Individual provider Active NPI

James Prewitt Lagrew, MD

  • Dermatology Physician
  • Lexington, KY
National Provider Identifier
1154767457
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
49994 Issued in KY
Practice address
2405 Harrodsburg Rd
Lexington, KY 40504-3329
Phone
(859) 278-9492
Fax
(859) 469-5461
NPI assigned
May 14, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X LL3077 SC
Internal Medicine Physician 207R00000X 192591 NC
Dermatology Physician 207N00000X 49994 KY Primary

Addresses

Primary practice location

2405 Harrodsburg Rd
Lexington, KY 40504-3329

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

316 Spangler Dr
Richmond, KY 40475-2351
Phone (859) 623-4241

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jlagrew@directaddress.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170601001181 KY Practitioner - Dermatology 5799074530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Kentucky College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

316 Spangler Dr
Richmond, KY 40475-2351
Phone (859) 623-4241

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision13
Removal of skin lesions784
Removal or shaving of skin growth1-10
Skin biopsy196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
49994KYMDDermatology Physician
LL3077SCMDDermatology Physician
192591NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. Dermatology Current Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Aug 27, 2024 Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Aug 27, 2024 Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients

Locations

2405 Harrodsburg Rd
Lexington, KY 40504
Phone (859) 278-9492

501 S 2nd St
Louisville, KY 40202
Phone (502) 583-7546

316 Spangler Dr
Richmond, KY 40475
Phone (859) 623-4241

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: jlagrew@directaddress.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1154767457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 HARRODSBURG RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043329",
            "telephone_number": "859-278-9492",
            "fax_number": "859-469-5461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 Spangler Dr",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "KY",
            "postal_code": "404752351",
            "country_code": "US",
            "telephone_number": "859-623-4241",
            "fax_number": "859-623-4242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAGREW",
        "first_name": "JAMES",
        "middle_name": "PREWITT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-14",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "LL3077",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "192591",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KY",
            "license": "49994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlagrew@directaddress.net",
            "affiliation": "N",
            "address_1": "2424 Harrodsburg Rd Ste 200",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405032112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.