Oliver James, M.D.
NPI 1194727701 · Pain Medicine (Anesthesiology) Physician · Lexington, KY
Enrolled with Medicare as Practitioner - Pain Management · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Oliver James, M.D. is a Pain Medicine (Anesthesiology) Physician provider in Lexington, KY (NPI 1194727701).
Provider details
- NPI number
- 1194727701
- Entity type
- Individual
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 29049 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
5,926 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Chronic Care Management Services, First 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99490 | 3,515 | $58 |
| Chronic Care Management Services for Two Or More Chronic Conditions, Additional 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99439 | 1,680 | $43 |
| Injection of Substance Into Lower Spine Canal Using Imaging Guidance62323 | 101 | $220 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 81 | $152 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 70 | $79 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 73 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 9,583 | 997 |
| Gabapentin | 8,205 | 899 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 6,753 | 692 |
| Oxycodone Hcl | 2,743 | 301 |
| Tramadol Hcl | 2,542 | 297 |
| Pregabalin | 1,602 | 198 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$549 across 22 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-08-12
- Last updated
- 2023-04-07
- Certified
- 2023-04-07
Frequently asked questions
- What is Oliver James's NPI number?
- Oliver James's National Provider Identifier (NPI) is 1194727701, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Oliver James's specialty?
- Oliver James is listed in the NPPES registry with a primary specialty of Pain Medicine (Anesthesiology) Physician (Allopathic & Osteopathic Physicians).
- Where is Oliver James located?
- Oliver James's practice location on file with NPPES is 120 Prosperous Pl Ste 102, Lexington, KY 40509-1866.
- What is Oliver James's phone number?
- The practice phone number listed in the NPPES registry for Oliver James is (859) 967-5309.
- Does Oliver James accept Medicare?
- Oliver James is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Oliver James's NPI active?
- Yes — Oliver James's NPI (1194727701) is active in the NPPES registry as of the last update on 2023-04-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.