Individual provider Active NPI

James E Ewing, MD

  • Otolaryngology Physician
  • Campbellsville, KY
National Provider Identifier
1376532564
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
29697 Issued in KY
Practice address
105 Greenbriar Dr
Suite a
Campbellsville, KY 42718-9615
Phone
(270) 465-3595
Fax
(270) 789-2044
NPI assigned
Oct 19, 2005
Last updated
Jan 10, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 29697 KY Primary
Family Medicine Physician 207Q00000X 29697 KY

Addresses

Primary practice location

105 Greenbriar Dr
Suite a
Campbellsville, KY 42718-9615

Mailing address

105 Greenbriar Dr
Suite a
Campbellsville, KY 42718-9615
Phone (270) 465-3595

Other identifiers 2

IdentifierTypeStateIssuer
65931966MedicaidKY
CG2235OtherKYRAILROAD MEDICARE

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
I20040329000430 KY Practitioner - Otolaryngology 9436041969 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Kentucky College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Taylor Regional Medical Group LLCGroup PAC ID 4880616622, shared by 4 NPIs, 60 clinicians
PT Pros, IncGroup PAC ID 0143139337, shared by 14 NPIs, 263 clinicians

Practice addresses (Care Compare)

67 Kingswood Dr
Campbellsville, KY 42718-9647
Phone (270) 849-2379

73 Kingswood Dr
Campbellsville, KY 42718-9604
Phone (270) 849-2379

792 Campbellsville Rd
Greensburg, KY 42743-1460
Phone (270) 973-5400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.96 of 100Reported as group
Quality
62.41
Promoting interoperability
69
Improvement activities
40
Cost
71.3

Merit-based Incentive Payment System (MIPS)

Final score
92.9 of 100Reported as group
Quality
85.93
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision47
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29697KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Regional Medical Group LLC Family Medicine CurrentSince Jan 1, 2011 Accepting new patients
Taylor Regional Medical Group LLC Otolaryngology CurrentSince Jan 1, 2011 Accepting new patients
Taylor Regional Medical Group,LLC Current Accepting new patients
Taylor Regional Medical Group, LLC Family Medicine CurrentSince Jul 1, 2012 Accepting new patients
Taylor Regional Medical Group Past Accepting new patients
Ewing-Ear, Nose & Throat Otolaryngology Past Accepting new patients

Locations

105 Greenbriar Dr
Campbellsville, KY 42718
Phone (270) 283-4253

105 Greenbriar Dr
#A
Campbellsvlle, KY 42718
Phone (270) 465-3395

127 Kingswood Dr
Campbellsvlle, KY 42718
Phone (270) 789-3410

1698 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

67 Kingswood Dr
Campbellsvlle, KY 42718
Phone (270) 465-2116

73 Kingswood Dr
Campbellsvlle, KY 42718
Phone (270) 789-1112

1911 Campbellsville Rd
Greensburg, KY 42743
Phone (270) 932-2221

Organizations & group practices 6

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1376532564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 GREENBRIAR DR",
            "address_2": "SUITE A",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427189615",
            "telephone_number": "270-465-3595",
            "fax_number": "270-789-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 GREENBRIAR DR",
            "address_2": "SUITE A",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427189615",
            "telephone_number": "270-465-3595",
            "fax_number": "270-789-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWING",
        "first_name": "JAMES",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KY",
            "license": "29697",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "29697",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65931966",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG2235",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbellsville, KY

Sources for this page

Verify at the official NPI Registry.