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JAMES E STANTON MD
NPI 1801473319
Internal Medicine in Louisville, KY

Active since March 29, 2021PECOS Enrolled
7926 PRESTON HWY STE 106, LOUISVILLE, KY 40219(502) 964-4357(502) 966-5948 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 13, 2026, Dec 30, 2022, Mar 29, 2021 (3 updates tracked since 2021).

About James E Stanton Md NPPES

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

JAMES E STANTON MD (NPI 1801473319) is an individual internal medicine provider in Louisville, Kentucky, licensed in Kentucky (R6081) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Hattiesburg.

NPPES Registry Identity

NPI1801473319
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJAMES E STANTONCredential: MD
Location Address7926 PRESTON HWY STE 106Louisville, KY 40219-3848
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116
Phone(502) 964-4357
Fax(502) 966-5948
Sole ProprietorNo
Enumeration DateMarch 29, 2021
Last NPPES UpdateJuly 13, 20263 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
✔ NPI 1801473319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in KY · R6081✔ Licensed in MS · 37520
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 ListedPediatricsTaxonomy 208000000X · License R6081 (KY)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
7926 PRESTON HWY STE 106, Louisville, KY 40219
Open in Google Maps ↗

Secondary Practice Location 1

Location 1415 S 28th AveHattiesburg, MS 39401-7246 · Phone (601) 268-5800 · Fax (601) 261-3530

Other Identifiers 1

OtherR6081KY · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James E Stanton Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show James Stanton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Medical Associates, Inc.
4.6 mi
Sports Medicine
1951 BISHOP LN FL 4
Louisville, KY 40218
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,896 clinicians in this Medicare group
NPI 1386904647 (502) 588-9490
Hattiesburg Clinic PA
486 mi
Dermatology
1420 JEFFERSON ST
Laurel, MS 39440
  • Reassigned Medicare billing, Mississippi enrollment
  • 696 clinicians in this Medicare group
NPI 1114089208 (601) 428-8428

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

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.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40219 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.

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.

MR. JAMES GREGORY HOWELL NP
Nurse Practitioner
7926 PRESTON HWY STE 106
LOUISVILLE, KY 40219
Jefferson County (502) 964-4357
TERRY G HENSLEY MD
Emergency Medicine
7926 PRESTON HWY STE 106
LOUISVILLE, KY 40219
Jefferson County (502) 964-4357
LAURA FEDER DO
Family Medicine
7926 PRESTON HWY STE 106
LOUISVILLE, KY 40219
Jefferson County (502) 964-4357
ANNA STEVENS MILLER DNP NP-C
Nurse Practitioner (Family)
7926 PRESTON HWY STE 106
LOUISVILLE, KY 40219
Jefferson County (502) 964-4357
JACLYN D DUFFY APRN
Nurse Practitioner (Family)
7926 PRESTON HWY STE 106
LOUISVILLE, KY 40219
Jefferson County (502) 964-4357
BETTY SUE SAMS-TINKER APRN
Nurse Practitioner (Family)
7926 PRESTON HWY STE 106
LOUISVILLE, KY 40219
Jefferson County (502) 964-4357
ASHLEY NICOLE LOVELL APRN
Nurse Practitioner
7926 PRESTON HWY STE 106
LOUISVILLE, KY 40219
Jefferson County (502) 964-4357
DR. ERIC D GOURIEUX MD
Family Medicine
7926 PRESTON HWY STE 106
LOUISVILLE, KY 40219
Jefferson County (502) 964-4357

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 Stanton's NPI number?

The NPI number for James Stanton is 1801473319. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is James Stanton located?

James Stanton practices at 7926 Preston Hwy Ste 106, Louisville, KY 40219. The listed phone number is (502) 964-4357.

What is James Stanton's specialty?

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

Is James Stanton enrolled in Medicare?

Yes. James Stanton is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for James Stanton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Stanton reassigns Medicare benefits to 2 organizations: Community Medical Associates, Inc. (Louisville, KY) and Hattiesburg Clinic PA (Laurel, MS). 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 Stanton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Stanton accept?

Health plans from CareSource and Cigna Healthcare list James Stanton 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.

When was this NPI record last updated?

The NPPES record for James Stanton was last updated on July 13, 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.