DR. JAMES TOBY ARNOLD D.O.
NPI 1730342213
Internal Medicine in West Liberty, KY

Q: What is James Arnold's NPI number?

The NPI number for James Arnold is 1730342213. It was assigned to this individual provider in the NPPES registry on July 6, 2008.

Q: What is James Arnold'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 Arnold was last updated on July 30, 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.

Active since July 06, 2008PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

1084 HIGHWAY 7 STE 2, WEST LIBERTY, KY 41472(606) 743-3065(606) 743-3066 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 30, 2026, Dec 7, 2015 (2 updates tracked since 2015).

On this page

About Dr. James Toby Arnold D.o. NPPES

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

DR. JAMES TOBY ARNOLD D.O. (NPI 1730342213) is an individual internal medicine provider in West Liberty, Kentucky, licensed in Kentucky (03301) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Morgan County Arh Hospital, and is a graduate of University Of Pikeville, Kentucky College Of Osteopathic Med (2007).

NPPES Registry Identity

NPI1730342213

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. JAMES TOBY ARNOLDCredential: D.O.

Location Address1084 HIGHWAY 7 STE 2West Liberty, KY 41472-7146

Mailing Address1084 Highway 7 Ste 2West Liberty, KY 41472-7146 · (606) 743-3065 · Fax (606) 743-3066

Phone(606) 743-3065

Fax(606) 743-3066

Sole ProprietorNo

Medical School CMSUniversity Of Pikeville, Kentucky College Of Osteopathic MedGraduated 2007

Enumeration DateJuly 6, 2008

Last NPPES UpdateJuly 30, 20262 updates tracked since enumeration

NPPES CertifiedJuly 30, 2026

✔ NPI 1730342213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in KY · 03301

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.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 03301 (KY)

1084 HIGHWAY 7 STE 2, West Liberty, KY 41472

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Other Identifiers 1

Medicaid7100130080KY

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

Dr. James Toby Arnold D.o. 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 ID6800910837

PECOS Enrollment IDI20100827000755

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

Medicare enrollment records show James Arnold reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Appalachian Regional Healthcare, Inc.

0.1 mi

Rural Health

1084 HIGHWAY 7, SUITE 2
West Liberty, KY 41472

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

NPI 1780043927 (606) 743-3065

Southern Medical Partners, LLC

44 mi

Emergency Medicine

100 MEDICAL CENTER DRIVE
Hazard, KY 41701

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

NPI 1538109962 (606) 439-6651

Green Valley Emergency Physicians, LLC

301 mi

Emergency Medicine

1530 LONE OAK RD
Paducah, KY 42003

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

NPI 1720755739 (271) 444-2444

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

Hospital Affiliations CMS Care Compare

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

Morgan County Arh Hospital

Critical Access Hospitals · West Liberty, KY

OwnershipVoluntary non-profit - Private

CMS Certification Number181307

Location476 Liberty RoadWest Liberty, KY 41472 · Morgan County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41472 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.

100/100

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

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

100

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

2 suppliers13 claims22 services$6.58 avg. paid by Medicare

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

DME-Oxygen and Supplies · category DC000N

3 suppliers26 claims27 services$20.43 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

3 suppliers24 claims25 services$114.20 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

2 suppliers11 claims1,080 services$0.10 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

2 suppliers12 claims12 services$26.03 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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEANIE MARIE SNOW APRN

Nurse Practitioner (Family)

1084 HIGHWAY 7 STE 2
WEST LIBERTY, KY 41472

Morgan County (606) 743-3065

MRS. CRYSTAL MARIE FLETCHER-JONES D.O.

Family Medicine

1084 HIGHWAY 7 STE 2
WEST LIBERTY, KY 41472

Morgan County (606) 743-3065

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 Arnold's NPI number?

The NPI number for James Arnold is 1730342213. It was assigned to this individual provider in the NPPES registry on July 6, 2008.

Where is James Arnold located?

James Arnold practices at 1084 Highway 7 Ste 2, West Liberty, KY 41472. The listed phone number is (606) 743-3065.

What is James Arnold's specialty?

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

Is James Arnold enrolled in Medicare?

Yes. James Arnold 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 Arnold's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Arnold reassigns Medicare benefits to 3 organizations: Appalachian Regional Healthcare, Inc. (West Liberty, KY), Southern Medical Partners, LLC (Hazard, KY) and Green Valley Emergency Physicians, LLC (Paducah, KY). 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 Arnold's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Arnold accept?

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

According to CMS data, James Arnold is affiliated with Morgan County Arh Hospital.

When was this NPI record last updated?

The NPPES record for James Arnold was last updated on July 30, 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.