (Clinical)
210 BLACK GOLD BLVD, ARH BARIATRIC SERVICES, SUITE 102
HAZARD, KY 41701
Perry County (606) 439-1331
BRETT MUHA MD
Family Medicine
210 BLACK GOLD BLVD
HAZARD, KY 41701
Perry County (606) 436-0711
KRISTI WATTS APRN
Nurse Practitioner
210 BLACK GOLD BLVD, SUITE 106
HAZARD, KY 41701
Perry County (606) 436-0711
APPALACHIAN REGIONAL HEALTHCARE INC
Pharmacy (Community/Retail Pharmacy)
210 BLACK GOLD BLVD, SUITE 104
HAZARD, KY 41701
Perry County (606) 487-7380
ASHLEY A TAYLOR APRN
Nurse Practitioner (Family)
210 BLACK GOLD BLVD, STE 106
HAZARD, KY 41701
Perry County (606) 436-0711

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 Shoptaw's NPI number?

The NPI number for James Shoptaw is 1710951942. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is James Shoptaw located?

James Shoptaw practices at 210 Black Gold Blvd, Hazard, KY 41701. The listed phone number is (606) 487-7000.

What is James Shoptaw's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is James Shoptaw enrolled in Medicare?

Yes. James Shoptaw 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 organizations bill Medicare for James Shoptaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Shoptaw reassigns Medicare benefits to 4 organizations: Appalachian Regional Healthcare, Inc. (Hazard, KY), Arh Tug Valley Health Services, Inc. (Salyersville, KY), Mppg, Inc. (Savannah, GA) and Hospital Authority Of Valdosta And Lowndes County, Georgia (Nashville, GA). Each 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 Shoptaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Shoptaw accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list James Shoptaw 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 Shoptaw affiliated with any hospitals?

According to CMS data, James Shoptaw is affiliated with Whitesburg Arh Hospital, Highlands Arh Regional Medical Center, Hazard Arh Regional Medical Center, Manchester Memorial Hospital and Harlan Arh Hospital.

When was this NPI record last updated?

The NPPES record for James Shoptaw was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.