Active NPI 1265509285 Individual Practitioner Male Practitioner

Dr. James W Rice , MD

Orthopaedic Surgery • Winchester, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Rice, MD is a certified Orthopaedic Surgery practicing in Winchester, KY. With approximately 20 years of clinical experience since graduating from University Of Louisville School Of Medicine in 2006, Dr. Rice delivers high-quality medical care to the local community at 404 SHOPPERS DR.

Dr. Rice maintains professional affiliations with Kentucky Orthopedic Rehabilitation Llc, H2 Rehabilitation Services Of Kentucky, Llc, Kentucky Orthopaedics And Spine Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, established patient outpatient office visit, injection of substance into lower spine canal using imaging guidance. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

404 Shoppers Dr

Winchester, KY 403911301

Telephone 8597375333

Fax 8597370070

Associated Practice Facility / Clinic

🏢 Michael R. Heilig, Md, Pllc Facility NPI 1881959666

Medicare Profile & Education

Medical School

University Of Louisville School Of Medicine

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Winchester, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -2.5 yrs vs City Avg

City Avg: 22.5 Yrs

State Avg: 27.2 Yrs

Regional Practice Density

2 Specialists

Practicing in Winchester, KY (389 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

82.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rice (20 Years) 20 Yrs

Winchester Specialty Average (22.5 Years) 22.5 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
J1010 Injection, methylprednisolone acetate, 1 mg	20,700	212	$2.00	$0.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	218	158	$197.06	$108.60
62323 Injection of substance into lower spine canal using imaging guidance	215	143	$860.00	$214.79
72148 MRI scan of lower spinal canal	97	96	$1780.00	$162.21
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	80	60	$696.25	$110.95
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	80	60	$1193.63	$218.84
J1040 Injection, methylprednisolone acetate, 80 mg	55	47	$30.00	$9.67
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	51	39	$1143.53	$211.26
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	46	35	$1913.04	$386.21
99213 Established patient office or other outpatient visit, typically 15 minutes	46	42	$145.65	$78.13
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	46	35	$777.17	$206.17
72100 X-ray of lower and sacral spine, 2-3 views	45	41	$140.00	$33.06
J1030 Injection, methylprednisolone acetate, 40 mg	42	34	$15.00	$6.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$274.00	$143.51
72141 MRI scan of upper spinal canal	28	28	$1755.00	$162.55
72158 Mri scan of lower spinal canal before and after contrast	26	26	$3020.00	$264.23
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	22	$284.25	$155.61
80305 Testing for presence of drug, read by direct observation	23	23	$25.00	$12.35
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	22	14	$750.00	$222.03
62321 Injection of substance into middle or upper spine canal using imaging guidance	21	18	$850.00	$217.59
72040 X-ray of upper spine, 2-3 views	21	20	$138.00	$32.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$364.00	$150.06
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	14	12	$692.00	$92.82
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	14	14	$5500.00	$853.56
72146 Mri scan of middle spinal canal	13	13	$1755.00	$161.36
64445 Injection of anesthetic agent and/or steroid into lower back and leg nerve (sciatic nerve)	11	11	$505.00	$132.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
72100 X-ray of lower and sacral spine, 2-3 views	241	197	$140.00	$31.03
J1040 Injection, methylprednisolone acetate, 80 mg	233	161	$30.00	$11.58
62323 Injection of substance into lower spine canal using imaging guidance	192	135	$860.00	$230.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	188	151	$175.00	$117.06
J1030 Injection, methylprednisolone acetate, 40 mg	175	96	$15.00	$7.59
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	168	14	$10.00	$1.07
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	94	70	$1178.30	$236.54
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	89	66	$686.52	$122.39
72148 MRI scan of lower spinal canal	75	74	$1780.00	$179.87
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	63	41	$1650.79	$405.42
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	62	41	$670.97	$219.43
J1020 Injection, methylprednisolone acetate, 20 mg	44	38	$10.00	$6.01
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	40	37	$1161.00	$230.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$274.00	$155.10
99213 Established patient office or other outpatient visit, typically 15 minutes	27	25	$125.93	$83.53
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	23	$252.00	$166.43
62321 Injection of substance into middle or upper spine canal using imaging guidance	25	20	$850.00	$236.76
72114 X-ray lower and sacral spine, minimum of 6 views	24	24	$265.00	$53.19
80305 Testing for presence of drug, read by direct observation	22	21	$25.00	$12.35
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$364.00	$164.13
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	20	15	$750.00	$241.43
72141 MRI scan of upper spinal canal	19	19	$1755.00	$179.26
72158 Mri scan of lower spinal canal before and after contrast	16	16	$3020.00	$300.94
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	14	13	$735.43	$105.07
64445 Injection of anesthetic agent and/or steroid into lower back and leg nerve (sciatic nerve)	13	12	$543.85	$151.99
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	12	12	$4500.00	$1113.45
72146 Mri scan of middle spinal canal	11	11	$1755.00	$173.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	336	26	$10.95	$1.14
J1040 Injection, methylprednisolone acetate, 80 mg	263	166	$30.00	$10.74
J1030 Injection, methylprednisolone acetate, 40 mg	216	112	$15.00	$6.29
62323 Injection of substance into lower spine canal using imaging guidance	206	131	$860.00	$234.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	198	152	$175.00	$118.25
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	103	72	$1185.15	$239.96
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	103	72	$690.10	$125.72
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	66	43	$1600.00	$408.12
72148 MRI scan of lower spinal canal	64	64	$1780.00	$180.90
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	64	38	$650.00	$223.19
J1020 Injection, methylprednisolone acetate, 20 mg	56	41	$10.00	$3.27
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	55	40	$1158.55	$231.07
62321 Injection of substance into middle or upper spine canal using imaging guidance	41	29	$850.00	$239.90
72100 X-ray of lower and sacral spine, 2-3 views	38	36	$140.00	$35.60
99213 Established patient office or other outpatient visit, typically 15 minutes	26	24	$120.00	$82.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$274.00	$157.22
64491 Injection of upper or middle spine facet joint using imaging guidance, second level	25	19	$720.00	$124.07
64490 Injection of upper or middle spine facet joint using imaging guidance, single level	25	19	$1350.00	$243.51
80305 Testing for presence of drug, read by direct observation	21	20	$25.00	$12.44
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	21	13	$750.00	$243.82
72141 MRI scan of upper spinal canal	20	20	$1755.00	$184.68
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	18	12	$769.78	$110.69
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	16	12	$748.13	$156.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	14	$364.00	$187.07
20610 Aspiration and/or injection of fluid from large joint	14	11	$276.43	$69.19
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	12	12	$5500.00	$867.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1040 Injection, methylprednisolone acetate, 80 mg	294	177	$30.00	$10.55
J1030 Injection, methylprednisolone acetate, 40 mg	234	120	$15.00	$5.55
62323 Injection of substance into lower spine canal using imaging guidance	233	142	$860.00	$243.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	233	168	$175.00	$118.92
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	206	57	$650.00	$155.81
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	104	57	$1600.00	$380.73
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	102	71	$1170.00	$240.10
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	102	71	$680.00	$123.51
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	71	52	$1156.06	$240.45
J1020 Injection, methylprednisolone acetate, 20 mg	70	51	$10.00	$3.17
72148 MRI scan of lower spinal canal	53	53	$1780.00	$194.36
72100 X-ray of lower and sacral spine, 2-3 views	43	42	$140.00	$33.63
99213 Established patient office or other outpatient visit, typically 15 minutes	40	35	$120.00	$86.15
62321 Injection of substance into middle or upper spine canal using imaging guidance	36	25	$850.00	$239.31
64495 Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level	34	30	$661.18	$123.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$274.00	$153.41
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	26	$364.00	$191.28
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	25	18	$750.00	$248.04
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	24	24	$5500.00	$967.36
80305 Testing for presence of drug, read by direct observation	23	22	$25.00	$12.05
64491 Injection of upper or middle spine facet joint using imaging guidance, second level	21	17	$704.76	$122.53
64490 Injection of upper or middle spine facet joint using imaging guidance, single level	21	17	$1321.43	$239.84
72040 X-ray of upper spine, 2-3 views	17	17	$138.00	$32.02
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	17	16	$4500.00	$1086.72
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	17	11	$692.00	$104.18
63048 Partial removal of spine bone with release of spinal cord and/or nerves	15	15	$1000.00	$196.66
72141 MRI scan of upper spinal canal	13	13	$1755.00	$183.79
27245 Treatment of broken neck of thigh bone with bone implant	12	12	$4900.00	$1174.60
22633 Fusion of spine in lower back with partial removal of spine bone and disc	12	12	$8006.00	$1770.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	258	110	$15.00	$5.99
J1040 Injection, methylprednisolone acetate, 80 mg	208	143	$30.00	$11.43
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	201	48	$650.00	$149.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	187	147	$175.00	$97.33
62323 Injection of substance into lower spine canal using imaging guidance	158	111	$860.00	$225.29
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	102	49	$1615.69	$370.46
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	87	61	$1170.69	$224.52
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	87	61	$680.46	$116.31
64495 Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level	85	61	$680.59	$116.18
99213 Established patient office or other outpatient visit, typically 15 minutes	58	46	$120.00	$68.09
J1020 Injection, methylprednisolone acetate, 20 mg	47	36	$10.00	$3.51
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	45	34	$1248.00	$230.64
72148 MRI scan of lower spinal canal	44	44	$1780.00	$188.04
72100 X-ray of lower and sacral spine, 2-3 views	42	34	$140.00	$33.32
62321 Injection of substance into middle or upper spine canal using imaging guidance	30	22	$850.00	$231.23
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	24	16	$750.00	$235.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$274.00	$149.75
80305 Testing for presence of drug, read by direct observation	22	22	$25.00	$11.90
72040 X-ray of upper spine, 2-3 views	17	13	$138.00	$31.51
64490 Injection of upper or middle spine facet joint using imaging guidance, single level	16	13	$1312.50	$235.79
22513 Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance	16	13	$13101.00	$5734.22
64491 Injection of upper or middle spine facet joint using imaging guidance, second level	16	13	$700.00	$119.52
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	12	12	$5500.00	$959.16
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$364.00	$188.66
72141 MRI scan of upper spinal canal	11	11	$1755.00	$191.49
72114 X-ray lower and sacral spine, minimum of 6 views	11	11	$265.00	$51.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	374	150	$15.00	$6.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	249	188	$175.00	$98.36
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	179	51	$650.00	$145.17
J1040 Injection, methylprednisolone acetate, 80 mg	172	103	$30.00	$12.08
62323 Injection of substance into lower spine canal using imaging guidance	133	84	$860.00	$222.51
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	118	84	$1126.53	$219.60
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	117	83	$653.50	$111.48
64495 Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level	115	83	$656.96	$111.70
72148 MRI scan of lower spinal canal	97	97	$1780.00	$192.42
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	92	51	$1600.00	$360.46
99213 Established patient office or other outpatient visit, typically 15 minutes	68	61	$120.00	$66.39
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	63	47	$1251.43	$218.00
J1020 Injection, methylprednisolone acetate, 20 mg	61	46	$10.00	$3.74
72100 X-ray of lower and sacral spine, 2-3 views	59	52	$140.00	$31.60
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	38	27	$750.00	$242.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$274.00	$149.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$190.00	$98.06
72141 MRI scan of upper spinal canal	25	25	$1755.00	$191.38
20610 Aspiration and/or injection of fluid from large joint	25	21	$240.80	$54.34
80307 Testing for presence of drug, by chemistry analyzers	25	25	$100.00	$63.36
64634 Destruction of upper or middle spinal facet joint nerves with imaging guidance	23	12	$645.00	$166.54
64633 Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint	23	12	$1410.00	$374.39
62321 Injection of substance into middle or upper spine canal using imaging guidance	23	17	$850.00	$225.32
73502 X-ray of hip, 2-3 views	21	18	$130.00	$30.81
72114 X-ray lower and sacral spine, minimum of 6 views	21	21	$265.00	$50.86
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	20	19	$5500.00	$866.52
64491 Injection of upper or middle spine facet joint using imaging guidance, second level	20	13	$800.00	$128.31
64490 Injection of upper or middle spine facet joint using imaging guidance, single level	20	13	$1500.00	$255.79
72040 X-ray of upper spine, 2-3 views	19	15	$138.00	$32.23
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	17	14	$704.12	$152.06
72158 Mri scan of lower spinal canal before and after contrast	16	16	$3020.00	$326.36
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	16	16	$7657.00	$1587.27
22845 Placement of stabilizing device to front, 2-3 spine bone segments	14	14	$4450.00	$685.78
27245 Treatment of broken neck of thigh bone with bone implant	12	12	$4900.00	$1139.58
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	11	11	$4500.00	$1107.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	342	141	$15.00	$6.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	242	197	$175.00	$98.11
J1040 Injection, methylprednisolone acetate, 80 mg	177	94	$30.00	$12.85
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	144	38	$650.00	$152.19
62323 Injection of substance into lower spine canal using imaging guidance	144	80	$860.00	$215.06
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	102	77	$693.33	$115.39
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	102	77	$1190.00	$227.26
72148 MRI scan of lower spinal canal	100	100	$1780.00	$194.07
64495 Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level	93	73	$629.78	$115.63
99213 Established patient office or other outpatient visit, typically 15 minutes	93	82	$120.00	$65.52
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	76	38	$1600.00	$371.55
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	66	44	$1210.91	$210.45
J1020 Injection, methylprednisolone acetate, 20 mg	59	39	$10.00	$4.28
72100 X-ray of lower and sacral spine, 2-3 views	55	50	$140.00	$30.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$274.00	$148.01
72141 MRI scan of upper spinal canal	35	35	$1755.00	$199.11
62321 Injection of substance into middle or upper spine canal using imaging guidance	28	17	$850.00	$221.54
72040 X-ray of upper spine, 2-3 views	28	23	$138.00	$29.43
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	27	19	$750.00	$236.37
20610 Aspiration and/or injection of fluid from large joint	25	22	$240.80	$57.44
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	24	$364.00	$189.30
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	15	15	$4500.00	$1111.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$190.00	$93.43
72070 X-ray of middle spine, 2 views	13	12	$130.00	$28.63
27245 Treatment of broken neck of thigh bone with bone implant	13	13	$4900.00	$1144.08
72114 X-ray lower and sacral spine, minimum of 6 views	13	13	$265.00	$54.13
22514 Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance	12	11	$13079.00	$5659.72
73721 Mri scan of leg joint without contrast	12	12	$1800.00	$196.10
72158 Mri scan of lower spinal canal before and after contrast	11	11	$3020.00	$335.21
72146 Mri scan of middle spinal canal	11	11	$1755.00	$199.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	269	90	$15.00	$5.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	212	170	$175.00	$96.46
99213 Established patient office or other outpatient visit, typically 15 minutes	133	103	$120.00	$64.97
J1040 Injection, methylprednisolone acetate, 80 mg	119	67	$30.00	$11.05
62323 Injection of substance into lower spine canal using imaging guidance	98	57	$860.00	$214.17
72100 X-ray of lower and sacral spine, 2-3 views	68	60	$140.00	$30.43
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	67	19	$650.00	$149.08
72148 MRI scan of lower spinal canal	65	63	$1780.00	$194.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$274.00	$144.82
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	44	37	$692.27	$114.34
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	44	37	$1188.41	$224.94
64495 Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level	41	34	$594.39	$114.71
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	35	19	$1600.00	$365.73
72114 X-ray lower and sacral spine, minimum of 6 views	32	31	$265.00	$52.45
72141 MRI scan of upper spinal canal	26	25	$1755.00	$195.17
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	25	17	$1209.60	$203.48
20610 Aspiration and/or injection of fluid from large joint	23	18	$243.04	$56.72
22859 Insertion of device into gap left by removal of part of vertebra	23	17	$1000.00	$314.14
73502 X-ray of hip, 2-3 views	21	19	$130.00	$32.23
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	20	16	$819.00	$162.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	18	$364.00	$186.82
72040 X-ray of upper spine, 2-3 views	16	14	$138.00	$26.91
22845 Placement of stabilizing device to front, 2-3 spine bone segments	15	15	$4450.00	$680.63
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	15	15	$7657.00	$1574.40
22514 Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance	13	13	$13079.00	$449.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	11	$87.00	$38.63
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	11	11	$6700.00	$847.07
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	11	11	$5500.00	$826.64

Medical Specialties & State Licenses

CMS Verified: 2025-05-16

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License KY 45665

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

7100230670 (KY)

Hospital & Practice Group Affiliations

H2 Rehabilitation Services Of Kentucky, Llc

193 Glades Rd, Berea, KY 404032261

Phone: 8599561055

Kentucky Orthopedic Rehabilitation Llc

235 Boggs Ln, Richmond, KY 404753325

Phone: 8599728630

Kentucky Orthopaedics And Spine Pllc

404 Shoppers Dr, Winchester, KY 403911301

Phone: 8597375333

Kentucky Orthopedic Rehabilitation Llc

235 Boggs Ln, Richmond, KY 404753325

Phone: 8599728630

Secondary Practice Locations

235 Boggs Ln Ste 7

Richmond, KY 404753325

Phone: 8596259959

360 Amsden Ave Ste 400

Versailles, KY 403831855

Phone: 8597375333

1138 Lexington Rd Ste 110

Georgetown, KY 403249673

Phone: 5025703754

5 Linville Dr Ste 102

Paris, KY 403612165

Phone: 5025703754

Practice Associates & Co-Workers

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

6 Associated Practitioners

Kurt Schlenther , PA-C

Physician Assistant

NPI 1154411064

Physician Assistant (Certified)

James Farris , PA

Physician Assistant

NPI 1205937323

Physician Assistant

Nicholas Music , PA-C

Physician Assistant - Surgical

NPI 1285072702

Physician Assistant (Certified)

Jeremy Kruger , MSPT

Physical Therapist

NPI 1326045360

Master of Science in Physical Therapy

Mary Mccarty , PA-C

Physician Assistant - Medical

NPI 1720478936

Physician Assistant (Certified)

Dr. Gregory Grau , MD

Orthopaedic Surgery

NPI 1922051051

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Practice Location May 30, 2023

Registered at 404 SHOPPERS DR, WINCHESTER, KY 403911301 (Tel: 8597375333)

📍

Updated Business Mailing Address May 30, 2023

Registered at 404 SHOPPERS DR, WINCHESTER, KY 403911301 (Tel: 8597375333)

👤

Provider Name / Credentials Updated May 30, 2023

Recorded as JAMES RICE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2020

Orthopaedic Surgery (License #45665 in KY)

📍

Updated Practice Location August 27, 2018

Registered at 400 SHOPPERS DR, WINCHESTER, KY 40391 (Tel: 8597375333)

📍

Updated Business Mailing Address August 27, 2018

Registered at 400 SHOPPERS DR, WINCHESTER, KY 403911378 (Tel: 8597375333)

✅

NPI Profile Active October 02, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location October 02, 2012

Registered at 617 23RD ST STE 350, ASHLAND, KY 411012880 (Tel: 6063270036)

📍

Updated Business Mailing Address October 02, 2012

Registered at PO BOX 2379, ASHLAND, KY 411052379 (Tel: 6063270036)

👤

Provider Name / Credentials Updated October 02, 2012

Recorded as JAMES RICE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2012

Orthopaedic Surgery (License #TP369 in KY)

🟢

Initial NPI Registration & Enumeration November 29, 2006

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: 1265509285

Entity Type:

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

Enumeration Date: November 29, 2006

Last Update: May 16, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

404 Shoppers Dr

Winchester, KY 403911301

Phone: 8597375333

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.