JAMES D WILLIAMS MD
NPI 1811933245
Urology in Crestview Hills, KY
Quality Rating: 100 out of 100 score
NPI Status: Active since June 22, 2006
Contact Information
350 THOMAS MORE PKWY
SUITE 200
CRESTVIEW HILLS, KY
ZIP 41017
Phone: (859) 363-2200
Fax: (859) 363-2201
- Individual
- Male
- Urology
- Accepts Insurance
About JAMES WILLIAMS
This page provides the complete NPI Profile along with additional information for James Williams, a provider established in Crestview Hills, Kentucky with a medical specialization in Urology. The healthcare provider is registered in the NPI registry with number 1811933245 assigned on June 2006. The practitioner's primary taxonomy code is 208800000X with license number 35-03-8711 (OH). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1811933245
- Provider Name
- JAMES D WILLIAMS MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 350 THOMAS MORE PKWY SUITE 200 CRESTVIEW HILLS, KY 41017
- Location Phone
- (859) 363-2200
- Location Fax
- (859) 363-2201
- Mailing Address
- 2000 JOSEPH E SANKER BLVD CINCINNATI, OH 45212
- Mailing Phone
- (513) 841-7400
- Mailing Fax
- (859) 363-2201
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-22-2006
- Last Update Date
- 01-31-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Urology
- Taxonomy Code
- 208800000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 35-03-8711
- License State
- OH
- Taxonomy Description
- A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Anthem Bronze Pathway HMO 7450 for HSA - HMO
- Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Catastrophic Pathway HMO 9200 - HMO
- Anthem Gold Pathway HMO 1500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Silver Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 5000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- Bronze $8,300 w/ Virtual & Wellness ON-EX - HMO
- Bronze HSA $7,300 ON-EX - HMO
- Bronze Standard w/ Virtual & Wellness - HMO
- Gold $1250 w/ Virtual & Wellness ON-EX - HMO
- Gold $500 w/ Virtual & Wellness ON-EX - HMO
- Gold Standard w/ Virtual & Wellness - HMO
- Silver $5000 w/ Virtual & Wellness ON-EX - HMO
- Silver Standard w/ Virtual & Wellness - HMO
- SilverSelect w/ Virtual & Wellness ON-EX - HMO
- Young Adult Essentials ON-EX - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
0276946 | MEDICAID (05) | OH | |
1114950026 | MEDICARE NSC (07) | OH | |
D32703 | MEDICARE UPIN (02) | OH | |
0887611 | MEDICARE PIN (08) | OH | |
0362707 | MEDICARE UPIN (02) | KY | |
200251850A | MEDICAID (05) | IN | |
340017165 | OTHER (01) | OH | RAILROAD MEDICARE |
1114950001 | MEDICARE NSC (07) | KY | |
64010101 | MEDICAID (05) | KY | |
340017164 | OTHER (01) | KY | RAILROAD MEDICARE |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Shock wave crushing of kidney stones
Shock wave crushing of kidney stones, also known as Extracorporeal Shock Wave Lithotripsy (ESWL), is a non-invasive treatment. It involves the use of sound waves to break down kidney stones into small pieces that can easily pass through your urinary tract.
This service was performed 39 times for 38 patientsOverall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 100, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 100 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: N/A
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: 100
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 8 | 1 | 1 | 9 | 3 | 3 | 2 | 4 | 5 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 8 | 2 | 1 | 18 | 3 | 6 | 2 | 8 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 8 + 2 + 1 + 1 + 8 + 3 + 6 + 2 + 8 + 24 = 65 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 65 = 5 | 5 |
The NPI number 1811933245 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1235136425 | DR. STUART ALLEN STEINBERG M.D. Individual | Internal Medicine (Cardiovascular Disease) | 350 THOMAS MORE PKWY STE 280 CRESTVIEW HILLS, KY 41017 (859) 426-0800 |
1093704413 | REBECCA BOGNER REBITSKI P.T. Individual | Physical Therapist | 350 THOMAS MORE PKWY SUITE 130 CRESTVIEW HILLS, KY 41017 (859) 344-6647 |
1336139781 | JUNE OWENS P.T. Individual | Physical Therapist | 350 THOMAS MORE PKWY SUITE 130 CRESTVIEW HILLS, KY 41017 (859) 344-6647 |
1144293275 | PHILIP L ZAACKS MD Individual | Pain Medicine (Interventional Pain Medicine) | 350 THOMAS MORE PKWY SUITE 160 CRESTVIEW HILLS, KY 41017 (513) 221-1100 |
1619011079 | BOGNER & CARR, INC. Organization | Physical Therapist | 350 THOMAS MORE PKWY SUITE 130 CRESTVIEW HILLS, KY 41017 (859) 344-6647 |
1225160419 | COMPREHENSIVE CARDIOLOGY CONSULTANTS, INC. Organization | Internal Medicine (Cardiovascular Disease) | 350 THOMAS MORE PKWY SUITE 280 CRESTVIEW HILLS, KY 41017 (859) 426-0888 |
1811161425 | ALLIANCE PRIMARY CARE Organization | Family Medicine | 350 THOMAS MORE PKWY STE. 200 CRESTVIEW HILLS, KY 41017 (859) 426-1800 |
1821039538 | CHRISTOPHER CIRULLI MD Individual | Urology | 350 THOMAS MORE PKWY SUITE 200 CRESTVIEW HILLS, KY 41017 (859) 363-2200 |
1780626424 | EDWARD R ELICKER MD Individual | Urology | 350 THOMAS MORE PKWY SUITE 200 CRESTVIEW HILLS, KY 41017 (859) 363-2200 |
1760428460 | B ROBERT SCHWARTZ MD Individual | Urology | 350 THOMAS MORE PKWY SUITE 200 CRESTVIEW HILLS, KY 41017 (859) 363-2200 |
1770529067 | BRIAN F SHAY MD Individual | Urology | 350 THOMAS MORE PKWY SUITE 200 CRESTVIEW HILLS, KY 41017 (859) 363-2200 |
1346373586 | MICHAEL WILLIAM DUSING MD Individual | Urology | 350 THOMAS MORE PKWY SUITE 200 CRESTVIEW HILLS, KY 41017 (859) 363-2200 |
1801113071 | LESTER S DUPLECHAN MD PLLC Organization | Physical Medicine & Rehabilitation | 350 THOMAS MORE PKWY STE 190 CRESTVIEW HILLS, KY 41017 (859) 341-4842 |
1104823905 | KARI VILLARREAL N.P. Individual | Nurse Practitioner | 350 THOMAS MORE PKWY SUITE 280 CRESTVIEW HILLS, KY 41017 (859) 426-0800 |
1770726382 | BROOKE B EDWARDS M.D. Individual | Urology | 350 THOMAS MORE PKWY SUITE 200 CRESTVIEW HILLS, KY 41017 (859) 363-2200 |
1962829655 | CAITLIN DINARDO Individual | Physical Therapist | 350 THOMAS MORE PKWY SUITE 130 CRESTVIEW HILLS, KY 41017 (859) 578-7000 |
1194758029 | DALLAS SCOTT BASHAM NP Individual | Nurse Practitioner | 350 THOMAS MORE PKWY SUITE 160 CRESTVIEW HILLS, KY 41017 (513) 221-1100 |
1881919744 | DR. ROBERT JAMES LARKE M.D. Individual | Urology | 350 THOMAS MORE PKWY SUITE 200 CRESTVIEW HILLS, KY 41017 (859) 363-2200 |
1356310304 | MR. MATT JOHN ERNST PT, OCS Individual | Physical Therapist (Orthopedic) | 350 THOMAS MORE PKWY STE 130 CRESTVIEW HILLS, KY 41017 (859) 578-7000 |
1225018864 | REBECCA S CORNELIUS MD Individual | Radiology (Diagnostic Radiology) | 350 THOMAS MORE PKWY SUITE 160 CRESTVIEW HILLS, KY 41017 (513) 221-1100 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811933245, enumerated in the NPI registry as an "individual" on June 22, 2006
The provider is located at 350 Thomas More Pkwy Suite 200 Crestview Hills, Ky 41017 and the phone number is (859) 363-2200
The provider's speciality is Urology with taxonomy code 208800000X
The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Anthem. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.
The most common procedures or services performed by this practitioner are: Shock wave crushing of kidney stones.
This NPI record was last updated on June 22, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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