JAMES D. RAILEY M.D.
NPI 1760446579
Internal Medicine in Louisville, KY
About James D. Railey M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMES D. RAILEY M.D. (NPI 1760446579) is an individual internal medicine provider in Louisville, Kentucky, licensed in Kentucky (29727) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Clark Memorial Hospital, and is a graduate of University Of Louisville School Of Medicine (1992).
NPPES Registry Identity
Specialties & Licenses
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.
Other Identifiers 3
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 D. Railey 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.
Areas of Expertise CMS Part B claims 10
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Clark Memorial Hospital
Acute Care Hospitals · Jeffersonville, INNorton Hospitals, Inc
Acute Care Hospitals · Louisville, KYBaptist Health Louisville
Acute Care Hospitals · Louisville, KYBaptist Health Lagrange
Acute Care Hospitals · La Grange, KYUniversity Of Louisville Hospital
Acute Care Hospitals · Louisville, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Railey's NPI number?
The NPI number for James Railey is 1760446579. It was assigned to this individual provider in the NPPES registry on April 17, 2006.
Where is James Railey located?
James Railey practices at 825 Barret Ave, Louisville, KY 40204. The listed phone number is (502) 540-7200.
What is James Railey's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is James Railey enrolled in Medicare?
Yes. James Railey 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 Railey accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list James Railey 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 Railey affiliated with any hospitals?
According to CMS data, James Railey is affiliated with Clark Memorial Hospital, Norton Hospitals, Inc, Baptist Health Louisville, Baptist Health Lagrange and University Of Louisville Hospital.
When was this NPI record last updated?
The NPPES record for James Railey was last updated on April 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.
