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MR. JAMES A VANSANT MD
NPI 1881628485
Internal Medicine in Morehead, KY

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
79.84/100
CMS Quality Rating
222 MEDICAL CIR, MOREHEAD, KY 40351(606) 783-6500(606) 783-6598 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. James A Vansant Md NPPES

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

MR. JAMES A VANSANT MD (NPI 1881628485) is an individual internal medicine provider in Morehead, Kentucky, licensed in Kentucky (27347) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with St Claire Regional Medical Center, and is a graduate of University Of Louisville School Of Medicine (1989).

NPPES Registry Identity

NPI1881628485
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. JAMES A VANSANTCredential: MD
Location Address222 MEDICAL CIRMorehead, KY 40351-1179
Mailing Address824 Fraley DriveMorehead, KY 40351 · (606) 784-3860
Phone(606) 783-6500
Fax(606) 783-6598
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1989
Enumeration DateJuly 10, 2006
Last NPPES UpdateMay 21, 2025
NPPES CertifiedMay 21, 2025
✔ NPI 1881628485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KY · 27347
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.
222 MEDICAL CIR, Morehead, KY 40351
Open in Google Maps ↗

Other Identifiers 1

Medicaid64273477KY

Accepted Insurance

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

Mr. James A Vansant Md 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 ID446443204
PECOS Enrollment IDI20101025001005
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 5

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 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.
212 services89 patients
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.
208 services94 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
119 services110 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.
76 services70 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.
23 services23 patients

Hospital Affiliations CMS Care Compare 2

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

St Claire Regional Medical Center

Acute Care Hospitals · Morehead, KY
3/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number180018
Location222 Medical CircleMorehead, KY 40351 · Rowan County
Emergency services Birthing friendly

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 40351 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.

79.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.43
Promoting Interoperability84
Improvement Activities40
Cost71.06

Referred Medical Equipment & Supplies CMS DME claims 2

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers15 claims15 services$77.16 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
2 suppliers18 claims18 services$18.87 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.

SAMUEL HUTCHINGS WORNALL
Pharmacist (Pharmacotherapy)
222 MEDICAL CIR
MOREHEAD, KY 40351
Rowan County (606) 783-6741
DR. TANNER PAUL BRONDHAVER DO
Family Medicine
222 MEDICAL CIR
MOREHEAD, KY 40351
Rowan County (606) 783-6455
RODNEY EWAN NGA DO
Student in an Organized Health Care Education/Training Program
222 MEDICAL CIR
MOREHEAD, KY 40351
Rowan County (606) 783-6455
DR. PAMELA HUGHES PHARMD
Pharmacist
222 MEDICAL CIR
MOREHEAD, KY 40351
Rowan County (606) 783-6740
REBECCA HAILEMICHAEL ALEMU MD
Internal Medicine
222 MEDICAL CIR
MOREHEAD, KY 40351
Rowan County (606) 783-6500
ANN COLBERT MD
Family Medicine
222 MEDICAL CIR
MOREHEAD, KY 40351
Rowan County (606) 783-6500
KYRA SHAE BAIER PA-C
Physician Assistant
222 MEDICAL CIR
MOREHEAD, KY 40351
Rowan County (606) 783-6500
SARAH ANN FEARIN ACNPC-AG
Nurse Practitioner (Acute Care)
222 MEDICAL CIR
MOREHEAD, KY 40351
Rowan County (606) 783-6500

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 Vansant's NPI number?

The NPI number for James Vansant is 1881628485. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is James Vansant located?

James Vansant practices at 222 Medical Cir, Morehead, KY 40351. The listed phone number is (606) 783-6500.

What is James Vansant's specialty?

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

Is James Vansant enrolled in Medicare?

Yes. James Vansant 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 Vansant accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list James Vansant 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 Vansant affiliated with any hospitals?

According to CMS data, James Vansant is affiliated with St Claire Regional Medical Center and Morgan County Arh Hospital.

When was this NPI record last updated?

The NPPES record for James Vansant was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.