Active NPI 1114246840 Individual Practitioner Male Practitioner

Dr. James Edward Lynch , MD

Surgery • Morehead, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Lynch, MD is a certified Surgery practicing in Morehead, KY. With approximately 16 years of clinical experience since graduating from University Of Texas Medical Branch At Galveston in 2010, Dr. Lynch delivers high-quality medical care to the local community at 425 CLINIC DR.

Dr. Lynch is affiliated with St. Claire Medical Center Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

425 Clinic Dr

Morehead, KY 403511077

Telephone 6067847551

Fax 6067841184

Associated Practice Facility / Clinic

🏢 Cave Run Pharmacy, Inc Facility NPI 1639239734

Medicare Profile & Education

Medical School

University Of Texas Medical Branch At Galveston

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Morehead, KY

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs -13.2 yrs vs City Avg

City Avg: 29.2 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

8 Specialists

Practicing in Morehead, KY (495 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

41.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lynch (16 Years) 16 Yrs

Morehead Specialty Average (29.2 Years) 29.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	40	26	$93.00	$61.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$149.86	$90.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$218.86	$117.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	27	21	$93.00	$58.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	19	$69.48	$33.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$208.00	$126.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	39	$67.41	$34.80
99213 Established patient office or other outpatient visit, typically 15 minutes	21	14	$93.00	$64.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	16	$185.00	$128.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$148.50	$94.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$208.00	$129.84
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$261.00	$188.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	61	36	$93.00	$65.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	45	$57.58	$35.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	32	$143.11	$95.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$216.69	$129.34
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$185.00	$131.33
47562 Removal of gallbladder using an endoscope	17	17	$889.00	$643.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$261.00	$193.42
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$96.00	$47.97
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	11	11	$317.00	$77.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	71	$143.99	$77.39
99213 Established patient office or other outpatient visit, typically 15 minutes	65	53	$99.98	$49.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$213.84	$125.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$185.00	$134.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	102	64	$138.77	$76.47
99213 Established patient office or other outpatient visit, typically 15 minutes	68	46	$93.25	$49.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$209.24	$123.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$183.15	$132.87
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	17	$103.08	$70.62
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	13	$132.00	$100.98
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$133.43	$98.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	93	53	$91.76	$47.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	47	$134.30	$73.18
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	39	28	$92.00	$65.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$201.24	$117.84
99221 Initial hospital inpatient care per day, typically 30 minutes	24	23	$130.00	$94.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$137.75	$71.34
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$174.41	$127.37
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	14	12	$126.86	$97.16
47562 Removal of gallbladder using an endoscope	14	14	$851.86	$613.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$245.67	$174.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	36	$130.00	$75.03
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	27	$91.00	$68.98
99213 Established patient office or other outpatient visit, typically 15 minutes	39	25	$90.46	$48.70
99213 Established patient office or other outpatient visit, typically 15 minutes	38	26	$101.21	$45.08
99221 Initial hospital inpatient care per day, typically 30 minutes	23	23	$128.00	$96.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$195.00	$123.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$138.44	$70.41
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	15	14	$298.00	$117.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$173.00	$130.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	12	$139.64	$73.14
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	13	11	$126.00	$99.68
47562 Removal of gallbladder using an endoscope	13	13	$837.00	$628.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$130.00	$73.30

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License KY 48372

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

7100268110 (KY)

Commercial Insurance / Payer ID State Medical License

48372 (KY)

Hospital & Practice Group Affiliations

St. Claire Medical Center Inc

555 W Sun St, Morehead, KY 403511563

Phone: 6067836805

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners

Dr. Jacob Perry , MD

Surgery

NPI 1063663284

Doctor of Medicine (M.D.)

Dr. Eugene Greenberg , MD

Urology

NPI 1104844984

Doctor of Medicine (M.D.)

Dr. David Victor , MD

Surgery

NPI 1386662104

Doctor of Medicine (M.D.)

Dr. Ralph Fossett , MD

Orthopaedic Surgery

NPI 1427082627

Doctor of Medicine (M.D.)

Dr. Cynthia Schneider , MD

Orthopaedic Surgery

NPI 1548288319

Doctor of Medicine (M.D.)

Dr. Victor Pilewski , MD

Surgery

NPI 1548494115

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active April 22, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location April 22, 2016

Registered at 425 CLINIC DR, MOREHEAD, KY 403511077 (Tel: 6067847551)

📍

Updated Business Mailing Address April 22, 2016

Registered at 425 CLINIC DR, MOREHEAD, KY 403511077 (Tel: 6067847551)

👤

Provider Name / Credentials Updated April 22, 2016

Recorded as JAMES LYNCH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2016

Surgery (License #48372 in KY)

🟢

Initial NPI Registration & Enumeration May 20, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114246840

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 20, 2010

Last Update: March 07, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

425 Clinic Dr

Morehead, KY 403511077

Phone: 6067847551

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.